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Evidence-based medicine (EBM) applies the scientific method to medical practice. According to the Centre for Evidence-Based Medicine, "Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients."
Overview
Using techniques from science, engineering and statistics, such as meta-analysis of scientific literature, risk-benefit analysis, and randomized controlled trials, it aims for the ideal that healthcare professionals should make "conscientious, explicit, and judicious use of current best evidence" in their everyday practice.
Generally, there are three distinct, but interdependent, areas of EBM. The first is to treat individual patients with acute or chronic pathologies by treatments supported in the most scientifically valid medical literature. Thus medical practitioners would select treatment options for specific cases based on the best research for each patient they treat. The second area is the systemic analysis of medical literature to evaluate the best studies on specific topics. This process can be very human-centered, as in a journal club, or highly technical using computer programs and information techniques such as data mining. Increased use of information technology turns large volumes of information into practical guides. Finally, evidence-based medicine can be understood as a medical "movement", where advocates work to popularize the method and usefulness of the practice in the public, patient communities, educational institutions, and continuing education of practising professionals.
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Cochrane Collaboration - International not-for-profit organisation preparing, maintaining and promoting the accessibility of systematic reviews of the effects of health care. General information, access to the Cochrane Library, guidelines, manuals and software.
Meta Description: [ The Cochrane Collaboration, an international not-for-profit organization, providing up-to-date information about the effects of health care. ]
Netting The Evidence - Comprehensive overview of Evidence Based Practice on the internet, with useful learning resources, such as an evidence-based virtual library, software and journals; from ScHARR, University of Sheffield.
AHRQ: Evidence Reports - The Agency for Healthcare Research and Quality in the United States presents summaries and assessments for healthcare providers and clinicians. Documents may be viewed or downloaded at no cost.
BETs: Best Evidence Topics - A searchable database of evidence-based answers to real-life clinical questions, with details of courses and teaching material. Developed in the Emergency Department of Manchester Royal Infirmary, United Kingdom.
Meta Description: [ BETs - rapid best evidence answers to clinical questions in Emergency Medicine. A full searchable database. ]
Clinical Evidence - Summarises current knowledge about the prevention and treatment of disease, based on appraisal of systematic reviews and randomized clinical trials. Free on-line access for physicians in the United Kingdom or in developing countries.
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CRG Evidence-based Practice Centre Reviews - Collection of systematic reviews (abstract and/or full text PDF) on evidence-based health care; from the Chalmers Research Group, Children's Hospital of Eastern Ontario Research Institute.
Dr Cave's Black Book - A general practitioner presents his collection of evidence-based information about common diseases and conditions, with links to original research.
EBOC: Evidence-Based On-Call - Collection of summaries and critical appraisals regarding common on-call medical conditions, with definitions and a list of the specialties covered.
Evidence-Based Medicine: Useful Tools for Decision Making - An article from the Medical Journal of Australia explains the basic processes and concepts, with descriptions of common computer-assisted research tools.
General Practice Notebook: Evidence-Based Medicine - The principles and applications are explained, with examples provided for different specialties.
InfoPOEMs - Delivers daily Patient-Oriented Evidence that Matters (DailyPOEMs) by email and produces the InfoRetriever database system of evidence-based information next to a print newsletter Evidence-Based Practice
Meta Description: [ InfoPOEMs®, DailyPoems, daily e-mails and the InfoRetriever, clinical practice information database provide the information clinicians need when they need it at the point of care. ]
Practical Evidence-Based Internet Resources - The American Academy of Family Physicians presents a summary and assessment of five web-based research tools. Available as PDF download.
UNC Department of Internal Medicine: Critically Appraised Topics - The University of North Carolina presents an alphabetical list of clinical research topics, each with a review of strengths and weaknesses.
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