1. Finding the Best Evidence Literature for Evidence Based Health Care

2. Agenda  Welcome & Introductions  Ovid  Bibliographic Databases  EBM Reviews  EBSCO  DynaMed  Publication Types, Clinical Queries, and Subject Subsets Limits  Ovid Search Demo  Additional Resources

3. Ovid: Bibliographic Databases  MEDLINE

4. 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

5. Publication Types n Clinical Trial, Phase I-IV n Controlled Clinical Trial n Randomized Controlled Trial n Evaluation Studies n Meta-Analysis n Multicenter Study n Practice Guideline

6. Clinical Queries (sensitivity, specificity, optimized) n Therapy n Diagnosis n Prognosis n Reviews n Clinical Prediction Guides n Qualitative Studies n Etiology n Costs n Economics

7. Subject Subsets n Systematic Reviews

8. EBM Reviews  ACP Journal Club  Cochrane Central Register of Controlled Trials  Cochrane Database of Systematic Reviews  Database of Abstracts of Reviews of Effects (DARE)

9. 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

10. 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

11. 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

12. 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

13. DynaMed n A clinical reference tool created by a physicians for physicians and other health care professionals n For use primarily at the point-of-care n With clinically-organized summaries for nearly 2,000 topics n 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

14. Ovid Demo – Search Questions  Prostate cancer and Prostatectomy.  Low back pain treatment (drug)

15. Additional Resources  ACP Pier  National Guideline Clearinghouse  Evidence Based Medicine Tool Kit  Netting the Evidence  Evidence-Based Medicine: How to Teach and Practice EBM

16. ACP Pier (Physician's Information and Education Resource) n Developed by the American College of Physicians n Medical knowledge and guidance resource based on evidence n Covers 360 disease modules n Mirrors the way a physician thinks – information flows from diagnosis through management n Available at BHS Library E-Resources STATRef

17. National Guideline Clearinghouse  http://www.guideline.gov/ 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

18. Evidence Based Medicine Tool Kit n Collection of tools for identifying, assessing and applying relevant evidence n Originally published in JAMA as a result Evidence Based Medicine Working Group n http://www.med.ualberta.ca/ebm/ebm.htm http://www.med.ualberta.ca/ebm/ebm.htm

19. Netting the Evidence n Intended to facilitate evidence-based healthcare by providing support and access to helpful organizations and useful learning resources n Resources can be browsed by type n Search engine available n http://www.shef.ac.uk/scharr/ir/netting/ http://www.shef.ac.uk/scharr/ir/netting/

20. Evidence-Based Medicine: How to Teach and Practice EBM n Tells how to integrate best available evidence into clinical expertise n Available BHS Library WB 102 F933 2005 (copy on reserve and one circulating copy)

21. 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

22. Questions About This Presentation?  Contact:  Robert M. Bird Health Sciences Library  (405) 271-2285 x48752  (405) 800 522 0222 x 48752  bird-reference@ouhsc.edu