discussing all aspects of evidence based medicine, Introduction
History of EBM
Need of EBM
Steps to practice
Discussion - advantages/disadvantages/critical analysis
What is Cohort?
Indication and Elements of Cohort Study.
What is Relative risk and Attributable risk, and its interpretation?
Advantages & disadvantages of Cohort study.
Difference between Case control & Cohort study.
discussing all aspects of evidence based medicine, Introduction
History of EBM
Need of EBM
Steps to practice
Discussion - advantages/disadvantages/critical analysis
What is Cohort?
Indication and Elements of Cohort Study.
What is Relative risk and Attributable risk, and its interpretation?
Advantages & disadvantages of Cohort study.
Difference between Case control & Cohort study.
a brief overview about how and why to practice evidence based medicine, its clinical application, what it is and what it is not? benefits and challenges
"Hierarchies of Evidence" is an important but problematic concept for medical professionals to understand as it underpins their capacity to be effective practitioners and researchers.
a brief overview about how and why to practice evidence based medicine, its clinical application, what it is and what it is not? benefits and challenges
"Hierarchies of Evidence" is an important but problematic concept for medical professionals to understand as it underpins their capacity to be effective practitioners and researchers.
It is general introduction to evidence based medicine highlighting its importance and how do we practice it, moreover indicates that evidence based is not for medicine only, instead everything has its own evidence
Clinical Questions types .
A Hierarchy of Preprocessed Evidence.
EBM definition and value.
Knowledge and Skills Necessary for Optimal Evidence-Based Practice.
Basic computer and internet knowledge for electronic searching of the literature
A lot has been accomplished with regards to technology over the last few decades and as many people have said we are now truly in the “modern age.” Innovation moves so quickly that it seems our world is blurring. In this webinar, discover what groundbreaking technologies and innovative people to watch in 2016 and beyond. We will also discuss as a group how all these advancements can fit into a variety of libraries to make them shine a bright light into the future.
Evidence-based Medicine (EBM) Applicationsuzairktk
In 1996 David Sackett wrote that "Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients”
This presentation was funded by CDC and PEPFAR through the SUCCEED project at Stellenbosch University. The presentation was delivered by Ms Lynn Hendricks from the Centre for Evidence Based Health Care in July 2017
Introduces Value-based Healthcare, an important concept for transforming healthcare making it more cost-effective, sustainable, and patient-centered. Strategically, it makes the healthcare providers accountable to the desired patient and health system "valued" outcomes.
https://youtu.be/-oOuJfpRFpY
Strategies to fix healthcare systems v1Imad Hassan
3. Names the essential and strategic concepts that leaders in healthcare need to master. They need to be incorporated into any modern healthcare system to make it successful, sustainable and highly-responsive. Around 6 minutes.
https://youtu.be/KQRxbNORHF8
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Part 1 Introduction to Evidence-based Medicine Literature Searching
1. Introduction to EBM
Resources
Dr. Imad Salah Ahmed Hassan MD (UK) FACP FRCPI MSc MBBS
Consultant Physician & Pulmonologist
Chairman, Knowledge Translation Committee
Department of Medicine
KAMC
Riyadh
Kingdom of Saudi Arabia
imadsahassan@gmail.com
2. What is Evidence-based
Medicine
“ Evidence-based medicine is the
integration of:
best available research evidence with
clinical expertise and
patient values”
Sackett, et al 2001
3. Three Pronged Approach
The
Patient
Patient’s characteristics,
preferences & values
EBP!
Best
Evidence
Clinically relevant research,
the literature
Clinical
Expertise
3
Practitioner’s knowledge
& experience
3
4. Integrates Evidence With
Clinical expertise
Experience
Judgment
Patient values and preferences
Quality of life
Costs
Other important factors
6. What is Evidence-based
Practice
EBP is about asking questions and
searching for answers in the body of
medical research, and having found a likely
source of information appraising the paper
for its scientific validity and then applying
the result to your problem.
