Sent: Thursday, April 29, 2004 11:11
PM
Subject: Summary: Supporting EBM
guidelines, pathways for your institution
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It has been a while since my initial post
but I wanted to send along a summary and have attached a Word document with
more details.
To refresh your memory
on the original posting:
We are starting to work with our Practice
Outcomes Department and they are interested in producing evidence-based
guidelines, pathways and order sets. I have been spending some time
learning about evaluation methods for different studies, etc. I'd like to
hear from anyone who can provide some information in the following areas:
1. What
services is your library offering to support creation or evaluation of EBM
guidelines, pathways, etc. ? (literature searches; attending meetings with
clinical team; ??)
2.
Is grading of the literature or body of evidence a goal of the
team?
3. Is
anyone from the library involved in rating the quality of individual
articles or grading a body of evidence around a particular topic?
4. What tools
are being used to do evaluate individual articles or grade the strength of
evidence or national guidelines (either by the library or by the clinical
team)
5. Are
commercial products being used to support your activities? (Clineguide,
InfoPOEMS, Clinical Evidence, emedicine, etc)?
I have located the following tools/resources for study
evaluations and grading the strength of evidence:
AHRQ report #47 Systems to Rate the Strength of
Scientific Evidence
Users'
Guide series from JAMA
Critical Appraisal
Programme (CASP)
Summary
of 14 responses as of 4/28/04
Six
sites sent detailed responses to what they are currently doing
Three indicated they are starting some sort of
EBM project
Two sent a links to websites
for resources
One vendor replied
One described internal medicine clerkship
Informatics rotation
One sent article
information
THANK YOU to everyone who
took the time to let me know what you are doing and being responsive to
follow up questions.
Resources
mentioned in responses (order not relevant):
1. MEDLINE
2. EMBASE
3. CINAHL
4. British Nursing Index
5. PsycINFO
6. Cochrane Database of
Systematic Reviews
7.
ACP Pier
8.
InfoPOEMS
9.
ECRI Directory
10.
Clinical Evidence
11.
DiseaseDX (Thomson)
12. Bandolier
13. FIRSTConsult (Elsevier)
14. National
Guideline Clearinghouse
15.
Minervation ltd
16.
Cat Maker
17.
healthweb.org
18.
http://www.geocities.com/nqiya/libraryarticles.html
19.
http://www.uic.edu/depts/lib/lhsp/resources/ebm.shtml
Book recommendations from current
library working on guideline creation:
"The book that I have found most helpful is: Greenhalgh T, Donald
A:
Evidence based health care workbook:
Understanding research: For
individual
and group learning. London: BMJ Books, 2000. It literally
walks you through how to grade papers (but
practice makes perfect - and
it's quite
an art).
Some of our other favorite
books include:
Greenhalgh T: How to read
a paper. London: BMJ Books, 2 ed., 29091
McKibbon A et al: PDQ Evidence-based principles and
practice. Hamilton
ON: Decker, 1999
- this was the most useful for our search strategy
Muir Gray JA: Evidence-based healthcare: How to make
health policy and
management decisions. 2
ed. Edinburgh: Churchill-Livingstone, 2001 (my
favorite overview)
Gehlbach SH: Interpreting the medical literature. 4 ed. New
York:
McGraw-Hill,, 2002
Evidence based health care workbook:
Understanding research: For
individual
and group learning. London: BMJ Books, 2000. It literally
walks you through how to grade papers (but
practice makes perfect - and
it's quite
an art)."
Specific Grading
/ Evaluation Tools Mentioned:
SIGN (twice)
USPSTF
American Heart Association REF: Cummins RO,
Hazinski MF, Kerber RE et al. Low-energy biphasic waveform defibrillation:
evidence-based review applied to
emergency cardiovascular care guidelines. Circulation 1998;
97:1654-1667.
Update on M.
D Anderson
The library has been
invited to participate in the updating of pathways related to neutropenic
fever. Our first meeting is next week where we have
been asked to give a brief overview of EBP and provide
search results for this topic. The pharmacy group has produced EB pathways
and has graded the literature using the Oxford system so I am
looking forward to hear about their
work-flow.
We have also been
participating in weekly clinical and operational meetings for a new heart
success program. As noted by one of the respondents, attending the meetings
held
by the clinical teams is an enormous
benefit for the team.
We are looking
for a EBP conference to attend with participants from the library, practice
outcomes, and clinical staff.
I have
attached a Word document with the details for those interested. For the most
part I have eliminated names and institutions but if you find one of
interest I am happy to forward
your
requests for more information. If you have any trouble opening the
attachment I am happy to email you the text of the document.
Thanks again.
Stephanie
Stephanie
Fulton
Assistant Library Director
University of Texas MD Anderson
Cancer Center
Research Medical Library
Y2.6005
p 713-563-1722
f
713-797-6513
e
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