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Evidence Based Practice: EBP Pyramid

"The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research." (Sackett, D. 1996)

Most Used EBP Databases

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EBP Pyramid

Click on the different sections of the pyramid to locate appropriate evidence based resources on this page.
Developed by the Health Science Library staff.

Systematic ReviewsCritically Appraised TopicsCritically Appraised Individual ArticlesRandomized Control TrialsQuasi-Experimental StudiesCohort, Descriptive, Qualitative StudiesCase-Controlled Studies, Case Series/reportsBackground Information/ Expert Opinion

Systematic Reviews & Clinical Practice Guidelines (CPGs) based on SRs

Cochrane Database of Systematic Reviews (CDSR)

Considered one of the premier sources of EBM, CDSR is an electronic publication designed to supply high quality, reliable evidence about the effects of health care interventions. CDSR includes the full text of the regularly updated systematic reviews prepared by The Cochrane Collaboration.

Database of Abstracts of Reviews of Effects (DARE)

DARE contains summaries and assessments of systematic reviews on the effectiveness of health care interventions published in the journal literature that meet the Cochrane standards. Dare summaries are also available through the Cochrane Library, to affiliated users.

Joanna Briggs Institute (JBI)

Joanna Briggs Institute works with researchers and clinicians to collaboratively evaluate evidence from a diverse range of sources including experience, expertise and qualitative and quantitative forms of rigorous research.  JBI prepares systematic reviews and concise summaries of SRs in the form of Best Practice Information Sheets.

OTseeker

OTseeker provides rapid access to bibliographic details and abstracts of randomized controlled trials and systematic reviews in occupational therapy.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

PEDro

PEDro provides rapid access to bibliographic details and abstracts of randomized controlled trials, systematic reviews, and evidence-based clinical practice guidelines in physiotherapy.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

Turning Research Into Practice (TRIP Database)

TRIP provides direct access to the largest collection of evidence based material on the web. It simultaneously searches resources containing systematic reviews, guidelines, evidence synopses, medical images, e-textbooks; as well as content from Medline that has been filtered through the Clinical Queries or limited by specialization. To review the complete list and last reviewed date, click here.

(Resource contains materials with various evidence levels, additional appraisal may be needed)
           
Medline/PubMed & CINAHL

  • Medline
    • Enter your search query
    • Click on ‘More Limits’ Icon; under ‘Subject Subsets’
    • Click on Systematic Reviews.
  • PubMed: 
  • CINAHL
    • Enter your search query
    • Click on ‘More Limits’ Icon, under ‘Publication Type’
    • Click on Systematic Review

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Critically Appraised Topics

ACP’s PIER

Evidence-based clinical guidance designed for rapid access to clinical information at the point of care. PIER is peer-reviewed, updated continually and includes recommendations based on all levels of medical evidence. Recommendations also include strength-of-recommendation ratings based on the quality of the underlying evidence. From the American College of Physicians.

Essential Evidence Plus

Clinical awareness system that highlights important new evidence via DailyPOEMs™ ("Patient-Oriented Evidence that Matters"), synopses of new, valid evidence relevant to patient care originating from critical appraisal of studies published in more than 100 journals.

Turning Research Into Practice (TRIP Database)

TRIP provides direct access to the largest collection of evidence based material on the web. It simultaneously searches resources containing systematic reviews, guidelines, evidence synopses, medical images, e-textbooks; as well as content from Medline that has been filtered through the Clinical Queries or limited by specialization. To review the complete list and last reviewed date, click here.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

Critically Appraised Individual Articles

ACP Journal Club

ACP Journal Club is a bimonthly publication of the American College of Physicians. Its editors screen the top 100+ clinical journals and identify studies that are methodologically sound and clinically relevant. An enhanced abstract, with conclusions clearly stated, and a commentary are provided for each selected article.

Bandolier

Bandolier is an independent journal about evidence-based healthcare published in the UK. It includes “information about evidence of effectiveness (or lack of it), and put[s] the results forward as simple bullet points of those things that worked and those that did not: a bandolier with bullets. Information comes from systematic reviews, meta-analyses, randomized trials, and from high quality observational studies.”

“Evidence-Based” Journal Series

(e.g., Evidence-Based Medicine, Evidence-Based Mental Health, Evidence-Based Nursing) Primary research articles within the discipline are selected for quality and clinical relevance. A structured abstract and expert commentary is provided for each study.

Check E-Journals A-Z list for multiple subscriptions.