7. Evidence-based Practice
Ask clinical
Acquire the
Questions
best evidence
Assess
5A’s !!
Appraise
effectiveness,
efficiency of EBM
process
the evidence
Apply
evidence to
your patient
8. Evidence-based Practice
Acquire the
Ask clinical
best evidence:
Literature Searching
Questions: PICO
Assess
5A’s !!
effectiveness,
efficiency of EBM
process
Appraise
the evidence:
Critical Appraisal
Apply
evidence to
your patient:
Knowledge Translation
(Implementation)
11. Objectives
Why do Healthcare Professionals need to be
competent in Literature Searching?
Who should be competent in Literature
Searching?
Prerequisites for completing a successful
Literature Searching exercise.
12. Rule 31 –
Review the World Literature Fortnightly*
*"Kill as Few Patients as Possible" - Oscar London
Medical Articles per Year
2500000
5,000?
per day
2000000
1500000
1000000
55 per
day
1,400 per
day
500000
0
Trials
MEDLINE
BioMedical
14. Competency in Literature
Searching for Professionals
Dealing with the daily “challenge” to one’s
knowledge.
Life-long learning.
Evidence-based practice
Valuable employee.
18. Competency in Literature
Searching for Patients
For successful incorporation of:
1. Values and Preferences
2. Patient-centered Care
19. The 6 Prerequisites for
successful Literature Searching
1
2
3
4
5
6
• Know how to use a computer/electronic device.
• Know the Internet Jargon of Terms.
• Know the EBM Jargon of Terms.
• Know how to formulate your question.
• Know where to go.
• Know what to do when you get there: the site’s technical
language/know-how.
22. Prerequisites for successful
Literature Searching
Know the Internet Jargon of Terms e.g.
What is a Website?
What is a Database?
What is a Search Engine?
What is a Meta-search Engine?
23. What is a Website?
• An internet site and an information resource on the
World Wide Web. Websites may provide information
on any topic.
• A collection of files that are arranged on the World
Wide Web under a common address and allows
retrieval via a browser.
• Examples: Pubmed, Yahoo, Guidelines Websites etc
24.
25. What is a Database?
• A Database is an organized collection of information
records that can be accessed electronically e.g.
Medline (Pubmed), Cochrane etc
26.
27. What is a Search
Engine?
• A web-based computer-program that allows users to
electronically search and retrieve specific information
online.
• It searches documents and databases for specified
keywords and returns a list of the documents where the
keywords were found.
• Internet search engines help users find web pages on a
given subject.
• General: e.g. Google, Yahoo etc
• Specialized: Google Scholar, Pubmed
28.
29.
30. What is a Meta-search Engine?
• A search engine that queries other search engines
and then combines the results that are received from
all.
• In effect, the user is not using just one search engine
but a combination of many search engines at once to
optimize Web searching.
• General: dogpile
• Specialized: TRIP, SumSearch.
35. EBM Terminology
• Knowledge: Foreground/Background
• Types of Literature Articles: Primary
(Original)/Secondary (Pre-appraised)
• Clinical Outcomes: Patient-oriented vs Disease
Oriented Outcomes
• Reviews: Systematic/Non-systematic (Narrative)
• CAT: Critically Appraised Topic
• Clinical Practice Guidelines
• Levels of Evidence: Hierarchy Pyramid
• Sources of Evidence: Point-of-care etc
• Knowledge Translation Resources
36. Ask clinical question
Background /Foreground questions
•
Background Question
•
Asks for general knowledge about a disorder. Textbooks
are good for answering background questions
•
Foreground Question
Asks for specific knowledge about managing patients
with a disorder; consists of three or four components
(PICO): Diagnosis, Therapy, Prognosis etc
Journal articles are good for answering foreground
questions.
