The document provides guidance on finding and using clinical evidence and guidelines to support healthcare decisions, noting a variety of curated sources such as The Cochrane Library, MedlinePlus, and Trip Database that synthesize reviews from around the world. It emphasizes that healthcare should be based on current evidence from these sources rather than individual searches, and assigns readers a task to present findings from one of the recommended sites on a health topic.

1. Decision Support
Clinical Guidelines and Reviews for Evidence Based
Medicine
(Where Do I Start?)
Policy Development & Management Program,
Nov. 2011
Jessica E. Rolle (Mrs.)
Planning Unit, PMH

2. Evidence (Truth or Reality?)
 Healthcare decisions/services should be
based on evidence
 Evidence: the numbers that represent the
current condition or situation as it relates
to a specific service/topic or area. It
reflects the PRESENT state or transitional
truth, however it does not necessarily
represent an absolute truth.

3. Sourcing The Information
(Using The Internet)
 DO NOT GO TO GOOGLE!!!!
 Use google on the search the broad subject,
not specifics
 Use Pre-filtered sources of clinical evidence.
Why?
 Provides more focused information
 Not subject to advertisements
 Has more inclusive information from worldwide
sources

4. The Cochrane Library
 Comprised of 6 different databases
 Provides information to inform health
decision making.
 Independent reviews
 The ‘diamond’ in evidentiary reviews for
clinical papers
 www.thecochranelibrary.com

5. Medline Plus
 Provides information that is also suitable
for patient education
 Has videos and podcasts that provide
visual reinforcement and assistance.
 Easier Reading
 http://www.nlm.nih.gov/medlineplus

6. Other Sites…..
 Bandolier:
 http://www.medicine.ox.ac.uk/bandolier/
 Quick and dirty
 Provides reviews and quick ratings
 Attract:
 http://www.attract.wales.nhs.uk/default.aspx
 Answers questions and reviews specific to the
clinical conditions (ex. Diabetes)

7. It’s a Trip!
 http://www.tripdatabase.com
 Trip Database
 Combines all reviews
 The HUB….no need to go further!
 Provides a succinct site for cross referenced
data (globally)
 Rates the quality of the information

8. The Standard for Guidelines
 N.G.C.:
 National Guidelines Clearing House
 Provides resource guideline data base for
clinicians
 The baseline for guidelines (the Bible)
 Health Service Management resource
information
 Supports clinical governance
 www.guideline.gov
 New Zealand & Scotland have developed
skills in developing guidelines

9. DAU…..What does this mean?
 Resource Sites to pull and review
information
 Supports
 Comparative Analysis
 Expanded Services (evidence sources for
medical and clinical research,
costing/diagnosis code)
 Validates information produced by the
unit

10. Assignment
 Pick one issue that means a lot to you, ex.
(Diabetes, migraines, breast cancer, cost
of healthcare)
 Look up on the sites provided the reviews
and guidelines that are appropriate
 Present it at the next meeting in a power
point presentation (5mins)