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How to practice EBP: Finding the Evidence

How to practice EBP: Finding the Evidence. September 2010 16th Oxford Workshop in Teaching Evidence-based Practice. Session objectives. Formulate an answerable question Do a quick search on TRIP Turn a focussed question into a search strategy

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How to practice EBP: Finding the Evidence

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  1. How to practice EBP:Finding the Evidence September 2010 16th Oxford Workshop in Teaching Evidence-based Practice

  2. Session objectives • Formulate an answerable question • Do a quick search on TRIP • Turn a focussed question into a search strategy • Apply the search strategy to PubMed & the Cochrane Library

  3. Formulating a focussedquestion Patient / Problem / Population Intervention Comparison Outcome

  4. Scenario Tom, a smoker of 20 years goes to his GP to ask for help with stopping smoking. He’s tried various methods in the past but nothing has worked so far, so asks the GP whether acupuncture might be a good option.

  5. Focussed question P: smoking I: acupuncture C: N/A O: cessation Focussed question? Is acupuncture effective as a smoking cessation technique?

  6. Quick search on TRIP

  7. Hands-on • Formulate an answerable question • Use your own question or one of the examples in your pack • Run a search on TRIP http://www.tripdatabase.com

  8. Focussed question to search strategy Using OR then ANDto broaden then focus the search and and

  9. Combining terms withor Smoking or tobacco – either term can be present smoking tobacco

  10. Combining terms withand Smoking and acupuncture – both terms must be present smoking acupuncture

  11. Searching PubMed

  12. Hands-on • Formulate an answerable question • Use your own question or one of the examples in your pack • Run a search on PubMedhttp://www.pubmed.gov • Start off with clinical queries • Record the details of the article that ‘best’ answers your question

  13. PubMed tips: • Step-by-step searching • Use Clinical Queries • Subject searching - use MeSH • Subject headings added to articles on Medline • Search the MeSH Database • Follow the ‘Related articles’ link

  14. The Cochrane Library • Specialist database including articles on clinical and cost effectiveness of interventions: • Systematic reviews – Cochrane Database of Systematic Reviews & DARE • RCTs – Central • Economic evaluations - NHSEED • Free access in the UK at http://www.thecochranelibrary.com • Other countries check “access options” at http://www.cochrane.org

  15. Search The Cochrane Library:

  16. Hands-on • Take your answerable question: • Run further searches on PubMedhttp://www.pubmed.gov • Run a search on the Cochrane Libraryhttp://www.thecochranelibrary.com

  17. Resources • Cochrane Libraryhttp://www.thecochranelibrary.com • PubMedhttp://www.pubmed.gov • Other sources – CEBM web-site – EBM tools • http://www.cebm.net

  18. Help • PubMed • Short online tutorials • Quick guides to PubMed – basics, MeSH search and MyNCBI http://www.nlm.nih.gov/bsd/disted/pubmed.html • The Cochrane Library • Online tutorials • Help guides http://www.thecochranelibrary.com/view/0/HowtoUse.html

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