- BETs (Best Evidence Topics) were developed in the Emergency
Department of Manchester Royal Infirmary, UK, to provide rapid
evidence-based answers to clinical questions. BETs take into account
the shortcomings of much current evidence and the practical constraints
on searching for evidence-based answers in a busy clinical setting.
for Evidence-Based Child Health
- Established by the Institute of Child Health and Great Ormond
Street Hospital for Children NHS Trust, London, UK
for Evidence-based Dentistry
- Centre for
- Centre for Evidence-Based Medicine, University Department of
Psychiatry, Warneford Hospital, Headington, Oxford, OX3 7JX, UK
for Evidence-Based Medicine, Mount Sinai Hospital - University
- Resources that can be used to practice and teach EBM for undergraduate,
postgraduate and continuing education for health care professionals
from a variety of clinical disciplines.This site also serves as
a support for the book entitled, Evidence-based medicine: how
to practice and teach EBM by David L. Sackett, Sharon E. Straus,
W. Scott Richardson, William Rosenberg, and R. Brian Haynes.
- Centre for
Evidence-Based Mental Health (CEBMH)
- Contains the journal Evidence-Based Mental Health, links to
practice guidelines, and a very useful set of tutorials on finding
and evaluating methodologically sound mental health research applicable
to clinical practice.
Medicine Resource Center
- Varied, useful site that pulls together searchable databases,
glossaries, and resources for teaching and for clinical practice.
See the Publications section for both a bibliography of frequently-cited
items and a regularly-updated list of recent articles.
Briggs Institute for Evidence Based Nursing & Midwifery
- "International Research Collaboration based at the Royal Adelaide
Hospital and the Adelaide University with collaborating centres
in Australia, New Zealand and Hong Kong"
Associations, and Agencies
- From American College of Physicians-American Society of Internal
Medicine. Evidence-based guidelines developed using the CEAP (Clinical
Efficacy Assessment Project) process
Care Ontario: Program in Evidence-Based Care (PEBC) and Practice
Guidelines Initiative (CCOPGI)
- These projects develop and maintain evidence-based care information
for patients, families, and health care providers, including clinical
practice guidelines and evidence summaries.
for Evidence-Based Physiotherapy
- At University of Sydney, Australia. Includes access to PEDro,
the Physiotherapy Evidence Database.
for Health Evidence
- Canadian project for presenting knowledge-based resources and
summaries to health professionals in clinical settings using Internet-based
technologies. "Principles" section includes tools for identifying
and appraising evidence-based literature.
- International organization that promotes well-informed decisions
about health care by preparing, maintaining, and promoting the
accessibility of systematic reviews of the effects of health care
Based Emergency Medicine at the New York Academy of Medicine
- The EBEM working group is an established project of the Emergency
Medicine Section of the New York Academy of Medicine.
Practice, Agency for Healthcare Research and Quality (AHRQ)
- Includes Evidence Reports produced by the 12 current Evidence-Based
Practice Centers (EPCs). Each EPC reviews all relevant scientific
literature on its assigned clinical care topics to produce the
Centre for Reviews and Dissemination, University of York
- Includes systematic reviews on selected topics, searchable databases,
Cochrane Library User Group and training materials
Guidelines, American Psychiatric Association
Intercollegiate Guidelines Network (SIGN)
- SIGN's evidence-based guidelines are based on a systematic review
and critical appraisal of current scientific literature and graded
according to the strength of the supporting evidence. Member organizations
represent "all the medical specialties, nursing, pharmacy, dentistry,
professions allied to medicine, patients, health service managers,
social services, and researchers."
- Evidence-based information on drug therapy from the University
of British Columbia
Prevention Guidelines Database, Centers for Disease Control and
- Contains current and archived guidelines and recommendations
approved by the CDC for the prevention and control of disease,
injuries, and disabilities
Queries using Research Methodology Filters
- Specialized PubMed searches use built-in filters to identify
studies in one of four categories: therapy, diagnosis, etiology,
prognosis. An additional feature lets users identify systematic
reviews on their topic on interest.
Infobase, Canadian Medical Association
- Clinical practice guidelines produced or endorsed in Canada
by a national, provincial or territorial medical or health organization,
professional society, government agency or expert panel
Databases, NHS Centre for Reviews and Dissemination, University
- Includes Database of Abstracts of Reviews of Effectiveness (DARE),
a database of high quality systematic research reviews of the
effectiveness of health care interventions; NHS Economic Evaluation
Database, a database of structured abstracts of economic evaluations
of health care interventions; and the Health Technology Assessment
to Clinical Preventive Services
- Searchable full text of the US Preventive Services Task Force's
recommendations for clinical practice. The second edition (1996)
covers over 80 conditions and includes 6,000 citations to supporting
literature. The third edition is being published as a series of
articles on topics that require updating, starting with the section
on screening tests. This interface is from the National Library
of Medicine's Health Services/Technology Assessment Text (HSTAT).
