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Evidence-based Practice for Hinari Users Part B (Advanced Course Module 6)

Explore EBM Guidelines, Essential Evidence Plus, PubMed filters, and more to enhance evidence-based practice. Access clinical guidelines, studies, and tools for primary care. Learn to conduct systematic reviews and search for EBM articles using Hinari resources.

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Evidence-based Practice for Hinari Users Part B (Advanced Course Module 6)

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  1. Evidence-based Practice for Hinari Users Part B(Advanced Course Module 6)

  2. Table of Contents – Part B • Hinari Resources (partial) • Evidence-based Medicine Guidelines • Essential Evidence Plus • EBM Journals • Internet Resources • PubMed/Clinical Queries • PubMed Filters • PubMed Health • Evidence Aid • Other (Internet) Resources

  3. From the Reference sources list, we have opened the initial page of EBM Guidelines Evidence-Based Medicine. Also published by John Wiley, this resource is a collection of clinical guidelines for primary care combined with evidence-based research. You can Search by keyword or Browse database contents by EBM Guidelines, Evidence summaries, Pictures, Audio samples, Videos and Programs.

  4. We have completed a keyword search forInfluenza. The results page includes summaries of the keyissues including Related resources and References andlinks to important websites. PRIMARY and SECONDARY HITS Also included are links to the Evidence summaries.

  5. We have displayed the 2nd Evidence summary. Each link contains a brief review of the study and notes the reference(s).

  6. From the Reference Sources list, we have opened the initial page of Essential Evidence Plus. Also published by John Wiley, it includes access to Cochrane Library and also a series of databases and tools to access the EBM material. By keyword, you can Search all or some of the databases.

  7. We have opened the EBMG evidence summaries database that, via broad subject categories, has access to 4440 articles.

  8. We have opened the initial page of EBMG evidence summaries listing for Infectious disease.Material is listed by either a summary view or expanded view that includes a sentence describing each entry.

  9. We have opened Decision Support Tools that has 406 tools and calculators that assist in clinical decision making.

  10. Hinari Evidence-Based Journals(other journals may have EBM articles) Now browsed is the ‘E’in the Hinari Journals collection titlelist and it notes several journals for evidence-based practice.

  11. (Hinari) PubMed • Conduct systematic reviews of the literature • Limit to specific populations & publication types • Utilize EBM built-in filters • Set up and distribute alerts relating to evidence-based medicine

  12. Now search for evidence-based articles using PubMed. From the Hinari Content page, go to PubMed by clicking on Databases for discovery list Remember you must login to HINARI to have access to the full-text articles.

  13. Open PubMed which is at the top of the Browse databases list.

  14. Open the Clinical Queries box. This search tool assigns filters to keyword searches - to locate articles on Clinical Studies, Systematic Reviews and Medical Genetics. Note: for these PubMed applications, all individuals will have access to the free full text articles. The examples are from Hinari/PubMed searches and, for those properly logged in, will also include access to articles from Hinari participating publishers.

  15. On the PubMed Clinical Queries page, we have entered the pregnancy pregnancy complications AND developing countries search.

  16. Note the Category and Scope options for Clinical Queries Searches • Category • Etiology • Diagnosis • Therapy • Prognosis • Clinical Prediction Guides • Scope • Broad • Narrow

  17. The default search results for the Clinical Study Categories are Category: Therapy and Scope: Broad. Other options in the Category drop down menu are Etiology, Diagnosis, Prognosis and Clinical Prediction Guides. There are 1357 articles for Therapy: Broad and 165 articles for Systematic Reviews. Note: you can go directly to PubMed Clinical Queries. The direct link to PubMed Clinical Queries is http://www.ncbi.nlm.nih.gov/pubmed/clinical

  18. For the Scope option, we will enter Narrow and for the same pregnancy complications AND developing countries search.

  19. The Therapy (Category) and Narrow (Scope) pregnancy complications AND developing countries search has resulted in 145 citations. We now will click on the See all option (bottom of the page). Note that the results for Systematic Reviews and Medical Genetics also are displayed.

  20. We have displayed all 145 articles for this search including 80 Hinari and 80 Free Full Text articles. Remember - you can access the full-text articles by clicking on these Filters or changing the display from Summary to Abstract. Note that the specific search is listed in the Search box including the AND (Therapy/Narrow[filter]) for clinical studies categories and systematic reviews. Note: from a search results page, return to Clinical Queries by clicking on the PubMed.gov logo as this displays the initial PubMed Search page.

