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Last time, I shared with you some information on special services the Health
Sciences Library does just for faculty. This time, I want to share with you
information on the Evidence-based Medicine resources available at the Library.
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No doubt, you have been hearing and reading a great deal about evidence-based medicine. The goal of this message is to make you aware of some of the excellent evidence-based medicine resources available to you through the Health Sciences Library that can help you put evidence-based medicine into action.
Evidence-based medicine (EBM) is the integration of individual clinical expertise with the best available external evidence from systematic research and the patient’s values and expectations. You provide the clinical expertise and the Health Sciences Library will provide you with the tools to locate external evidence.
The six steps in the evidence-based medicine process are:
The Patient 1. Start with the patient -- a clinical problem /question arises out of the care of the patient
The Question 2. Construct a relevant, answerable question derived from the case
The Resource 3. Select the appropriate resource(s) and conduct a search
The Evaluation 4. Appraise that evidence for its validity (closeness to the truth) and applicability (usefulness in clinical practice)
The Patient 5. Return to the patient -- integrate that evidence with clinical expertise, patient preferences and apply it to practice
The Self-Evaluation 6. Evaluate your performance with this patient
Your health sciences library can assist you most with steps three and four-locating and evaluating an information resource. We offer evidence-based medicine resources that combine the search for the appropriate resource and the evaluation or critical appraisal of the evidence, saving your valuable time and effort.
The Health Sciences Library offers three full-text evidence-based medicine databases available to you in the building or remotely through Ovid. These databases analyze and evaluate existing studies and review articles and give recommendations that can be applied to clinical practice.
EBM Reviews - Best Evidence
Best Evidence consists of the full text of ACP Journal Club from the American
College of Physicians and Evidence-based Medicine produced by BMJ Publishing.
The editors of Best Evidence screen the top clinical journals on a regular basis
and identify studies that are both methodologically sound and clinically relevant.
They write an enhanced abstract of the chosen articles and provide commentary
on the value of the article for clinical practice. The Health Sciences Library
also offers print subscriptions to both of these journals-Evidence-based Medicine
and ACP Journal Club.
EBM Reviews - Cochrane Database of Systematic Reviews
The Cochrane Database of Systematic Reviews includes the full text of the regularly
updated systematic reviews of specific healthcare topics prepared by The Cochrane
Collaboration. There are two types of reviews. The first are Complete Reviews.
They are regularly updated and maintained by Collaborative Review Groups. The
second are Protocols, or reviews currently being prepared. All include an expected
date of completion. Cochrane Database is produced by the Cochrane Collaboration
- an international network of individuals and institutions committed to preparing,
maintaining, and disseminating systematic reviews of the effects of health care.
EBM Reviews - Database of Abstracts of Reviews of Effects
DARE is a full-text database containing critical assessments of systematic reviews
from a variety of medical journals. DARE is 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, and consists
of structured abstracts of systematic reviews from all over the world. DARE
records cover topics such as diagnosis, prevention, rehabilitation, screening,
and treatment.
Next time: More on EBM
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