Dartmouth Institute for Medical Librarians Lenora Kinzie, MLS Stormont-Vail HealthCare Topeka, KS November 16, 2010.

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Presentation transcript:

Dartmouth Institute for Medical Librarians Lenora Kinzie, MLS Stormont-Vail HealthCare Topeka, KS November 16, 2010

Thank you NN/LM - MCR Professional Development Award 2010

Supporting Clinical Care: An Institute in Evidence-Based Practice for Medical Librarians 3 rd Annual Dartmouth College Stellar Presenters Institutional Need Staff Nursing School Self-serving

Evidence-Based Practice Research Evidence Clinical Expertise Patient Preference and Values Resources Assessment

Steps of Evidence Assess Ask Acquire Appraise Apply Assess

PICO - sometime PICOT Patient/Population Intervention Comparison Outcome Time Frame

A nurse in the ICU asks about the care of patients with head injuries. She’s wondering if elevating the head of the bed 30 degrees will reduce intracranial pressure.

PICO breakdown P – Head injury I – Elevate head-of-the bed 30% C – Elevate / % or not at all O – reduce intracranial pressure T –

Resources TRIP Database Cochrane – Systematic Reviews DARE – Database of Abstracts of Reviews of Effects Joanna Briggs Institute Clinical Queries (PubMed, CINAHL) CEBM – Centre for Evidence Based Medicine

Finding Evidence Fast - TRIP 1 - Systematic Reviews 2 - Medline – Systematic Reviews Searches PubMed Clinical Queries 3 - Evidence Based Synopses 4 – Guidelines 5 – Medline – Diagnosis, Therapy… Searches PubMed Clinical Queries

3rd 1st 4th

5th 2nd

3rd 1st 4th

5th 2nd

Cochrane

CINAHL

Gray Literature Is produced on all levels of government, academics, business and industry in print and electronic format but not controlled by publishers Reports Memoranda Conferences / Association Proceedings Standards Technical Documents

Studies Whoa boy Go girl

So what does this mean in my world? EPIC (Electronic Documentation) Journal Clubs Evidence-Based/Best Practices Research Council Educating Staff/Students Conversation with Faculty/Physicians/Staff IRB Searching Literature