  21. After returning to the search results on the Clinical Queries page, we have clicked on the See all option for the systematic reviews results.The pregnancy complications AND developing countries AND systematic [sb] search resulted in 165 articles.

  22. Another tool from PubMed is using the Filters option – see the left-column. In the Article types filter list, click on Customize. Check the boxes for Meta-Analysis, Randomized Control Trial and Systematic Reviews Article types. Finally, click on the Show box. Filters can be activated from any search results page. Remember to clear them before beginning other searches.

  23. Note how the various Filters have been displayed under the Article types list. You now can use of the filters with the hypertension AND diet search.

  24. We have checked the Meta-Analysis box in the Article types section and entered hypertension AND dietin the PubMed Search box. The search Results number is 86. Note the Filters activated: Meta-Analysis linebelow the Results number.

  25. Now displayed are the results of a hypertension AND diet search with the Systematic Reviews Article types filter activated. The citations for this searchinclude 109 Free Full text and 167 HINARI articles.

  26. Now displayed are the results of a hypertension AND diet search with the Randomized Controlled Trial Article types filter activated. The citations for this searchinclude 371 Free Full text and 689 Hinari articles.

  27. The final displayed search are the results of a hypertension AND diet search with the Meta-Analysis, Systematic Reviews and Randomized Controlled Trial Article types filters activated. The citations for this search total 1598. Remember to clear the filters.

  28. In PubMed Health, there are links on how to receive current information on clinical effectiveness and systematic reviews plus how to set up MY NCBI email alerts for new Cochrane reviews in PubMed.

  29. Another useful tool is evidenceaid. The Resources page contains links to numerous published systematic reviews that have relevance for natural disasters, humanitarian crises or major healthcare emergencies. It also includes five disaster-specific Special Collections.

  30. To learn more about EBM, go to the online tutorial Introduction to Evidence-Based Medicine. Tutorial is intended for any health care practitioner who needs a basic introduction to the principles of Evidence-Based Practice. Developed by Duke University Medical Center Library and Health Sciences Library/University of North Carolina/Chapel Hill.

  31. Additional Evidence-based Health Resources continued • Trip Database – ‘a smart, fast tool for you to find high-quality clinical research evidence’ www.tripdatabase.com/ • McMaster PLUS (Premium Literature Service): ‘a database created by the McMaster Health Knowledge Refinery; articles… selected from current medical literature’ (HKR)hiru.mcmaster.ca/hiru/HIRU_McMaster_PLUS_projects.aspx

  32. Bandolier Knowledge - Oxford University – ‘premier source of evidence based healthcare information in the UK and worldwide for healthcare professionals’ http://www.bandolier.org.uk/ • EBM Librarian – ‘site offers a place to: share teaching materials and class handouts discuss issues and ask advice from colleagues share useful information about teaching EBM https://sites.google.com/site/ebmlibrarian/

  33. Open Clinical: Clinical Practice Guidelines – ‘a "one-stop shop" tracking developments on advanced knowledge management technologies for healthcare such as point-of-care decision support systems, "intelligent" guidelines and clinical workflow’ www.openclinical.org/guidelines.html • National Guidelines Clearinghouse - Agency for Healthcare Research and Quality: ‘a public resource for summaries of evidence-based clinical practice guidelines’ www.guideline.gov/

  34. Evidence Alerts - McMaster University/DynaMed Plus – ‘access to current best evidence from research’ plus.mcmaster.ca/evidenceupdates/

  35. Additional Clinical Practice Guidelines resources • National Guideline Clearinghouse (USA) www.guideline.gov/ • Open Clinical: Clinical Practice Guidelines www.openclinical.org/guidelines.html

  36. Review: 5 Steps to evidence-based health care • Step 1 Ask: Formulate your question • foreground clinical question • PICO format • population, intervention, comparison intervention, outcome • Step 2 Access: Search for the evidence – highest quality studies are included in a systematic review • types of studies • evidence hierarchies 

  37. Step 3: Appraise the evidence - use criteria to evaluate the studies for: • validity (internal & external) • impact • Step 4 Apply: Put the evidence into practice • patient • setting • Step 5: Assess progress and performance • patient • yourself

  38. This is the end of Hinari Module 6 There is a Work Book to accompany this part of the module. The workbook will take you through a live session covering the topics included in this demonstration with working examples. Updated 2018 03

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