Evidence Based Medicine

Evidence-Based Medicine: Definition

• "Evidence-based medicine is the integration of best research evidence with clinical expertise and patient values.. (Reference: Sackett, D. L. (2000). Evidence-based medicine: How to practice and teach EBM (2nd ed.). Edinburgh; New York: Churchill Livingstone.)
• "Evidence-based medicine (EBM) involves caring for patients by explicitly integrating clinical research evidence with pathophysiologic reasoning, caregiver experience, and patient preferences.. (Reference: Cook, D.J.; et al. Evidence-based medicine. A tool for enhancing critical care practice. Crit Care Clin. 1998 Jul;14(3):353-8.)
• "Evidence-based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research." (Reference: Sackett, D.L.; et al. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2.)

Finding the Best Evidence: Resources

• AccessMedicine Guidelines (http://www.accessmedicine.com/guidelines.aspx)
• Agency for Healthcare Research and Quality (AHRQ) (http://www.ahrq.gov/clinic/)
• Agency for Healthcare Research and Quality (AHRQ): Evidence-Based Practice (http://www.ahrq.gov/clinic/epcix.htm)
• American College of Physicians (ACP) . Annals of Internal Medicine: In The Clinic (http://www.annals.org/site/intheclinic/index.xhtml)
• American College of Physicians (ACP) (http://www.acpmedicine.com)
• American College of Physicians (ACP): PIER: The Physicians' Information and Education Resource (http://pier.acponline.org/index.html)
• British Medical Journal (BMJ) Best Practice (http://bestpractice.bmj.com/best-practice/welcome.html)
• British Medical Journal (BMJ) ClinicalEvidence (http://clinicalevidence.bmj.com/ceweb/index.jsp)
• British Medical Journal (BMJ) Group EvidenceUpdates (http://plus.mcmaster.ca/EvidenceUpdates/)
• Canadian Medical Association (CMA) CMA Infobase - Canada's Database of Clinical Practice Guidelines (CPGs) ( http://www.cma.ca/index.php/ci_id/54316/la_id/1.htm)
• Centre for Evidence Based Medicine (http://www.cebm.net/)
• Centre for Reviews and Dissemination - Database of Abstracts of Reviews of Effects (DARE) (http://www.crd.york.ac.uk/crdweb/)
• Cochrane Library (http://www.thecochranelibrary.com/view/0/index.html)
• DynaMed (http://dynamed.ebscohost.com/)
• EBM Guidelines: Evidence-Based Medicine (http://onlinelibrary.wiley.com/book/10.1002/0470057203)
• eMedicine (http://emedicine.medscape.com/)
• Essential Evidence Plus (http://www.essentialevidenceplus.com/)
• Harrison's Practice (http://www.harrisonspractice.com/practice/ub)
• Joanna Briggs Institute Best Practice Information Sheets (http://www.joannabriggs.edu.au/Search.aspx)
• Journal of the American Medical Association (JAMA) JAMAevidence (http://www.jamaevidence.com/index)
• Mayo Clinic (http://www.mayoclinic.com/health-information)
• MD Consult Guidelines (http://www.mdconsult.com/das/guidelines/304554424-492/1/toc?tab=topic)
• National Guideline Clearinghouse (NGC) (http://www.guideline.gov/)
• National Library of Medicine Health Services/Technology Assessment Texts (HSTAT) (http://www.ncbi.nlm.nih.gov/books/NBK16710/)
• Netting the Evidence Google Search Engine (http://www.google.com/cse/home?cx=004326897958477606950%3Adjcbsrxkatm)
• NHS Evidence - National Library of Guidelines (http://www.evidence.nhs.uk/topics)
• PubMed Clinical Queries (http://www.ncbi.nlm.nih.gov/pubmed/clinical)
• SUMSearch (http://sumsearch.org/)
• TRIP Database (http://www.tripdatabase.com/)
• UpToDate (http://www.uptodate.com/index)

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