PT 610: EBP and Information Management


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Library skills for physical therapy research class

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  • PT 610: EBP and Information Management

    1. 1. Using the Biomedical Library & It’s Resources: Becoming Efficient Information Managers Physical Therapy Fall 2008
    2. 2. Clista Clanton <ul><li>Information Services Librarian </li></ul><ul><li>Education Coordinator </li></ul><ul><li>Contact Information: </li></ul><ul><ul><li>Phone: (251) 414-8210 </li></ul></ul><ul><ul><li>Fax: (251) 460-7638 </li></ul></ul><ul><ul><li>Email: [email_address] </li></ul></ul>
    3. 3. <ul><li>Baugh Biomedical Library – Campus Site </li></ul><ul><ul><li>Primarily supports the academic health sciences (College of Medicine, College of Nursing & Allied Health) </li></ul></ul>University of South Alabama: Biomedical Library Sites
    4. 4. University of South Alabama: Biomedical Library Sites <ul><li>University Medical Center site </li></ul><ul><ul><li>Primarily supports the clinical medicine specialties-collection concentrates on patient care and treatment </li></ul></ul>
    5. 5. University of South Alabama: Biomedical Library Sites <ul><li>Children’s and Women’s Hospital site </li></ul><ul><ul><li>Primarily supports obstetrics, gynecology, and pediatrics – which is reflected by the library’s collection. </li></ul></ul>
    6. 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. 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. <ul><li>Meta-analyses </li></ul><ul><li>Systematic Reviews </li></ul><ul><li>Clinical Trials </li></ul><ul><li>Other types of research studies (both quantitative and qualitative) </li></ul>
    8. 8. The Medical Literature <ul><li>Primary – original research </li></ul><ul><ul><li>Experimental (an intervention is made or variables are manipulated) </li></ul></ul><ul><ul><ul><li>Randomized Control Trials </li></ul></ul></ul><ul><ul><ul><li>Controlled trials </li></ul></ul></ul><ul><ul><li>Observational (no intervention or variables are manipulated) </li></ul></ul><ul><ul><ul><li>Cohort studies </li></ul></ul></ul><ul><ul><ul><li>Case-control studies </li></ul></ul></ul><ul><ul><ul><li>Case reports </li></ul></ul></ul><ul><li>Secondary – reviews of original research </li></ul><ul><ul><li>Reviews </li></ul></ul><ul><ul><li>Meta-analysis </li></ul></ul><ul><ul><li>Systematic reviews </li></ul></ul><ul><ul><li>Practice guidelines </li></ul></ul><ul><ul><li>Decision analysis </li></ul></ul><ul><ul><li>Consensus reports </li></ul></ul><ul><ul><li>Editorial, commentary </li></ul></ul>
    9. 9. Evidence Pyramid Case Series/Case Reports Case Control Studies Cohort Studies Randomized Controlled Trial Systematic Review Meta-analysis Animal Research
    10. 10. Real world factors that decide clinician’s approach to the literature: <ul><li>Clinician’s awareness that new information is available </li></ul><ul><li>Perception that current options are unacceptable or didn’t work </li></ul><ul><li>Availability of familiar sources </li></ul><ul><li>Perceived likelihood that an answer can be found </li></ul><ul><li>Fear of liability if the correct approach is not followed </li></ul><ul><li>Time available to search for the answer </li></ul>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. 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. 12. Information Management <ul><li>Focuses on using currently available information tools to remain up to date </li></ul><ul><ul><li>With new valid information </li></ul></ul><ul><ul><li>That is relevant to the care of patients </li></ul></ul><ul><ul><li>Is accessible while taking care of patients </li></ul></ul>