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Conducting Lit Searches for Systematic Reviews. Shannon Kealey Instructional Services Librarian Pace University. Steps. State your focused clinical question in PICO format Make a chart with each of the columns starting with P, I, C, O
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Conducting Lit Searches for Systematic Reviews Shannon Kealey Instructional Services Librarian Pace University
Steps • State your focused clinical question in PICO format • Make a chart with each of the columns starting with P, I, C, O • Under each PICO element, list all relevant MeSH and CINAHL subject headings, as well as keyword equivalents that are not subject headings (use EBSCO interfaces to find Subject Headings)
Sample Clinical Question What continuity of care interventions are most effective in improving patient satisfaction and reducing hospital readmissions in adult patients receiving home care services?
Sample Search Term Chart P: home care services I: continuity of care C: NA O: patient satisfaction or hospital readmission
Finding MeSH Headings Always select “Suggest Subject Terms” Copy the appropriate heading(s) to include on chart—run search later in PubMed when you also have CINAHL headings
Finding CINAHL Headings Click to search the CINAHL heading Always select “Suggest Subject Terms” Copy the appropriate heading(s) to include on chart—run search now ONLY if you have already found all your MeSH headings (so you can run MeSH as Keywords in CINAHL)
Steps (cont’d) • Search the databases, combining each MeSH heading, CINAHL heading, and keyword for each element with the OR operator • Use AND to combine the final set for P elements with the final set for I elements, etc.
Sample PubMed Search History P&I&O MeSH headings—no quotes O P&I I CINAHL (not MeSH) & KW phrases--quotes P
Sample CINAHL Search P&I&O O I MeSH & KW phrases--quotes P CINAHL heading—no quotes but “OR” w/ KW version of heading (has quotes)
Remember! • When you run your searches, always use the PubMed interface to Medline (includes “In-Process” and “Epub ahead of print”—newest studies) • If you come across new MeSH or CINAHL headings as you search, add them to your chart and re-run your searches to include the new heading in all databases • Save your PubMed searches into your MyNCBI account; save your CINAHL and PsycInfo (if applicable) searches into your MyEBSCO account
Questions? Shannon Kealey skealey@pace.edu Jennifer Rosenstein jrosenstein@pace.edu