NO ROOM FOR
Doubts
Use a reputable source (author, date of
publication)Use a reputable source (author, date of
publication)
1.ELECTRONIC SEARCH PROCESS
Use search strategies
1.ELECTRONIC SEARCH PROCESS
Collect as many references pertaining to the topic
NON-ELECTRONIC SEARCH PROCESS
Use a reputable source (author, date of publication)
must read (or skim) chapters/books
NON-ELECTRONIC SEARCH PROCESS
Read a lot of articles
1.ELECTRONIC SEARCH PROCESS
Combines the practitioner’s clinical expertise
and the patient’s desires and values with the
conscientious and judicious use of the current
best evidence from the clinical literature
EVIDENCED BASED MEDICINE
A process for making disease management
decisions by evaluating and rating the quality of
studies
EVIDENCED BASED MEDICINE (EBM)
Evidence-Based Medicine
Assess
Ask
Acquire
Appraise
Apply
Evidence-Based Medicine
1) Assess the patient or information needed
2) Ask a focused clinical question
3) Acquire the best available evidence to answer
the question
4) Appraise the quality of the evidence
5) Apply the new information to patient care
PICO
P meaning
Patient/clinical problem
I
Intervention
C
Comparison
O
Outcome
U.S. National Library of Medicine and free through
the Internet most current and comprehensive
evidence resource it has several tools to improve the
accuracy of a search, and it is free without
subscription
PubMed
American College of Physicians
ACP Journal Club
Highest quality articles on internal medicine
- Ease of reading, expert review
ACP Journal Club
Pathophysiology and treatment
recommendations
- Comprehensive, easy to read with extensive
bibliographies
UpToDate
Agency for Healthcare Research and Quality
- Evidence-based clinical practice guidelines
National Guideline Clearinghouse