Evidence Based Practice Cleveland Health Sciences Library Case

Evidence Based Practice Cleveland Health Sciences Library Case Western Reserve University

What is EBP? n “…the enhancement of a clinician’s traditional skills in diagnosis, treatment, prevention and related areas through the framing of answerable questions and the use of mathematical estimates of probability and risk. ” -Greenhalgh, 2001

Criticism? n Obvious? - May sound obvious, but EBP is deceptively simple n Necessary? Staying on top of relevant literature in 21 st century can be like “trying to get a sip of water out of a firehose”

Asking answerable clinical questions Background -who/when/where/how/why of condition q Foreground -about likely interventions and approaches to situation, problem, population at hand; how it relates to alternatives and to target outcome q “PICO” q

Finding Best Evidence – Systems (greatest number of studies analyzed, lowest amount of detail) -Synopses – Syntheses -Studies (individual study; highest level of detail) n “Pyramid” of types of evidence

Places to look for evidence Pub. Med, espec. Clinical Queries n Ovid Web Gateway n EBSCO’s CINAHL interface n All these are accessible through the “Library Catalogs and Databases” link on the left margin of CHSLs homepage

Clinical Queries

Clinical Queries

Clinical Queries

OVID EBP

OVID EBP

OVID EBP

OVID EBP

OVID EBP

CINAHL from EBSCO

CINAHL from EBSCO

CINAHL from EBSCO

CINAHL from EBSCO

CINAHL from EBSCO

Books on EBP Evidence-Based Medicine: How to practice and teach EBM by Strauss et al HCL Stacks WB 100 E 93 e 3 2005 n How to Read a Paper: The basics of evidence based medicine by Greenhalgh, T. HCL Stacks W 20. 5 G 813 h 2 2001 n

THANK YOU Thanks for listening n Mike Mc. Graw, 368 -3218 michael. mcgraw@case. edu n