Finding the evidence on the Internet....Where do I start?
- 1. Decision Support Clinical Guidelines and Reviews for Evidence Based Medicine (Where Do I Start?) Policy Development & Management Program, Nov. 2011 Jessica E. Rolle (Mrs.) Planning Unit, PMH
- 2. Evidence (Truth or Reality?) Healthcare decisions/services should be based on evidence Evidence: the numbers that represent the current condition or situation as it relates to a specific service/topic or area. It reflects the PRESENT state or transitional truth, however it does not necessarily represent an absolute truth.
- 3. Sourcing The Information (Using The Internet) DO NOT GO TO GOOGLE!!!! Use google on the search the broad subject, not specifics Use Pre-filtered sources of clinical evidence. Why? Provides more focused information Not subject to advertisements Has more inclusive information from worldwide sources
- 4. The Cochrane Library Comprised of 6 different databases Provides information to inform health decision making. Independent reviews The ‘diamond’ in evidentiary reviews for clinical papers www.thecochranelibrary.com
- 5. Medline Plus Provides information that is also suitable for patient education Has videos and podcasts that provide visual reinforcement and assistance. Easier Reading http://www.nlm.nih.gov/medlineplus
- 6. Other Sites….. Bandolier: http://www.medicine.ox.ac.uk/bandolier/ Quick and dirty Provides reviews and quick ratings Attract: http://www.attract.wales.nhs.uk/default.aspx Answers questions and reviews specific to the clinical conditions (ex. Diabetes)
- 7. It’s a Trip! http://www.tripdatabase.com Trip Database Combines all reviews The HUB….no need to go further! Provides a succinct site for cross referenced data (globally) Rates the quality of the information
- 8. The Standard for Guidelines N.G.C.: National Guidelines Clearing House Provides resource guideline data base for clinicians The baseline for guidelines (the Bible) Health Service Management resource information Supports clinical governance www.guideline.gov New Zealand & Scotland have developed skills in developing guidelines
- 9. DAU…..What does this mean? Resource Sites to pull and review information Supports Comparative Analysis Expanded Services (evidence sources for medical and clinical research, costing/diagnosis code) Validates information produced by the unit
- 10. Assignment Pick one issue that means a lot to you, ex. (Diabetes, migraines, breast cancer, cost of healthcare) Look up on the sites provided the reviews and guidelines that are appropriate Present it at the next meeting in a power point presentation (5mins)