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Medicine: Evidence-based practice

Guide to information resources and services for Medicine, including basic and clinical sciences.

Useful ebooks about EBP

Heneghan, C and Badenoch, D (2006) Evidence based medicine toolkit. 2nd ed. Oxford: BMJ books. Online acccess

Glasziou, P, Del Mar, C and Salisbury, J (2007) Evidence based medicine workbook: finding and applying the best research evidence to improve patient care. London: BMJ. Online access

Aveyard, H (2009) Evidence-based practice and healthcare: a beginner's guide. Maidenhead: McGraw-Hill International. Online access

Guidelines

Clinical practice guidelines are systematically developed statements based on clinical evidence that are designed to support the decision making process in patient care.

Effort is needed to identify independedent sources of guidelines due to potential conflict of interest in industry funded guideline sources.

•   Clinical practice guidelines portal NHMRC (Australian)
•   MJA Clinical Guidelines (Medical Journal of Australia)
•   SIGN (Scottish Intercollegiate Guidelines Network)

Searching for evidence

Key resources for Evidence Based Practice

Evidence-based practice (EBP) is the process of making clinical decisions based upon research evidence, combined with clinical experience and patient preferences.  EBP is used in a variety of fields, including medicine, nursing and allied health.

Evidence Summaries (point of care tools, guidelines, textbooks)

Useful to find quality information in a short amount of time.

Summaries of systematic reviews and/or primary studies

  • Cochrane Clinical Answers
    Based on the evidence of Cochrane systematic reviews, this clinical support tool provides evidence-based answers when and where you need them most. Cochrane Clinical Answers focuses on important patient-centered outcomes, enabling you to apply the results of Cochrane reviews in practice.

Systematic reviews

Primary studies

Free Evidence Based Medicine resources

Levels of evidence

Certain types of evidence are considered stronger than others. 

See the hierarchy of evidence of study designs at the Duke University Medical Center Library website.

Some tables that demonstrate the different levels of evidence include:

Applying the evidence

Critically evaluate the evidence you find, and use it to support your clinical decisions, taking into account your clinical experience and patient preferences. The Centre for Evidence Based Medicine, Oxford, has critical appraisal checklists.

Key texts: