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 Evidence Based Medicine
Books | Print Journals | E-Journals | Databases | Websites | Analyze The Evidence 
BooksThe Library has a collection of textbooks on the subject of evidence-based medicine or problem-based learning. Use the online catalog to perform a general search on this subject. Searching for books on teaching evidence based medicine can be found here.
Print Journal CollectionEvidence based Nursing - 2003 to present (a quarterly publication)
Electronic Journal CollectionView electronic journals through the Library's Electronic Resources page that relate to evidence-based medicine by using this search.
DatabasesAccessMedicineView all resources and topics in the AccessMedcine database that discuss Evidence-Based Medicine. AccessMedicine also contains a Guidelines Section taken from the Lange publication Current Practice Guidelines in Primary Care 2008.The guidelines are separated into the browsing sections disease screening, prevention, & management. AccessMedicine is limited to ten (10) concurrent users. CINAHL Searching in CINAHL for evidence-based medicine literature is accomplished by selecting the evidence-based practice filter located in the Limits tab. Select this filter by placing a check mark in the box provided prior to clicking the search button. Cochrane Library The Cochrane Library is a full text evidence based medicine database comprised of 8 individual databases. 4 of them can be used to locate EBM reviews or trials discuss. Each database allows for both keyword searching or subject browsing, the default is set for keyword searching.
Clinical Evidence summarizes the current state of knowledge and uncertainty about the prevention and treatment of clinical conditions, based on thorough searches and appraisal of the literature. It is neither a textbook of medicine nor a set of guidelines. It describes the best available evidence from systematic reviews, RCTs and observational studies where appropriate, and if there is no good evidence it says so. Searching is done either by basic keyword searching or by browsing through listed topics. DARE - Database of Abstracts of Reviews of Effects DARE contains summaries of systematic reviews which have met strict quality criteria. Included reviews have to be about the effects of interventions. Each summary provides a critical commentary on the quality of the review. The database covers a broad range of health and social care topics and can be used for answering questions about the effects of interventions DynaMed DynaMed is a clinical reference tool created by physicians for use primarily at the point-of-care. Dynamed features nearly 3,000 topics. It is updated daily as a result of the monitoring of over 500 medical journals and systematic evidence review databases. Health Source Nursing/Academic - Visual Search To search for literature about EBM nursing in Health Source Nursing/Academic use the Visual Search function. Enter the term evidence based medicine into the query box at the top of the screen. This search method will provide a visual method to locate subjects on evidence-based nursing and EBM. The Visual Search feature can be used with any of the EBSCOHost databases. National Guideline Clearinghouse (NGC) The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use. The NGC offers:
To search PubMed for EBM literature use the following tools and filters.
Supported through the Univ. of Texas Health Sciences Center at San Antonio. SUMSearch is a unique method of searching for medical evidence by using the Internet. SUMSearch combines meta-searching and contingency searching in order to automate searching for medical evidence. Go to the SUMSearch details page for more information on the search rationale. TRIP The TRIP Database started in 1997 as a result of the work of the founders in answering clinical questions. One of the remits of answering the clinical questions was to return them in a clinically relevant time frame. As well as being quick the clinical questions needed to be answered using the best available evidence. Therefore, to identify the best evidence involved moving from website to website in order to identify relevant material. If each site took 5 minutes to search and 12 websites were examined it added an hour to the search time. If all the content were searchable at one website it would significantly improve the search time. Initially, a manual search of each evidence-based site was undertaken with titles, URL and year of publication recorded in a spreadsheet. Shortly afterwards a chance conversation led to the spreadsheet being converted to a crude web-based search engine.
WebsitesAgency for Healthcare Research and Quality (AHRQ) - Evidence based-practice sectionIn 1997 the Agency for Health Care Policy and Research (AHCPR), now known as the Agency for Healthcare Research and Quality (AHRQ), launched its initiative to promote evidence-based practice in everyday care through establishment of 12 Evidence-based Practice Centers (EPCs). The EPCs develop evidence reports and technology assessments on topics relevant to clinical, social science/behavioral, economic, and other health care organization and delivery issues specifically those that are common, expensive, and/or significant for the Medicare and Medicaid populations. Bandolier "Evidence based thinking about healthcare" The first issue of Bandolier, an independent journal about evidence-based healthcare and was printed in February 1994. It has appeared monthly ever since and has become the premier source of evidence based healthcare information in the UK and worldwide for both healthcare professionals and consumers. Center for Evidence Based Medicine (EBM Tools) The Centre for Evidence-Based Medicine's aim is to improve patient care by developing and promoting evidence-based health care, and to provide support and resources to anyone who wants to practice or teach EBM. This section contains a selection of useful tools to help you practice and teach EBM. Please use the menu on the left to access EBM Tools for each stage in the process. Evidence-based medicine resource center: Teaching/learning evidence-based medicine The New York Academy of Medicine in partnership with the Evidence-based Medicine Committee of the American College of Physicians, New York Chapter has received a grant from the National Institutes of Health to develop an Evidence-based Medicine Resource Center. Evidence-based medicine is a methodology for evaluating the validity of research in clinical medicine and applying the results to the care of individual patients. Evidence is gathered through systematic review of the literature, and is critically appraised. Following the systematic review the results are then integrated with physician/patient decision making. Guidelines & More - Institute for Clinical Systems Improvement (ISCI) An independent, non-profit organization, ICSI facilitates collaboration on health care quality improvement by medical groups, hospitals and health plans that provide health care services to people who live and work in the state of Minnesota and in adjacent areas of surrounding states. Introduction to Evidence Based Medicine: a tutorial Created by the librarians at Duke University Medical Center Library Health Sciences Library, UNC-Chapel Hill. Fourth Edition, Copyright 2004. This tutorial is intended for any health care practitioner, or student, who needs a basic introduction to the principles of Evidence-Based Medicine. Upon completion of this self-paced tutorial, you will be able to:
University of Virginia Health Systems Library - cited here with permission from Karen Knight. We are referencing the sections: overview, pyramid, and weblinks. From the website, "Welcome to Navigating the Maze a resource page for obtaining evidence based medical information. This Web page will introduce you to computer-based resources that will help reduce the WORK needed to find information based upon VALID and RELIABLE evidence. For the busy clinician, valid and reliable information is only useful as the amount of time and work it takes to find it!" NOAH Understanding Medical Information (Evidence Based Medicine) Supported by the New York Online Access to Health (NOAH) organization. This is an informational website published by the NOAH group. It contains information for both the health professional as well as for health consumers. The evidence-based medicine tool kit This is a collection of tools for identifying, assessing and applying relevant evidence for better health care decision-making. The appraisal tools are adapted from the Users' Guides series prepared by the Evidence-based Medicine Working Group and originally published in JAMA.
Analyze the EvidenceCentre for Health Evidence: User's guides to evidence-based practiceThe following is the complete set of Users' Guides originally published as a series in the Journal of the American Medical Association (JAMA). The CHE continues to maintain the full text pre-publication version of this series on behalf of the Evidence-Based Medicine Working Group with permission from the journal. See the Disclaimer and Copyright for more information. How to read a paper Trisha Greenhalgh & Rod Taylor This is a series of papers originally published in the British Medical Journal about how to read and analyze medical literature. ReferencesSackett, D.L., Rosenberg, W.M.C., Gray, J.A.M., Haynes, R.B., & Richardson, W.S. (1996). Evidence based medicine: what it is and what it isn't [Editorial]. British Medical Journal, 312, 71-72. Maintained by Rudy Barreras | |
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