Tools to Consider for Support of EBM
ACP Smart Medicine
ACP Smart Medicine is a decision-support tool designed for point-of care use and take the place of ACP Pier. Smart Medicine is a collection of modules divided into five topic types: disease, screening and prevention, complementary and alternative medicine, ethical and legal issues, and procedures.
This electronic book documents the best evidence available (or lack thereof) for treatments and preventative measures. There are clearly stated clinical questions, and interventions are sorted by effectiveness, with tradeoffs between options indicated where appropriate. Methodologies of summarized studies are labeled, and overall utility of therapeutic options is noted.
The Cochrane Library is a collection of evidence-based medicine databases, providing clinicians reliable and current information on the effects of interventions in health care. The Cochrane Database of Systematic Reviews are the gold standard of medical literature, providing comprehensive research analyses on a variety of medical treatments; DARE critiques other systematic reviews in a structured abstract format; CENTRAL provides a repository of clinical trial citations.
A point-of-care medical reference updated daily by a review of the medical literature. Organized in a structured note format, content is easy to navigate; both overall recommendations and specific study results are included; available for PDA download.
National Guideline Clearinghouse (www.guidelines.gov)
The National Guideline Clearinghouse is a public comprehensive database of evidence-based clinical practice guidelines and related documents. It is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.
PubMed Main Search Page
Use this basic search for quick access to general research. The Review tab will limit to overview or introductory articles. Use the "All Child" Limit to restrict results to pediatrics.
PubMed Clinical Queries
Search by Clinical Study Category: This feature enables a quick search for different study types: etiology, diagnosis, therapy and prognosis. Always use the narrow, specific search for a reasonable number of results.
Find Systematic Reviews: Quickly find gold standard evidence-based medicine. This search will find:
- Systematic Reviews
- Practice Guidelines
TRIP (Turning Research into Practice) is a sophisticated tool for locating the highest possible evidence with which to inform clinical decisions, using the principles of evidence based medicine. Results include evidence-based synopses, systematic reviews, guidelines and PubMed.
A practical clinical information service designed to provide access to information needed at the point of care. It is written by a recognized faculty of experts who each address a specific clinical issue. They synthesize the latest evidence or best practices and provide detailed recommendations. Sometimes it is challenging to distinguish recommendations based on evidence versus recommendations based on consensus or expert opinion.
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