Evidence Based Medicine & Nursing Pathfinder

 "Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research." --Sackett, DL, et al. BMJ 1996;312:71-2.

What is Evidence-Based Medicine?

Evidence Based Medicine Review (EBMR) Teams

Systematic reviews of the literature on effects of specific health cares are done by teams of healthcare professionals.

  • Worldwide
    Cochrane--the grandaddy of such teams.
    The Cochrane Collaboration is a global network that promotes evidence-based healthcare for the purpose of enabling patients and doctors to make informed decisions about treatment and care.

Joanna Briggs Institute--nursing focused.

JBI produces Systematic Reviews, Evidence Summaries, and Best Practice Information Sheets within a larger collection of resources called "Proquest Nursing and Allied Health". Execute a search and then click the "Evidence Based" tab on the results page or click "Browse" to go directly to the EBP content from JBI.

Finding Evidence Based Medicine Reviews

  • Ovid Fulltext Databases
    ACP Journal Club (ACP), Cochrane Central Register of Controlled Trials(CENTRAL), Cochrane Database of Systematic Reviews (CDSR), and Database of Abstracts of Reviews of Effects (DARE).

    Tip: Check to see how recently the review has been updated. Evaluate the methodology used to create the review.
    Help searching these databases.
  • HealthGate Evidence-Based Medicine Solutions
    A database of over 100 peer-reviewed, evidence-based clinical treatment guidelines. Each guideline has both a provider and consumer version and includes physician and patient interactive care management tools. Guidelines are created and updated by OHSU, Duke University Medical Center, Vanderbilt University Medical Center, and Emory University School of Medicine. Registration is required for all new users.
  • National Guidelines Clearinghouse
    A public resource for evidence-based clinical practice guidelines from more than 100 institutions and organizations. It is sponsored by the Agency for Healthcare Research and Quality (AHRQ) and the U.S. Department of Health and Human Services, in partnership with the American Medical Association and the American Association of Health Plans.
  • HSTAT.
    The National Library of Medicine's searchable collection of full-text clinical practice guidelines, technology assessments and health information. NOTE: In the "Jump to" area click on HSTAT.
  • Searching the Medical Literature for the Best Evidence
  • Associations

    Associations such as the American Heart Association, the National Cancer Institute, the American Psychiatric Association or the American Academy of Pediatrics may post relevant evidence based medicine reviews or practice guidelines based on ebm reviews on their Web sites. At least some of these will be picked up by the National Guidelines Clearinghouse.

  • Print Resources:

    Healthcare Standards 2003
    OHSU Library Reference Collection section 9 W84.AA1 H438 2003

    Other books in the Library's Guidelines section (section 9) of the Reference Collection.

Do It Yourself Evidence Based Medicine Reviews

If no official EBM review has been done on your topic, these filters and hedges may be helpful in reducing the amount of literature you need to analyze.

  • PubMed Filters. Click on "Clinical Queries" in the left frame.

    The objective of filtering is to reduce the retrieval of a search in PubMed to articles that report research conducted with specific methodologies.

  • Ovid MEDLINE Filters from the U. of York NHS Centre for Reviews and Dissemination
  • Ovid MEDLINE Filters from the Hardin Library at the U. of Iowa

    Tip: Create an SDI to keep your search current.
    Ovid Tutorial
    Caveat: Clicking the EBM Reviews button in Ovid is not an effective way to filter for EBM. It retrieves only records in the Ovid EBM databases.

  • Print Resources:

    Users' Guides to the Medical Literature
    OHSU Library Reference Collection section 9 WB102 U845 2002
    The contents were published as a series in JAMA in the 1990's.
    The Users' Guides to Evidence-Based Practice (UGEBP) are the working documents behind the Users' Guides to the Medical Literature.

Journals Specializing in Evidence Based Health Care

  • Electronic EBM journals at OHSU
  • Bandolier
    Bandolier is a print and Internet journal about health care, using evidence-based medicine techniques to provide advice about particular treatments or diseases for healthcare professionals and consumers. The content is 'tertiary' publishing, distilling the information from (secondary) reviews of (primary) trials and making it comprehensible.

Evidence-Based Nursing and Health Care Resources