Libr

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Libr

ary

Evidence based healthcare resourcesKaren John-PierreSt. George’s Library

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What is evidence based healthcare?

Formulating a question

Finding the evidence using online resources

Focus on 4 key resources DynaMED Plus Clinical Evidence Cochrane Library NICE Evidence Search

E B

P Image: http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036021

E B

P Image: http://guides.lib.unc.edu/c.php?g=204277&p=1347834

Assess and ask

“What evidence is there to support “honey”

therapy for the treatment of neck

wound dehiscense rather than conventional

debridement therapies?”

P. I. C. O

1. Patient/Problem

2. Intervention/Exposure

3. Comparison/Control

4. Outcome

P I

C O

P Neck wound dehiscence (problem)

I Honey therapy (intervention)

C Conventional debridement (comparison)

O Wound healing (outcome)

E v

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Image: http://www.ciap.health.nsw.gov.au/education/learning/module4/section_3_3.

E v i d e n c e

1. Systems Integration of evidence with

patient records

2. Summaries Guidelines, reference tools that

integrate evidence-based information about clinical conditions

3. Synopses of syntheses Summarized information from

systematic reviews

4. Syntheses Systematic reviews

5. Synopses of single studies Summaries of high quality

studies

6. Single studies

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St George's Library website

Evidence Based Healthcare page

Located under ‘NHS staff’ tab at:

http://library.sgul.ac.uk

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T i p

s1. Plan your search- P I C O, alternatives

2. Enclose phrases in quotes e.g. “cystic fibrosis”

3. Use OR to look for alternative terms e.g. walking or yoga

4. Use AND to combine terms together e.g. handover and discharge

5. Use brackets to use AND and OR together e.g. rehabilitation and (walking or yoga)

6. Use truncation to search on word stems e.g. diabet* to find diabetes or diabetic

SummariesDynaMed Plus

• New point of care clinical reference tool for trust staff

• Supports evidence based practice for 3.5k topics

• NHS OpenAthens• Trust intranet• App

• Uses GRADE to classify evidence

http://www.gradeworkinggroup.org/

Summaries

Clinical Evidence

Concise accounts of the current state of knowledge about the prevention and treatment of clinical conditions

Uses best available evidence from systematic reviews, RCTs, and observational studies.

NHS OpenAthens

Synopses of syntheses/studies

NHS Centre for Reviews and Dissemination DARE

Free

Evidence-based abstract journals Evidence-based medicine Evidence-based nursing Evidence-based mental health

NHS OpenAthens

Cochrane Podcasts Free

Syntheses Cochrane

Systematic Reviews

Identify and synthesise all relevant high quality research on a topic

Aims to reduce bias by using explicit criteria

Free

StudiesHealthcare databasesMedline (PubMed)

CinahlEmbaseNHS Athens

Specialist databases TRIP Database Pubmed

clinical queries Password free

NICE Evidence Search

NICE Evidence Search

Access to more than 200 evidence based web sources

Links to : BNF/BNFC Journals, databases via NHS

OpenAthens NICE guidance and pathways Clinical Knowledge Summaries

Library contactsResearch Enquiries Desk Mon-Fri 11am-4pm Library 1st floor Hunter Wing

Karen John-PierreNHS and liaison managerkjohn@sgul.ac.uk

Zena Ali Liaison support librarian (NHS)zali@sgul.ac.uk

Call Karen or Zena on 020 8725 5433