See also US Preventive Services Task Force
Guideline Clearinghouse (NGC)
- Comprehensive database of evidence-based clinical practice guidelines
that is searchable by disease, intervention, and organization.
Users can create their own point-by-point guideline comparisons.
Produced by the Agency for Healthcare Research and Quality in
partnership with the American Medical Association and the American
Association of Health Plans
- The Physiotherapy Evidence Database, from
the Centre for Evidence-Based Physiotherapy, University of Sydney
- Searches multiple resources (textbook, guidelines, PubMed) simultaneously
for medical evidence
(Turning Research Into Practice)
- Simultaneous search of over 60 sources, with results organized
into categories including evidence-based, peer-reviewed journals,
Preventive Services Task Force (USPSTF)
- USPSTF is an independent panel of primary care and prevention
experts that systematically reviews the evidence of effectiveness
and develops recommendations for clinical preventive services.
The organization's third report is being released in sequential
installments beginning in 2002. This page also includes links
to PDF files for all recommendations from the 2nd edition (1996)
Guide to Clinical Preventive Services.
Newsletters and Journals
- Evidence-based reviews on clinical topics originally organized
as bullet points (hence the name "Bandolier"). Produced monthly
for the National Health Service (UK) Research & Development Directorate
of Family Practice POEMs
- POEMs (Patient-Oriented Evidence that Matters) are articles
that focus on a primary care problem; look at patient-oriented
outcomes such as symptom improvement, morbidity, mortality, and
quality of life; and have the potential to change clinical practice.
- Each issue of this bi-monthly publication addresses an identified
problematic therapeutic issue with "brief, simple, practical messages"
in the form of evidence-based reviews.
- Designed to calculate relevant statistics for diagnostic studies,
prospective studies, case control studies and randomized control
trials (RCT). It is a Palm version of the Stats Calculator. Offered
by Mount Sinai Hospital - University Health Network.
Guide to Research Methods
- Clear, easy-to-read primer. Part of Evidence Based Medicine
Course from Medical Research Library of Brooklyn, SUNY Health
- "Have you ever found yourself.... [a]t the end of a literature
search with 4000 references?" Help from the NHS' Learning and
Development, Public Health Resource Unit. Includes both validated
and untested filters for MEDLINE and untested filters for CINAHL,
EMBASE, and PsycINFO.
Filters for Ovid CINAHL
- Specialized search strategies adapted by Kathryn Nesbit of Miner
Library, University of Rochester from those developed by Ann McKibbon
and Cindy Walker-Dilks of McMaster University
Filters for Ovid Medline
- Specialized search strategies originally developed by Ann McKibbon
and Cindy Walker-Dilks of McMaster University and updated by librarians
at Miner Library, University of Rochester Medical Center
Medicine: What it is and what it isn't
- By David L. Sackett, William M.C. Rosenberg, J.A. Muir Gray,
R. Brian Haynes, and W. Scott Richardson. Based on a January 13,
1996 editorial from the British Medicine Journal (BMJ 1996; 312:
to Evidence-Based Medicine
- Web tutorial developed by Connie Schardt, Duke University Medical
Center Library and Jill Mayer, Health Sciences Library, University
of North Carolina at Chapel Hill
- This Centre for Evidence-Based Medicine collection includes
generic resources (Glossary of EBM Terms, Comparison of Study
Designs) plus definitions, calculations, and examples for statistical
measures used in evidence-based evaluation.
- CONSORT (Consolidated Standards Of Reporting
Trials) is an international initiative to improve the quality
of reports of randomized controlled trials.
- The CONSORT approach is being used to improve reporting of other
types of investigation through use of evidence-based concepts
and standardized formats. These initatives include STARD (Standards
for Reporting of Diagnostic Accuracy); MOOSE (Meta-analysis
of Observational Studies in Epidemiology),
and QUOROM (Quality of Reporting of
Meta-analyses). ASSERT (A Standard for the
Scientific and Ethical Review of Trials)
proposes a structured approach for use by research ethics committees
in reviewing proposals for and monitoring conduct of randomized
controlled clinical trials.
Dentistry - Journal of the Canadian Dental Association
- These articles by Susan E. Sutherland, DDS (first author) include
one on evidence-based dentistry building blocks plus a series
on methods of evidence-based dentistry. All are available as free
Surgery - Canadian Journal of Surgery
- This occasional series from the Evidence-Based Surgery Working
Group began in 2001.
- From the Society of General Internal Medicine's Clinical Examination
Research Interest Group. Includes links to full-text (available
only to HSLS-affiliated users).
Guides to Evidence-Based Practice
- Based on the JAMA series described in next item below.
Guides to the Medical Literature
- This JAMA series from the Evidence-Based Medicine Working Group
provides detailed guidance on how to critically appraise studies
and other types of research articles and how to apply their clinical
findings to specific patients. (Available only to HSLS-affiliated
users; see previous item for comparable resource available without