Outcomes B


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Sessions aimed at giving Commissioners taster of where to go to find best evidence and how to handle it once they've found it.

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Outcomes B

  1. 1. There’s Evidence in them thar’ sites: Finding and handling best and most recent evidence Kieran Lamb Head of Library Services Fade Library, Liverpool PCT
  2. 2. <ul><li>Introduction to the Fade Library </li></ul><ul><li>Designing a Search Strategy </li></ul><ul><li>Understanding AND, OR, NOT operators </li></ul><ul><li>Natural Language and Controlled Vocabularies </li></ul><ul><li>Key databases described </li></ul><ul><li>Hierarchy of Evidence </li></ul><ul><li>Tools to Quality Assess Unfiltered Information </li></ul>Outline
  3. 3. Introducing the Fade Library <ul><li>Based at Regatta Place </li></ul><ul><li>Operates as: </li></ul><ul><ul><li>Liverpool PCT Library </li></ul></ul><ul><ul><li>North West Grey Literature Collection </li></ul></ul><ul><ul><li>Back up service for PCTs in C&M </li></ul></ul><ul><li>Current size of collection 26190 items </li></ul><ul><li>Athens password access to </li></ul><ul><ul><li>1500+ full text E-Journals </li></ul></ul><ul><ul><li>500+ E-Books </li></ul></ul><ul><ul><li>Key databases </li></ul></ul>
  4. 4. Designing a search strategy PICO – primarily used when dealing with clinical issues ECLIPS – used for service design evaluation <ul><li>First we need to break our question into its key concepts </li></ul><ul><li>Tools like PICO/ECLIPS can help your thinking </li></ul><ul><li>Also helps structure search (And to combine columns, Or within columns) </li></ul>O Outcome C Comparison I Intervention P Patient/Population S Service P Professionals I Impact L Location C Client Group E Expectation
  5. 5. Worked Example of PICO <ul><li>Note there is no need to complete all columns </li></ul><ul><li>Resultant natural language search </li></ul><ul><li>(neonat* OR newborn*) AND (“infection control” OR “Catheter Care”) AND (“reduced mortality” OR mortality) </li></ul>Reduced mortality Mortality Infection Control Catheter Care Neonate Newborn O Outcome C Comparison I Intervention P Patient/Population
  6. 6. Natural Language and Controlled Vocabularies <ul><li>Bibliographic Databases </li></ul><ul><li>(Structured) </li></ul><ul><li>Controlled Vocabularies are hierarchies of preferred terms </li></ul><ul><li>They maximise retrieval </li></ul><ul><li>They are native to structured databases </li></ul><ul><li>Look for Thesaurus tools can use natural language too </li></ul><ul><li>Search Engines </li></ul><ul><li>Natural language searches for what you type </li></ul><ul><li>Need to think of all synonyms to maximise retrieval </li></ul><ul><li>Can be very precise </li></ul>
  7. 7. Combining Search Terms Explained - OR
  8. 8. Combining Search Terms Explained - AND
  9. 9. Combining Search Terms Explained - NOT
  10. 10. Databases to Search <ul><li>Cochrane Library - CDR, HTA, DARE, NHSeed, Methodology Register, Controlled Trials Register (Evidence based materials) </li></ul><ul><li>AMED (Complementary medicine and allied health) </li></ul><ul><li>BNI (Nursing) </li></ul><ul><li>CINAHL (Nursing and allied health) </li></ul><ul><li>Embase (Clinical medicine and pharmacology) </li></ul><ul><li>HMIC (Policy and management) </li></ul><ul><li>Medline (Clinical medicine, Allied Health, Nursing, Vet Science) </li></ul><ul><li>PsycINFO (Psychology and mental health) </li></ul><ul><li>NHS Evidence (Guidelines, best practice) (has a commissioning filter) </li></ul><ul><li>Google Scholar (Academic articles, grey literature) </li></ul><ul><li>Trip Database (Evidence based materials) </li></ul><ul><li>Best Bets (Evidence based materials) </li></ul>
  11. 11. Hierarchy of Evidence
  12. 12. <ul><li>CASP Checklists </li></ul><ul><li>Structured reading guides that ask key questions of the evidence </li></ul><ul><li>Systematic Reviews </li></ul><ul><li>Randomised Controlled Trials (RCTs) </li></ul><ul><li>Qualitative Research </li></ul><ul><li>Economic Evaluation Studies </li></ul><ul><li>Cohort Studies </li></ul><ul><li>Case Control Studies </li></ul><ul><li>Diagnostic Test Studies </li></ul>Tools to Assess the Quality of Unfiltered Information
  13. 13. <ul><li>JAMA </li></ul><ul><li>Users’ Guides to the Medical Literature series (part of NHS core content so can be freely downloaded with Athens password) </li></ul><ul><li>How to Read a Paper: The Basics of Evidence Based Medicine </li></ul><ul><li>E-Book as part of core content </li></ul>Tools to Assess the Quality of Unfiltered Information
  14. 14. <ul><li>E-Learning Fade Library Moodle www.fadelibrarymoodle.org.uk </li></ul><ul><li>Fade Library 0151 285 4493 </li></ul><ul><li>? </li></ul>Further Support