37. Background versus Foreground
Information
Case discussion: 27 year old woman with right lower
quadrant (RLQ) abdominal pain
Background information available from textbooks
What is the clinical course/complications of the different
diagnoses
What typically presents as RLQ pain
Specifically, what is typical presentation of appendicitis
Foreground information
How good is a CT scan for appendicitis?
41. The Pre-appraised Literature
• Pre-appraised = The Secondary Literature
• Useful for point-of-care searches
• Databases with pre-appraised evidence will give you
the highest quality information in the shortest amount
of time.
• Two types of pre-appraised databases
– Those with pre-appraised Synthesis of studies e.g.
Guidelines and Systematic Reviews
– Those with pre-appraised Individual studies:
Critically appraised Topics CATs
42. Important Outcomes
Patient Oriented Outcomes: PO Evidence
outcomes patients actually care about
Death (overall or disease-specific)
Heart attacks, strokes, amputations, bed sores, broken hips,
renal failure, etc.
Ability to perform activities of daily living
Versus
Disease oriented outcomes: DO Evidence
Biochemical, physiologic, pharmacologic, or laboratory
measures
43. Comparing DOE and POE
Example
DiseaseOriented
Evidence
Patient-Oriented
Evidence that
Matters
Comment
Anti-arrhythmic
Therapy
Drug X PVCs
on ECG
Drug X increases
mortality
POE contradicts
DOE
Type 2 Diabetes
Aggressive Tx
with insulin or
oral agents
can keep BS low
Aggressive Tx
does not reduce
mortality or
prevent most
complications
POE contradicts
standard teaching
Prostate
Screening
PSA screening
detects prostate
cancer early
Does PSA
screening
mortality?
DOE exists, but
POE is unknown
Shaughnessy AF, Slawson DC. Getting the Most from Review Articles: A Guide for
Readers and Writers. American Family Physician 1997 (May 1);55:2155-60.
44. What is a Systematic
Review?
What is a Systematic Review?
• Systematic Reviews (SRs)
– Use a systematic methodology to identify, critically
appraise, and synthesize relevant studies
– Individual studies assessed for validity
– Differ from traditional review articles (Narrative
Reviews) in that conclusions are evidence-based
rather than commentary
45. Comparison Chart
Systematic vs. Narrative Review
Systematic Review Article
Narrow focus, answers foreground
questions
Systematic scientific approach to
finding, evaluating and
summarizing the evidence
Review Article
Broad focus, answers background
questions
Depends on the author’s inclination
Comprehensive search for relevant
articles
Author gets to pick using any criteria
Explicit methods of appraisal and
synthesis
Methods usually not specified
Meta-analysis may be used to
combine data
Vote count or narrative summary
46. What is a Meta-analysis?
• Meta-analyses
– Uses studies from a Systematic Review and
applies statistical techniques for combining
quantitative data.
– A systematic review that uses quantitative
methods to summarize the results.
47. Evidence-based Practice Guidelines
• Systematically gather and “grade” evidence on a topic
• Developed by professional groups, government
agencies, local practices etc
49. Level of evidence/Grades of
Recommendations
Grades of
Recommendations
Validity/Strength of Inference
Oxford Centre of EBM
Ia
Systematic reviews (meta-analyses) of RCTs
Ib
Randomized controlled trials
Bias
II
Cohort studies
III
Case-control-studies
IV
Case-series
V
Expert opinion
Bias
Bias
Bias
Bias
Bias
50. What is Critical Appraisal?
Critical Appraisal:
The process of assessing and interpreting the
evidence by systematically considering its
validity, results and relevance to the area of
work considered.
It answers 3 important questions: How well is
this study performed? What does it show? Can I
use it?
51. Critically-Appraised Topic (CAT):
What is a Critically Appraisal Topic?
A standardized one-page summary of the
evidence.
It consists of a declarative title, clinical bottom line,
the clinical question (PICO), search terms, a
summary of the study methods, a table
summarizing the key results and additional
comments (Sackett).
