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Evidence-based resources -2023-PRUH SS.pptx
1. Rapid access to evidence-
based resources
Shampa Sen
Clinical Support Librarian
Princess Royal University Hospital
A Bespoke training session for Doctors
2. Learning objectives
To help you access high- quality evidence quickly to
support your work
To introduce you to key health and medical resources for
finding evidence
To practise finding evidence via the NHS Knowledge &
Library Hub
3. Library Services - PRUH
Education Centre Library
15 PCs in Library & Cyber Café
Quiet study space
Printing/scanning/photocopying – free for
Library material
Open 8.30 – 17.00, Monday – Friday
Out of hours access on request
4. Library Services – Denmark Hill
Weston Education Centre Library
Large university Library provided by King’s
College London
NHS PCs in 24/7 room
Open 8am – 1am
Join in advance using your NHS ID Card
https://libguides.kcl.ac.uk/NHS/joining
6. How do you know if they
are reliable?
Levels of Evidence Pyramid
What type of evidence do you need to
find and where should you look for it?
7. What type of evidence do you need to find and
where should you look for it?
TRIP*
NHS Knowledge & Library Hub;
Cochrane Library (RCTs & systematic reviews only)
BMJ Best Practice*
DynaMed
Oxford Academic
systematic
reviews
individual studies
randomised controlled
trials;
cohort studies;
case-controlled
studies;
surveys;
case reports
guidelines
clinical
pathways
evidence
summaries
*patient
information
9. Identify what you’re looking for
What is the question you want to answer?
Should aspirin be used in the treatment or prevention
of stroke?
Keywords
10. Search tips: Phrasing and Truncation
“cerebrovascular
accident*”
searches exact words
with singular/plural
Double quote marks
“ “
Searches for the exact
two or more words
together
e.g. “cerebrovascular
accident”
Truncation * or $
Searches for words that
are either singular/plural
e.g. Stroke*
will find stroke or
strokes; or
therap* will find therapy,
therapists, therapeutic
Wildcard ?
Searches for variation
of spelling
e.g.
wom?n will find both
women and woman
11. Using Boolean Operators
• To focus a search, particularly when your topic contains multiple
search terms
• To help broaden or narrow your search results
AND will find articles with both
terms in the article together
OR will find articles with either
term, not necessarily together
NOT will find articles with one
term but exclude the other one
19. BMJ Comorbidities Manager
The BMJ Best Practice Comorbidities Manager is the only
point of care tool that supports the management of the whole
patient by including guidance on the treatment of a patient's
acute condition alongside their pre-existing comorbidities.
The tool then produces an initial management plan that is
tailored to the unique needs of the patient.
Welcome everyone for today session Rapid Access to evidence based resources. My name is Shampa and I am a CSL based at the PRUH. With me today is my colleague Brigitte who will act as my co-pilot. If you have any questions at all during the session please drop them in the chat and Claire will do her best to answer your question.
Please remember to mute yourself during this session. So let's get started.
This training session will help you
to find out high quality evidence quickly to support your work
You to be aware of different health and medical resources for finding evidence
A live demo of NHS Knowledge and Library Hub will help you to find evidence for your work
The levels of evidence pyramid provides a way to visualize both the quality of evidence and the amount of evidence available. For example, systematic reviews are at the top of the pyramid, meaning they are both the highest level of evidence and the least common. As you go down the pyramid, the amount of evidence will increase as the quality of the evidence decreases.
Filtered Resources
Filtered resources appraise the quality of studies and often make recommendations for practice. The main types of filtered resources in evidence-based practice are:
systematic reviews
critically-appraised topics
critically-appraised individual articles
Unfiltered resources
You may not always be able to find information on your topic in the filtered literature. When this happens, you'll need to search the primary or unfiltered literature. Keep in mind that with unfiltered resources, you take on the role of reviewing what you find to make sure it is valid and reliable.
Source: Levels of Evidence Pyramid - Evidence-Based Research - Academic Guides at Walden University
Learning objective: to emphasise the importance of knowing which resources to use depending on the kind of information required. Some resources will search everything, e.g. Evidence Search, however it can be more helpful to use resources that focus on the specific information required.
This slide shows the range of evidence-based resources – they do not all cover the same material so the learners should think about the type of information they need in order to target the appropriate resources. Some resources will require an OpenAthens login, others won’t.
First identify the issue/symptom/illness one is interested in, e.g. irritable bowel syndrome – then identify the kind of information required, e.g. effective treatment, systematic review, clinical pathway, patient information.
(NB TRIP and BMJ Best Practice have patient information, marked by asterisk above).
Learners often ask about UpToDate – this is a resource that is only available on campus using King’s computers, unless they are an affiliate. Affiliates can use it off campus but they must first register when on campus. It has been largely superseded by BMJ Best Practice which there is NHS access for.
Dynamed is no longer subscribed to by either KCL or NHS, BMJ Best Practice has similar content.
It is important before you perform any search to plan your search.
Focus your question – think what is it you are asking, what do you want to find out – specific or general?
Identify key concepts – Once you have your question, think of the main things we are interested in this question?
Identify alternative search terms – we will touch on this in the next slide but think of different words and terms with the same meanings
Learning objectives: to emphasise the importance of thinking about the key information the learner needs to search for. To focus on key terms rather than inputting a whole question into a clinical resource.
Questions to ask the group in chat:
What is the question you need to ask or the condition you want to investigate?
What are the key terms to use?
What type of information do you need?
Be aware of the fact that some terms can be ambiguous, e.g. management – it is often best just to search for the condition, then see what options you have for managing it, e.g. BMJ Best Practice offers various options, including one for management of a condition.
Explain what Boolean Search is and how to combine the keywords
Explain the use of synonyms and acronyms to enhance search
Show the video clips
New one : https://youtu.be/01zM3LiKicQ?si=8d4MCLSZvDThl1
Old one: https://www.youtube.com/watch?v=3G8vP1PHI-o&t=268s
BMJ Best Practice is an Evidence-based, trusted information resource for all healthcare practitioners.
Used in conjuction with King’s clinical guidelines
It will help you find information quickly to support you in …
For patient care
Research/projects (e.g. assessment of a condition)
Review internal or national guidelines
Critical Appraisal tool kits
Before I get to the information on Covid let me show you a 5 min video clip to give you a very quick but comprehensive guide to using BMJ Best Practice.
Video Link: https://youtu.be/fcrDhXGBQiw?si=1bVvExp93xtiNgqJ
DynaMed is a leading clinical decision support tool combining clinical evidence and guidance from over 10,000 clinical and drug topics covering 37 different specialities. It is very like UpToDate which is only available onsite in the WEC Library.
You can access DynaMed using your KCH NHS OpenAthens account.
Need to mention mobile app.
TRIP (Turning Research into Practice) - a broad and wide-ranging medical database – a useful aspect of TRIP is it gives a PICO search option.
NHS staff can access TRIP Pro via computers on the Trust network. TRIP Pro is due to be NHS OpenAthens authenticated by April 2022).
Pro gives access to advanced searching options as well as the ability to export results.
TRIP is a great place to look for:
Guidelines (UK and abroad)
Patient Information leaflets/guidance
Medical images and videos (Pro only)
Systematic reviews, Registered trials, articles
Export facility to reference management software (Pro only)
Access via OpenAthens – you will see all journals available to Kings
You can browse by Medical specialities
Discrepancies in Procedure 5.12 Urinary Catheter Removal between the online and printed versions of the Royal Marsden Manual of Clinical Nursing Procedures Edition 9.
