Finding Empirical Evidence, C: Guidelines and Protocols
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This document discusses guidelines and protocols for clinical practice. Guidelines aim to provide overviews of diagnosis, prevention, and treatment of conditions for clinicians to use. They suggest best practices but encourage further investigation. Protocols are generally promoted as core treatment methods and sometimes listed as point-of-care resources. The document instructs the reader to search a clinical practice resource on a topic of interest, evaluate its value, and check if guidelines and references underpinning decisions are easy to find.
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Finding Empirical Evidence, C: Guidelines and Protocols
- 1. Guidelines and Protocols Resources that aim to provide an overview of diagnosis, prevention and treatment of a specific conditions to be readily used by clinicians. • Some claim to be evidence based (look for references) • Some are editorial based (professional backgrounds) Guidelines: suggest current best practice but encourage further investigation by practioners of range of evidence given. Protocols: Generally promoted as the core treatment method. Sometimes listed as Point of Care resource.
- 6. Searching Evidence in Practice Your turn – activity 3 •Select one of the resources that allow you to hone in on the synthesis of evidence for clinical practice •Search for a topic of interest to you and evaluate its value (any ideas for additional concept terms?) •See if the guidelines and references that underpin the decisions promoted are easy to find and follow •Share your findings with a colleague. Use worksheet provided.
- 7. Search Tips Clinical Practice, Guidelines, Protocols Have a go: Search one of the sources •AIHW •ABS •WHO Identify one possible item, share with a neighbour
- 8. Clinical Practice Resources Have a go: Search one of the sources •BMJ Best Practice •UpToDate •eTG Complete •ClinicalKey Share with a neighbourResources for Answering Clinical Questions
- 9. Contact the University Library http://library.uwa.edu.au 9346 7570 – Medical and Dental Library hmslibrarians-lib@uwa.edu.au http://facebook.com/UWALibrary @UWALibrary
- 10. Contact the University Library http://library.uwa.edu.au 9346 7570 – Medical and Dental Library hmslibrarians-lib@uwa.edu.au http://facebook.com/UWALibrary @UWALibrary
Editor's Notes
- Guidelines and Protocols come in a range of different forms - there are some database products we provide that specialise in providing these such as BMJ Best Practice and UptoDate.. Some claim to be based on a comprehensive analysis of the evidence and demonstrate this, some are put together by expert panels linked to medical associations and their evidence may be more selective. Sometimes they are highly structured database resources such as the BMJ Best Practice and UptoDate, sometimes they are found within larger databases that collate a range of information from single studies through to systematic reviews and guideline summaries. Sometimes they are referred to as Guidelines, sometimes as protocols and sometimes as First Consults. They often include information produced for patients to understand their condition.
- For instance BMJ Best Practice provides a highly structured organisation of summary information related to a specific condition.
- Here is an example of UpToDate’s Guidelines page on Cleft Palates – similarly it summarises under key headings such as etiology, diagnosis and management. Most guideline summaries should have a references tab, where you can critically consider the sources used.
- Many of the specialist Clinical Practice guideline resources are organised around key topics or areas of medical practice but can aslo manage simple searches of a specific condition.
- Then you have resources such as Clinical Key that search across a broader spectrum of guideline sources and also pull in from a wider range of other sources resources… in this search for instance there are 9 guidelines and a 3 first consults found but also a large number of citations pulled in from Medline as well as bookchapters, images and other full text articles. Note that you can also filter by article type to hone in on these, you would certainly be interested in focussing in on systematic reviews for instance on your research topic. Go to live demonstration, show a number of the Systematic Reviews are coming from Cochrane.. and being indexed within Medline but that it is also bringing in systematic reviews from a wide range of other organisation.. Medline is one of the largest and databases collating medical information from a wide range of sources and indexing it with specialist medical terms which is why the second part of this workshop will focus on it. However back to our purpose.. To look at Guidelines and in this case First Consults (closely aligned to protocols). Clinical Key has identified 9 guidelines related to our topic in some way.. Of these you will notice they are coming from a range of specialist journals and professional organisations. First one looks very on topic and when you go into a guideline you will notice similarly to other guidelines the structuring and organisation of summary information about the condition. The First Consult in particular appears to be like a more traditional guideline.. Covering epidemiology, screening, prevention, diagnosis and treatment. Under resources you will find the summary of evidence used to inform this guideline. ??Follow lead from Cranofacial Journal, takes to Pubmed (associated with Medline) and out to journal site where payment option given.. What do you do if faced with this? Go back to OneSearch.
- An opportunity to explore one of the resources that provide access to evidence based summaries or guidelines to identify their
- Example: View Subject, Publication and Data tab to see if there is information on your topic OR try searching your terms within a website
- Example: View Subject, Publication and Data tab to see if there is information on your topic OR try searching your terms within a website