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17 Cards in this Set

  • Front
  • Back
4 Step Model for finding Evidence
1) focus question using PICO
2) Select appropriate info sources
3) Choose databases or printed sources with best coverage of topic
4) Devise search strategy using subject terms, keywords, index entries.
What is a good question to ask?
-from your own curiousity to make time investment worthwhile
-non-trivial/self-evident
-no simply yes or no answer
-Covers wide range while specifying comparisons.
what is a well built clinical question?
1) directly relevant to problem
2) focused and clearly formulated
3) sufficiently specific to ensure a clear answer
4) articulated to facilitate searching for an answer
hierarchy of best evidence
MA> SR> RCT> cohort> case control> case series> expert opinion> animal research
Boolean operators
AND =
both concepts must appear in each article
Boolean operators
OR =
at least one of the concepts must appear in an article
Boolean operators
AND NOT=
exclude a concept from your results
using the LIMITS option in PubMed can target your search to...
clinical trails, MA, practice guidelines, RCT, or reviews
Pub Med clinical Queries can filter for....
Etiology, diagnosis, therapy, prognosis, clinical prediction guides.
Narrow, specific search will result in...
missing a few relevant articles
Broad, sensitive search will result in...
including irrelevant articles
E journals from the HSC library website...
-are arranged alphabetically
-arranged by broad subjects
-pay attention to date ranges for availability.
4 primary sources of E journals
-available full text from database
-HS library list of E journals
-Sciencedirect (SUNY wide)
-Melville library E journals
ACP journal club
general purpose to select from biomed literature those articles reporting original studies and systematic reviews that warrant immediate attention by physicians attempting to keep pace with important advances in internal med.
-summarized in "value added" abstracts and commented on by clinical experts.
CINAHL
most comprehensive source of full text for Nursing and allied health journals, 560+ journals, > 600,000 full text articles dating back to 1937.
Cochrane database of systematic reviews (CDSR)
Contains systematic reviews and protocols (currently being written), published in hope that people will comment on them before the review is complete.
DARE (database of abstracts of reviews of effects)
contains structured abstracts of high quality systematic reviews published in scientific literature. Also contains references. Records do not contain full text of original article.