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7703 Floyd Curl Drive,
MC 7949,
San Antonio, TX 78229-3900
Phone: 210-567-1480
Fax: 210-567-5822
For More information Email: acestar@uthscsa.edu
EVIDENCE-BASED PRACTICE
RESOURCES ON THE WORLD WIDE WEB
Kathleen R. Stevens, RN, EdD, FAAN, Professor and Director , stevensk@uthscsa.edu
Academic Center for Evidence-based Practice
The University of Texas Health Science Center at San Antonio
Organizations And Entities
Academic Center for Evidence-based Nursing (ACE)
ACE is part of The University of Texas Health Science Center at San Antonio School of Nursing and a companion entity to VERDICT (see below). As a center of excellence, its purpose is to advance cutting edge, state-of-the-art evidence-based nursing practice, research, and education within an interdisciplinary context. The goal is to turn research into action, improving health care and patient outcomes in the community, through evidence-based practice (EBP), research, and education. Contains some learning resources. http://www.acestar.uthscsa.edu/
Agency for Healthcare Research and Quality
The Agency for Healthcare Research and Quality (AHRQ) is the United States' premier evidence-based practice agency. AHRQ was established by US Congress and is the "lead agency charged with supporting research designed to improve the quality of healthcare, reduce its cost, improve patient safety, decrease medical errors, and broaden access to essential services. AHRQ sponsors and conducts research that provides evidence-based information on healthcare outcomes; quality; and cost, use, and access. The information helps healthcare decision makers-patients and clinicians, health system leaders, and policymakers-make more informed decisions and improve the quality of healthcare services" On the AHRQ site can be found full text documents on evidence reports, clinical practice guidelines, quick-reference guides, and consumer brochures. Since 1996, AHCPR produces evidence reports only.
Available free of charge via http://www.ahrq.gov
Cochrane Library
The Cochrane Library is produced by the world-wide virtual Cochrane Collaboration. The Library includes four databases that cover the subject area of evidence-based medicine: Database of Systematic Reviews, Database of Abstracts of Reviews and Effectiveness, Cochrane Controlled Trials Register, and Cochrane Review Methodology Database. The first two databases are most useful to clinicians. Full resources available quarterly on CD-ROM.
View introductory information free at http://www.cochrane.org/cochrane/cc-broch.htm#CC
and http://www.update-software.com/ccweb/cochrane/cdsr.htm
Free access to Cochrane Reviewer's Handbook via http://www.cochrane.org/cochrane/hbook.htm
For the Library: Subscription required. Contact http://www.update-software.com/ccweb/cochrane/cdsr.htm
NOTE: Some of the Cochrane Library databases are indexed in CINAHL.
Task Force on Community Preventive Services
The Task Force on Community Preventive Services is an independent, non-federal Task Force and consists of 15 members, including a chair, appointed by the Director of CDC. The Task Force's membership is multi-disciplinary, and includes perspectives representative of state and local health departments, managed care, academia, behavioral and social sciences, communications sciences, mental health, epidemiology, quantitative policy analysis, decision and cost-effectiveness analysis, information systems, primary care, and management and policy.
http://www.thecommunityguide.org
US Preventive Services Task Force
The Task Force was convened by the U.S. Public Health Service in 1984 to systematically review the evidence of effectiveness of a wide range of clinical preventive services, including screening tests, counseling, immunizations, and chemoprophylaxis. The Task Force is composed of 15 members and is closely affiliated with AHRQ. The Task Force publishes the Guide to Clinical Preventive Services.
http://www.ahrq.gov/clinic/uspstfab.htm
VERDICT's mission is to foster a knowledge-based health care system in which clinical, managerial, and policy decisions are based upon sound information from research findings. The multidisciplinary team addresses systematic implementation of evidence in clinical practice within the Veterans Health Administration, leading to integrated models of care and improved service, quality and efficiency. Learning resources include VERDICT Briefs.
http://verdict.uthscsa.edu/verdict/default.htm
Publications And Search Strategies
CPB Infobase
This website presents guidelines produced or endorsed in Canada by a national, provincial or territorial medical or health organization, professional society, government agency or expert panel.
http://www.cma.ca/cpgs
National Guideline ClearinghouseTM
The Agency for Healthcare Research and Quality (AHRQ), in partnership with the American Association of Health Plans (AAHP) and the American Medical Association (AMA), is sponsoring the National Guideline ClearinghouseT (NGC). The NGCT is a publicly available electronic repository for clinical practice guidelines and related materials that provides online access to guidelines. Recently, the Clearinghouse has added Measures to the collection. http://www.guideline.gov Note: Only minimal criteria for quality are applied to guidelines listed in the Clearinghouse.
OVID Evidence Based Medicine Reviews Multifile
This multifile database allows you to search simultaneously the three Evidence Based Medicine Reviews databases: Best Evidence (ACP), Cochrane Database of Systematic Reviews (COCH), and Database of Abstracts of Reviews of Effectiveness (DARE).
Available to OVID subscriptions including this feature.
http://www.library.uthscsa.edu/ At Briscoe Library, select from Library Homepage OVID Online; continue; and select EBP Reviews-Cochrane, Best Evidence, and DARE.
SUMSearch is an automated method of searching for medical evidence by using the Internet. It searches NLM, DARE, and National Guideline Clearinghouse. SUMSearch combines meta-searching and contingency searching. Developed by VERDICT investigator, Bob Badgett, MD. http://SUMSearch.uthscsa.edu
Other Learning Resources
Evidence-based Medicine and the Internet
ACP Journal Club
Introductory article for EBP. Includes a number of links to EBP resources.
http://www.acponline.org/journals/acpjc/julaug96/jcjaedit.htm
Health Information Research Unit (HIRU)
The Health Information Research Unit (HIRU) at McMaster University is an informatics research unit. HIRU's main goal is to study the problems of research transfer and to develop and test innovations based on information technology (informatics) that will improve the transfer of evidence into practice. Because of this, HIRU is promoting what could be described as "Evidence-based health informatics". http://hiru.mcmaster.ca
Centres of Health Evidence (CHE)
The principal task of CHE is to package, disseminate, and present health knowledge in ways that facilitate its optimum use. The website contains educational packets as introduction to EBP.
http://www.cche.net/about/
Netting the Evidence
This is the most comprehensive site to date on "Introduction to Evidence Based Practice on the Internet," listing hundreds of websites and resources on the topic of evidence-based practice. Websites are arranged into eight categories, including library, searching, appraising, implementing, software, journals, databases, and organizations.
http://www.shef.ac.uk/~scharr/ir/netting/
This site contains a collection of tools for identifying, assessing and applying relevant evidence for better health care decision-making is based on the work of the Evidence Based Medicine Working Group (Canada).
http://www.med.ualberta.ca/ebm/ebm.htm
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