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PT 610: EBP and Information Management

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Library skills for physical therapy research class

Library skills for physical therapy research class

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  • 1. Using the Biomedical Library & It’s Resources: Becoming Efficient Information Managers Physical Therapy Fall 2008
  • 2. Clista Clanton
    • Information Services Librarian
    • Education Coordinator
    • Contact Information:
      • Phone: (251) 414-8210
      • Fax: (251) 460-7638
      • Email: [email_address]
  • 3.
    • Baugh Biomedical Library – Campus Site
      • Primarily supports the academic health sciences (College of Medicine, College of Nursing & Allied Health)
    University of South Alabama: Biomedical Library Sites
  • 4. University of South Alabama: Biomedical Library Sites
    • University Medical Center site
      • Primarily supports the clinical medicine specialties-collection concentrates on patient care and treatment
  • 5. University of South Alabama: Biomedical Library Sites
    • Children’s and Women’s Hospital site
      • Primarily supports obstetrics, gynecology, and pediatrics – which is reflected by the library’s collection.
  • 6. What is Evidence Based Practice (EBP) A process by which you: (1) ask clinical questions that can be answered through research and other evidence sources; (2) find the best evidence to answer these clinical questions; (3) appraise the validity of the evidence to support answers to clinical questions; (4) integrate the evidence with clinical expertise and patients’ perspectives; and (5) evaluate the effectiveness of carrying out all of the above. Short definition: “the integration of best research evidence with clinical expertise and patient values.” 1 1 Sackett, DL. Evidence-based medicine: how to practice and teach EBM. New York: Churchill-Livingston, 2000.
  • 7. Evidence Based Practice (EBP) Research Evidence Evidence-based practice moves beyond the anecdotal treatment modes of the past toward the future of objective, data driven, scientifically researched practice regimes.
    • Meta-analyses
    • Systematic Reviews
    • Clinical Trials
    • Other types of research studies (both quantitative and qualitative)
  • 8. The Medical Literature
    • Primary – original research
      • Experimental (an intervention is made or variables are manipulated)
        • Randomized Control Trials
        • Controlled trials
      • Observational (no intervention or variables are manipulated)
        • Cohort studies
        • Case-control studies
        • Case reports
    • Secondary – reviews of original research
      • Reviews
      • Meta-analysis
      • Systematic reviews
      • Practice guidelines
      • Decision analysis
      • Consensus reports
      • Editorial, commentary
  • 9. Evidence Pyramid Case Series/Case Reports Case Control Studies Cohort Studies Randomized Controlled Trial Systematic Review Meta-analysis Animal Research
  • 10. Real world factors that decide clinician’s approach to the literature:
    • Clinician’s awareness that new information is available
    • Perception that current options are unacceptable or didn’t work
    • Availability of familiar sources
    • Perceived likelihood that an answer can be found
    • Fear of liability if the correct approach is not followed
    • Time available to search for the answer
    Green ML, Ciampi MA, Ellis PJ. Residents’ medical information needs in clinics: are they being met? Am J Med. 2000; 109:218-23. Ely JW, Osheroff JA, Ebell MH, et al. Analysis of questions asked by family doctors regarding patient care. BMJ. 1999;319:358-61. Ebell MH, Shaughnessy AF. Information mastery: integrating continuing medical education with the information needs of clinicians. J Cont Ed Health Prof. 2003;23:S53-62.
  • 11. Patient-Centered Information Management Usefulness of any information source = Relevance X Validity Work Slawson DC, Shaughnessy AF. Teaching evidence-based medicine: Should we be teaching information management instead? Acad Med 2005;80:685-689
  • 12. Information Management
    • Focuses on using currently available information tools to remain up to date
      • With new valid information
      • That is relevant to the care of patients
      • Is accessible while taking care of patients