52. What is the Best Evidence? Hierarchy of
Levels of Evidence
53. Randomized Controlled Clinical Trial
(RCT)
What is a Randomised Controlled Trial?
A group of patients is randomized into an
experimental group and a control group. These
groups are followed up for the variables/outcomes of
interest.
55. Evidence-based Practice
Ask clinical
Acquire the
questions
best evidence
Assess
5A’s !!
Appraise
effectiveness,
efficiency of EBM
process
the evidence
Apply
evidence to
Your patient
58. Ask Clinical Questions: PICO
Components of Clinical Questions
Patient/
Population
Intervention/
Exposure
Comparison
Outcome
does early treatment with a statin
compared to
placebo
decrease cardiovascular mortality?
In women with
suspected
coronary disease
what is the
accuracy of
exercise ECHO
compared to
exercise
ECG
for diagnosing
significant
CAD?
In postmenopausal
women
does hormone
replacement
therapy
compared to no
HRT
increase the
risk of
breast cancer?
In patients with
acute MI
60. Evidence-based Practice
Acquire the
best evidence
Literature
Search
Acquire: Select “best evidence” resources to answer clinical
questions using criteria of:
Validity – Can I trust the evidence?
Relevance – Does the evidence apply to my patient?
Time efficiency – Can I get the evidence fast?
72. Know what to do when you
get there: the site’s technical
language/know-how.
73.
74.
75. Resources For EBM Knowledge Translation
EBM Hunting Tools
EBM Resources
Advanced EBM Skills
Point of Care
Clinical
Resources
Updates
New Evidence
Decision
Support
Systems
Critical
Appraisal
Tools
EvidenceBased
Guidelines &
Policies
EvidenceBased Quality
Improvement
•DynaMed
•Essential
Evidence Plus
•First Consult
•UpToDate
•Clinical
Evidence
•ACP PIERS
•Mc Master
Plus: STAT
REF
•BMJ
Evidence
Updates/Alerts
•ACP Journal
Club
•Open Clinical
•Dxplain
•Emergency
Medicine on
the Web
•Clinical
Decision
Making
Calculators
•EBM toolbox
•CATmaker
•Evidence
based
medicine
toolkit
•EBM
Calculator
•National
Guidelines
Clearinghouse
• NHS
Evidence
• ICSI Institute
for Clinical
Systems
Improvements
•AHRQ
•Institute for
Healthcare
Improvement
•Knowledge
Translation
Clearinghouse
•NICE
76.
77. Types of Resources
1.
2.
3.
4.
5.
6.
7.
8.
Point of Care Clinical Resources/Decision
Support Systems
Up-Dates & New Evidence
Evidence-Based Guidelines, Policies and
Protocols
Evidence-Based Quality Improvement
Critical Appraisal Tools
EBM Audiovisual Training
Innovations Exchange for New Ideas of Care
Portals to All
78. Resources For EBM Literature
Searching
1
2
3
4
• Point of Care Clinical
Resources/Decision Support Systems
• Up-Dates & New Evidence
• Evidence-Based Guidelines, Policies
Pathways and Protocols
• Evidence-Based Quality Improvement
79. Resources For EBM Literature
Searching
5
6
7
8
• Critical Appraisal Tools
• EBM Audiovisual Training
• Innovations Exchange for New
Ideas of Care
• Portals to All
80. 5S Information Resources: Information in top 4 are used
Computerized Decision
Support System (CDSS)
Systems
Evidence based textbooks : UpTo
POCRaTs
Summaries
Date, DynaMed, ACP PIER, BMJ Clinical
Evidence
Evidence based journals
Synopses
EBM, EBN, EBMH, ACP J club
Systematic Review
Syntheses
Cochrane reviews
Original articles:
BMJUpdates, PubMed
Clinical Queries
Studies
2009
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Haynes, R. (2006, November). Of studies, syntheses, synopses, summaries, and systems: the 5S evolution of information services for
evidence-based health care decisions. ACP Journal Club, 145(3), A8-A9.