Turning Research Into Practice (TRIP Database)

TRIP provides direct access to the largest collection of evidence based material on the web. It simultaneously searches resources containing systematic reviews, guidelines, evidence synopses, medical images, e-textbooks; as well as content from Medline that has been filtered through the Clinical Queries or limited by specialization. To review the complete list and last reviewed date, click here.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

Randomized Controlled Trials

Cochrane Central Register of Controlled Trials (CENTAL)

The Central Register is a bibliographic database of definitive controlled trials. It includes published articles taken from the MEDLINE and EMBASE databases, and other published and unpublished sources. Does not contain full-text.

OTseeker

OTseeker provides rapid access to bibliographic details and abstracts of randomized controlled trials and systematic reviews in occupational therapy.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

PEDro

PEDro provides rapid access to bibliographic details and abstracts of randomized controlled trials, systematic reviews, and evidence-based clinical practice guidelines in physiotherapy.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

Turning Research Into Practice (TRIP Database)

TRIP provides direct access to the largest collection of evidence based material on the web. It simultaneously searches resources containing systematic reviews, guidelines, evidence synopses, medical images, e-textbooks; as well as content from Medline that has been filtered through the Clinical Queries or limited by specialization. To review the complete list and last reviewed date, click here.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

Medline/PubMed & CINAHL

  • Medline or PubMed
    • Use the Clinical Queries filter for Therapy or,
    • Use the limit for Publication Type and limit search to Randomized Controlled Trials.
  • CINAHL (Cumulative Index to Nursing and Allied Health Literature)
    • Use Clinical Queries for Treatment or,
    • Use the limit for Research or,
    • Use limit for Publication Types (i.e., Clinical Trials which includes RCTs).

Quasi-Experimental

Medline/PubMed & CINAHL

  • Medline or PubMed
    • Add the term quasi experimental to you search query with “AND”.
  • CINAHL(Cumulative Index to Nursing and Allied Health Literature)
    • Add the Subject Heading and/or keywords ‘Quasi experimental Studies’ to your search query with “AND”

Cohort, Descriptive or Qualitative

Medline/PubMed & CINAHL & PsycINFO

    • Medline or PubMed
      • Add the Subject Heading for “cohort study” to your search with “AND”
      • Add the keywords ‘descriptive study’ to your search query with “AND”
      • Use the Clinical Queries filter for Qualitative Studies (Medline Only)
    • CINAHL (Cumulative Index to Nursing and Allied Health Literature)
      • Add the Subject Heading for “cohort study” to your search with “AND”
      • Add the Subject Heading for “descriptive study” to your search with “AND”
      • Add the Subject Heading for “Qualitative Studies” with your search with “AND” or,
      • Use the Clinical Queries filter for Qualitative Studies
  • PsycINFO
    • Use the Methodology limit for Cohort study
    • Add Keywords ‘descriptive study’ to your search with “AND”
    • Use the Methodology limit OR ‘Clinical Queries’ for Qualitative Study

Case Controlled Studies, Case Series/Reports

Medline/PubMed & CINAHL & PsycINFO

  • Medline or PubMed
    • Add the Subject Heading for Case Controlled Studies to your search with “AND”
    • Add the Subject Heading for Case Reports to your search with “AND”, or
    • Limit your search by publication type to “Case Reports”
  • CINAHL
    • Add the Subject Heading for Case Controlled Studies to your search with “AND”
    • Add the Subject Heading for Case Study to your search with “AND” or
    • limit your search by publication type to “Case Reports”
  • PsycINFO
    • Use Limits for Methodology for “Clinical and NonClinical Case Studies”
    • Add the Subject Heading for Case Reports to your search with “AND”

Background Info/ Expert Opinion

eBooks

 Full-text electronic books, including collection by Stat!Ref, and Books@OVID

Harrison’s Online

Searchable and continually updated version of Harrison's Principles of Internal Medicine.

Turning Research Into Practice (TRIP Database)

TRIP provides direct access to the largest collection of evidence based material on the web. It simultaneously searches resources containing systematic reviews, guidelines, evidence synopses, medical images, e-textbooks; as well as content from Medline that has been filtered through the Clinical Queries or limited by specialization. To review the complete list and last reviewed date, click here.

(Resource contains materials with various evidence levels, additional appraisal may be needed)

UptoDate

A clinical information resource, which offers up-to-date, fully referenced expert answers to patient-care, diagnosis, and treatment questions. Topic reviews are written by recognized authorities who review the topic, synthesize the evidence, summarize key findings, and provide specific recommendations.

DynaMed Plus

DynaMed Plus synthesizes evidence and provides objective analysis in an easily-digestible format, following a strict evidence-based editorial process focused on providing unbiased information to help guide physicians in their decision-making process.

Copyright

(c) Copyright 2007 SUNY Upstate Medical University Health Sciences Library. [Adapted from Trustees of Dartmouth College and Yale University. All Rights Reserved. Produced by Jan Glover, Dave Izzo, Karen Odato, and Lei Wang]