EBM

Effective Health Care bulletins are based on a systemic review and synthesis of research on the clinical effectiveness, cost-effectiveness and acceptability of health service interventions. http://www.york.ac.uk/inst/crd/ehcb.htm

Institute for Clinical Systems Improvement

Healthcare guidelines and technology assessment reports. http://www.icsi.org/

Ovid

Password required, Access to Clinical Evidence, full text EBM reviews (including Cochrane), CINAHL, and Medline http://gateway.ovid.com/

Evidence-Based Medicine Reviews (EBM) is a growing, international movement in health care that aims to bring the best evidence from medical research to the bedside, clinic, and community. EBMR is a comprehensive database that combines three of the most trusted EBM sources into a single, fully-searchable database. 1. The Cochrane Collaboration's Cochrane Database of Systematic Reviews 2. Best Evidence, which consists of ACP Journal Club and Evidence-Based Medicine from the American College of Physicians and the BMJ Publishing Group. 3. The DARE Database of Abstracts of Reviews of Effectiveness, produced by the expert reviewers and information staff of the National Health Service's Centre for Reviews and Dissemination (NHS CRD). All link to MEDLINE® abstract and Ovid full text journals This feature allows the user to restrict retrieval to articles that have been evaluated; the Ovid search engine makes MEDLINE® itself an EBM resource.

Best Evidence

Subscription required. Launched in 1995, the purpose of Evidence-Based Medicine, is to alert clinicians to important advances by selecting from the biomedical literature those original and review articles whose results are most likely to be true and useful. The aspects of care looked at include treatment (including specific interventions and systems of care), diagnosis, etiology, prognosis/outcome research, quality improvement, continuing education, and economic evaluation. The articles are then summarized in value added abstracts and a commentary by a clinical expert is added. http://ebm.bmjjournals.com/

Cochrane Library http://www.update-software.com/cochrane/ available through OVID

Databases

The Cochrane Database of Systematic Reviews

Cochrane Reviews are full text articles reviewing the effects of healthcare. The reviews are highly structured and systematic, with evidence included or excluded on the basis of explicit quality criteria, to minimize bias. Data are often combined statistically (with meta-analysis) to increase the power of the findings of numerous studies, each too small to produce reliable results individually. Although the Cochrane Database of Systematic Reviews is available on subscription only, the Abstracts of Cochrane Reviews are available without charge and can be browsed or searched at http://www.update-software.com/abstracts/mainindex.htm

The Database of Abstracts of Reviews of Effectiveness (DARE)

DARE is a database of high quality systematic research reviews of the effectiveness of health care interventions produced by the NHS Centre for Reviews and Dissemination at the University of York.

http://agatha.york.ac.uk/darehp.htm free searching through this URL

The NHS Economic Evaluation Database (part of DARE search engine)

A register of published economic evaluations of health care interventions. Economic evaluation records include a structured summary and a qualitative assessment together with details of any practical implications for the NHS. NHS Economic Evaluation Database (NHS EED) The NHS Economic Evaluation Database is a database of structured abstracts of economic

evaluations of health care interventions produced by the NHS Centre for Reviews and

Dissemination at the University of York. http://agatha.york.ac.uk/nhsdhp.htm

Health Technology Assessment Database (part of DARE search engine)

Contains information on healthcare technology assessments. Health Technology Assessment (HTA) Database The HTA Database, mounted by the NHS Centre for Reviews and Dissemination at the University of York, contains abstracts produced by INAHTA (International Network of Agencies for Health Technology Assessment) and other healthcare technology agencies. http://agatha.york.ac.uk/htahp.htm

The Cochrane Controlled Trials Register

CCTR is a bibliography of controlled trials identified by contributors to the Cochrane Collaboration and others, as part of an international effort to hand search the world's journals and create an unbiased source of for systematic reviews. CCTR includes reports published in conference proceedings and in many other sources not currently listed in MEDLINE or other databases.

The Cochrane Review Methodology Database

A bibliography of articles and books on the science of research synthesis.

Cochrane Database of Methodology Reviews (CDMR)

Includes the full text of systematic reviews of empirical methodological studies prepared by The Cochrane Empirical Methodological Studies Methods Group

Also Includes a handbook on critical appraisal and the science of reviewing research, a glossary of methodological terms

National Research Register

The National Research Register (NRR) is a register of ongoing and recently completed

research projects funded by, or of interest to, the United Kingdom's National Health Service. The current release contains information on over 57,000 research projects, as well as entries from the Medical Research Council's Clinical Trials Register, and details on reviews in progress collected by the NHS Centre for Reviews and Dissemination.

http://www.update-software.com/National/nrr-frame.html

Clinical Evidence

Available through Ovid, and subscription. Clinical Evidence is a database of clinical questions designed to help clinicians make evidence-based medicine part of their everyday practice. Hundreds of clinical questions cover the effects of treatments and interventions based on the best available research. Topics are selected to cover common or important clinical conditions seen in primary care or ambulatory settings. Questions are selected for their relevance to clinical practice by leading physicians in conjunction with other practicing physicians and patient groups. Answers are the result of thorough research commissioned by the prestigious BMJ Publishing Group (British Medical Journal), employing premier medical resources including the Cochrane Library, MEDLINE, EMBASE, ACP Journal Club. Rigorous peer-review of all material by independent experts, an advisory board, and an international advisory committee aims to ensure that the information is of the highest quality. http://www.ovid.com/products/clinical/clinicalevidence.cfm

SUMSearch

SUMSearch is a single gateway that attempts to provide references to answer clinical

questions around diagnosis, aetiology, prognosis and therapy (plus physical findings,

adverse treatment effects and screening/prevention) by searching only high-quality sources.

