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Published byStephen Stevenson Modified over 9 years ago
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Dartmouth Institute for Medical Librarians Lenora Kinzie, MLS Stormont-Vail HealthCare Topeka, KS November 16, 2010
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Thank you NN/LM - MCR Professional Development Award 2010
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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
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Evidence-Based Practice Research Evidence Clinical Expertise Patient Preference and Values Resources Assessment
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Steps of Evidence Assess Ask Acquire Appraise Apply Assess
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PICO - sometime PICOT Patient/Population Intervention Comparison Outcome Time Frame
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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.
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PICO breakdown P – Head injury I – Elevate head-of-the bed 30% C – Elevate / % or not at all O – reduce intracranial pressure T –
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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
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www.tripdatabase.com
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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
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3rd 1st 4th
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5th 2nd
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3rd 1st 4th
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5th 2nd
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Cochrane
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CINAHL
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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
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Studies Whoa boy Go girl
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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
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