finding the best evidence literature for evidence based health care
TRANSCRIPT
Finding the Best Evidence
Literature for Evidence Based Health Care
Agenda Welcome & Introductions Ovid
Bibliographic Databases EBM Reviews
EBSCO DynaMed
Publication Types, Clinical Queries, and Subject Subsets Limits
Ovid Search Demo Additional Resources
Ovid: Bibliographic Databases
MEDLINE
MEDLINE
Produced by the National Library of Medicine Indexes over 4,700 journals from the mid-
1960’s forward Controlled vocabulary (MeSH) available Premier bibliographic database for
information in the fields of medicine, dentistry, veterinary medicine, nursing, the healthcare system, and preclinical sciences
International in scope
Publication Types
Clinical Trial, Phase I-IV
Controlled Clinical Trial
Randomized Controlled Trial
Evaluation Studies
Meta-Analysis Multicenter Study Practice Guideline
Clinical Queries (sensitivity, specificity, optimized)
Therapy Diagnosis Prognosis Reviews Clinical Prediction
Guides
Qualitative Studies Etiology Costs Economics
Subject Subsets
Systematic Reviews
EBM Reviews
ACP Journal Club Cochrane Central Register of
Controlled Trials Cochrane Database of Systematic
Reviews Database of Abstracts of Reviews
of Effects (DARE)
ACP Journal Club Database consists of two journals:
ACP Journal Club Evidence-Based Medicine (BMJ) Titles merged in 2000; new content appears in
ACP Journal Club Editors of ACP Journal Club:
screen the top clinical journals on a regular basis and identify studies that are both methodologically sound and clinically relevant
write an enhanced abstract of the chosen articles and provide a commentary on the value of the article for clinical practice
No controlled vocabulary
Cochrane Central Register of Controlled Trials Bibliographic database of definitive controlled
trials Intent: systematically search the international
health care literature and create an unbiased source of data for those preparing systematic reviews
Utilizes MeSH and natural language
Cochrane Database of Systematic Reviews Produced by the Cochrane Collaboration - an
international network of individuals and institutions
Includes two types of reviews: Complete Reviews – full text systematic
reviews, updated and maintained by designated groups
Protocols – background, objectives, methods, and expected date of completion for reviews currently being prepared
No controlled vocabulary
Database of Abstracts of Reviews of Effects (DARE)
Produced by the expert reviewers and information staff of the National Health Services' Centre for Reviews and Dissemination (NHS CRD) at the University of York, England
Full text database containing critical assessments of systematic reviews from a variety of medical journals
No controlled vocabulary
DynaMed
A clinical reference tool created by a physicians for physicians and other health care professionals
For use primarily at the point-of-care With clinically-organized summaries for nearly
2,000 topics Updated daily and monitors the content of
over 500 medical journals and systematic evidence review databases directly and indirectly by using many journal review services
Ovid Demo – Search Questions
Prostate cancer and Prostatectomy.
Low back pain treatment (drug)
Additional Resources
ACP Pier National Guideline Clearinghouse Evidence Based Medicine Tool Kit Netting the Evidence Evidence-Based Medicine: How to
Teach and Practice EBM
ACP Pier (Physician's Information and Education Resource) Developed by the American College of
Physicians Medical knowledge and guidance resource
based on evidence Covers 360 disease modules Mirrors the way a physician thinks –
information flows from diagnosis through management
Available at BHS Library E-Resources STATRef
National Guideline Clearinghouse
http://www.guideline.gov/
Developed and maintained by the Agency for Healthcare Research and Quality (AHRQ)
Resource to identify clinical practice guidelines
Includes links to additional resources, a guideline compare tool, and full-text if available
Evidence Based Medicine Tool Kit
Collection of tools for identifying, assessing and applying relevant evidence
Originally published in JAMA as a result Evidence Based Medicine Working Group
http://www.med.ualberta.ca/ebm/ebm.htm
Netting the Evidence
Intended to facilitate evidence-based healthcare by providing support and access to helpful organizations and useful learning resources
Resources can be browsed by type Search engine available http://www.shef.ac.uk/scharr/ir/netting/
Evidence-Based Medicine: How to Teach and Practice EBM
Tells how to integrate best available evidence into clinical expertise
Available BHS Library WB 102 F933 2005 (copy on reserve and one circulating copy)
Things to Keep in Mind…
All of these resources are: Keyword searchable Under development thus limited in scope Excellent for identifying other sources of
evidence based practice materials that may not be included in more traditional databases
Questions About This Presentation?
Contact: Robert M. Bird Health Sciences Library
(405) 271-2285 x48752 (405) 800 522 0222 x 48752