SUMSearch always searches: 1. Merck Manual. 2. MEDLINE for review articles and editorials

that have full texts available. 3. National Guideline Clearinghouse from the Agency for Health

Care Policy and Research (AHCPR) 4. Database of Abstract of Reviews of Effectiveness

(DARE) 5. MEDLINE for original research. Depending of the focus requested SUMSearch will

search PubMed with the highest sensitivity filters developed by Haynes et al.

http://SUMSearch.UTHSCSA.edu/cgi-bin/SUMSearch.exe

Turning Research Into Practice (TRIP) Database

This resource, hosted by the Centre for Research Support in Wales, aims to support those

working in primary care.The database has 8000 links covering resources at 28 different

centres and allows both boolean searching (AND, OR, NOT) and truncation.

http://www.tripdatabase.com

DynaMed

Referenced disease summaries, free but login required. http://www.dynamicmedical.com

Up to Date

Subscription required, Synthesized clinical information service using the latest evidence, best practices and provide detailed recommendations http://www.uptodate.com

MedicalInforetriever

Searchable database of POEMS (Patient Oriented Evidence that Matters) from the Journal of

Family Practice. POEMS are summaries similar to ACP Journal Club articles in methodology

and format, targeted at family practitioners.

http://www.infopoems.com/POEMs/POEMs_Home.htm

Bandolier

http://www.jr2.ox.ac.uk/bandolier/index.html

Bandolier of Oxford collects together good quality evidence under a variety of different headings. Searches include systematic reviews of treatments, of evidence about diagnosis, epidemiology or health economics, and abstract it.

MDConsult.com

Searches texts, journals, guidelines, some journals full text, original, not reviewed per EBM guidelines. Subscription required or enter through www.merckmedicus.com

ClinicalTrials.gov

The U.S. National Institutes of Health, through its National Library of Medicine, has developed

ClinicalTrials.gov to provide patients, family members and members of the public current

information about clinical research studies.

http://clinicaltrials.gov/

National Guideline Clearinghouse

www.guidelines.gov

PubMed www.ncbi.nlm.nih.gov/PubMed

Medical Matrix

Ranked, peer reviewed articles, reference books www.medmatrix.org/info/medlinetable.asp

Scientific American Medicine

www.samed.com

Health Technology Advisory Committee Evaluation Reports

Reports and issue briefs from the HTAC in Minnesota.

http://www.health.state.mn.us/htac/techrpts.htm

National Library of Medicine's Health Services/Technology Assessment Text (HSTAT)

This WWW resource contains the following collections: AHCPR Supported Guidelines, AHCPR

Technology Assessments and Reviews, ATIS (HIV/AIDS Technical Information), NIH Warren G.

Magnuson Clinical Research Studies, NIH Consensus Development Program, PHS Guide to

Clinical Preventive Services (1989) and SAMHSA/CSAT Treatment Improvement

Protocol (TIP). http://text.nlm.nih.gov/ftrs/gateway

Primary Care Clinical Practice Guidelines

This site will include all guidelines, evidence-based, consensus, practice parameters,

protocols, as well as other resources such as primary articles, integrative studies,

meta-analysis, critically appraised topics, and review articles. Compiled by Peter Sam at the

UCSF School of Medicine.

http://medicine.ucsf.edu/resources/guidelines/

Evidence Based On Call

CATs-Critically appraised topics on the 38 most common questions, requires a subscription, demo available http://cebm.jr2.ox.ac.uk/eboc/demo_nov01/eboc/eboncall.htm

Clinical Significance Calculator

http://www.healthcare.ubc.ca/calc/clinsig.html

Rochester CAT bank

Critically appraised topics and list of other cat banks

http://www.urmc.rochester.edu/MEDICINE/RES/CATS/index.html

Pediatric EBM -Univ. of Michigan

http://www.med.umich.edu/pediatrics/ebm/cat.htm

NICE - National Institute for Clinical Excellence

http:// nice.org.uk

Pediatric CATs - University of Washington

http://depts.washington.edu/pedebm/topic/index.htm some outdated

Search the CATbank and NNTs

http://cebm.jr2.ox.ac.uk/cats/catsearch.html some outdated

AHRQ: Evidence-based Practice

http://www.ahrq.gov/clinic/epcix.htm

Journal Club on the Web out of date, considering updating

http://www.journalclub.org/

Evidence Centre Reports - Monash

http://www.med.monash.edu.au/healthservices/cce/

Training, Tutorial EBM Resources

Cochrane Library Training Program and Materials

http://www.york.ac.uk/inst/crd/cochlib.htm

Evidence Based Health Care - Latest Articles

A list of the latest articles on Evidence Based Health Care provided by the Evidence Based

resource Centre in New York. http://www.ebmny.org/pubs.html

Netting the Evidence A ScHARR Introduction

Comprehensive source of information on EBM, points to other sites http://www.shef.ac.uk/~scharr/ir/netting/

An Introduction to Information Mastery

http://www.poems.msu.edu/InfoMastery/

Web-based course that introduces the basic concepts of Information Mastery, Evidence-Based Medicine (EBP), and critical appraisal of the medical literature, Michigan State Univ., Tutorial

Evidence Centre for Evidence-Based Medicine

http://cebm.jr2.ox.ac.uk/

Centres for Health Evidence

http://www.cche.net/CHE/home.asp

EBM Bibliography- Italian Group

http://www.gimbe.org/Bibliografia/Serie-articoli.htm#FRTP

EBM Tutorial -Duke/UNC

http://www.hsl.unc.edu/lm/ebm/index.htm

How to Read aPaper - Trisha Greenhalgh

http://www.lib.uiowa.edu/hardin-www/education/bmj-comp.html

Navigating the Maze (EBM Search Tutorial) -UVA

http://www.med.virginia.edu/hsl-ebm/