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#46
09.08.2007, 09:17
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A free software package that can simulate Randomized Controlled Clinical Trials (RCTs).
With the CTS a user can explore aspects of the design, conduction and analyses of RCTs How it works? Typically, the user conceives a trial, including risk subgroups, sample size, outcome rates, effect size, lost to follow-up, compliance, stopping rules, etc. Then the program generates 1000s of such trials. A summary of the results is presented, including relative risks, relative risk reductions, confidence intervals, p-values, etc. A number of graphics is also available. The simulator also includes a sample size calculator for cluster or individually randomized trials. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] 
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#47
09.09.2007, 08:55
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The Committee for Procedural Quality and Evidence-Based Practice within the Department of Emergency Medicine
Wright, S. W., A. Trott, et al. (2007). "Creating a System to Facilitate Translation of Evidence Into Standardized Clinical Practice: A Preliminary Report." Ann Emerg Med. The Committee for Procedural Quality and Evidence-Based Practice was formed within the Department of Emergency Medicine (University of Cinicinatti) to establish evidence-based guidelines for nursing and provider care. The committee measures the effect of such guidelines, along with other quality measures, through pre- and postguideline patient care medical record audits. These measures are fed back to the providers in a provider-specific, peer-matched "scorecard." The Committee for Procedural Quality and Evidence-Based Practice affects practice and performance within the department. Multiple physician and nursing guidelines have been developed and put into use. Using asthma as an example, time to first nebulizer treatment and time to disposition from the emergency department decreased. Initial therapeutic agent changed and documentation improved. A comprehensive, guideline-driven, evidence-based approach to clinical practice is feasible within the structure of a department of emergency medicine. High-level departmental support with dedicated personnel is necessary for the success of such a system. Internet site development (available at [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]) for product storage has proven valuable. Patient care has been improved in several ways; however, consistent and complete change in provider behavior remains elusive. Physician scorecards may play a role in altering these phenomena. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#48
04.10.2007, 13:03
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The BMJ have started publishing EBM case reports again, and are interested in receiving more.
The reports should revolve around a specific (real) patient or issue that has arisen in practice, give brief details of the search and appraisal, and discuss how the management of the patient was effected by the evidence. Total length is aorund 1.5-2 pages. See [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] for an example. Áðèòàíñêèé ìåäèöèíñêèé æóðíàë (BMJ) ñíîâà íà÷àë ïóáëèêîâàòü íàó÷íî-îáîñíîâàííûå ñîîáùåíèÿ î ñëó÷àå, è çàèíòåðåñîâàí â ïîëó÷åíèè èíôîðìàöèè. Ñîîáùåíèÿ äîëæíû êàñàòüñÿ îïðåäåëåííîãî (ðåàëüíîãî) ïàöèåíòà èëè ïðîáëåìû, êîòîðàÿ âîçíèêëà â ïðàêòèêå, äîëæíû äàâàòü êðàòêèå äåòàëè ïîèñêà è îöåíêè èíôîðìàöèè, è äîëæíû èìåòü îáñóæäåíèå, êàê íàëè÷èå íàó÷íî îáîñíîâàííûõ äîêàçàòåëüñòâ ñäåëàëî âåäåíèå ïàöèåíòà áîëåå ýôôåêòèâíûì. Îáúåì ñîîáùåíèÿ - îêîëî 1.5-2 ñòðàíèö. Äëÿ ïðèìåðà ñì. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#49
04.10.2007, 15:35
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ÁÌÆ, êñòàòè, áûë ÷óäåñíûì æóðíàëîì- áåç îñîáûõ ïðåòåíçèé, íî ñ ìàññîé ëþáîïûòíîé èíôîðìàöèè, íàâðîäå "óìíîé ãàçåòû" äëÿ âðà÷åé. Íî îñíîâíàÿ ÷àñòü åãî óäîáñòâà áûëà âñå-òàêè â áåñïëàòíîñòè...
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#50
14.10.2007, 09:48
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Áåëüãèéñêèé Öåíòð Èíôîðìàöèè â îáëàñòè çäðàâîîõðàíåíèÿ îïóáëèêîâàë îáíîâëåííûå ðóêîâîäñòâà ïî ïîèñêó è îöåíêå íàó÷íûõ äàííûõ ïðè ïîäãîòîâêå îáçîðîâ â îáëàñòè êëèíè÷åñêîé ïðàêòèêè, â îáëàñòè îðãàíèçàöèè çäðàâîîõðàíåíèÿ, è ïðè îöåíêå ìåäèöèíñêèõ òåõíîëîãèé.
Êàæäîå ðóêîâîäñòâî ñîäåðæèò ïîäðîáíûå ñòðàòåãèè ïîèñêà, îïèñàíèå èñòî÷íèêîâ èíôîðìàöèè (áàçû äàííûõ, ñåðàÿ ëèòåðàòóðà è ò.ä.), îïèñàíèå èíñòðóìåíòîâ êðèòè÷åñêîé îöåíêè. Âñå äîêóìåíòû íà àíãëèéñêîì ÿçûêå. The Belgian Healthcare Knowledge Centre (KCE) has updated their procedures for "Search for Evidence & Critical Appraisal": Search for Evidence & Critical Appraisal: Good Clinical Practice (GCP) KCE Process notes GCP [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Search for Evidence & Critical Appraisal: Health Services Research (HSR) KCE Process notes HSR [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Search for Evidence & Critical Appraisal: Health technology Assessment (HTA) KCE Process notes HTA [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#51
28.01.2008, 17:06
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PRESS [Peer Review of Electronic Search Strategies]:
Ðåöåíçèðóåìûé îáçîð ýëåêòðîííûõ ñòðàòåãèé ïîèñêà (2006) (íà àíãë.ÿç) Àâòîð: Ñàìïñîí Ì [Sampson M], ÌàêÃîóýí Äæ [McGowan J], Ëåôåáâð Ö [Lefebvre C], Ìîýð Ä [Moher D], Ãðèìøî Äæ [Grimshaw J]. Îïèñàíèå: „Êà÷åñòâî îò÷åòîâ ïî îöåíêå ìåäèöèíñêèõ òåõíîëîãèé [health technology assessment (HTA)] çàâèñèò îò ìíîãèõ ôàêòîðîâ. Îäèí èç òàêèõ ôàêòîðîâ – ýòî áàçà íàó÷íûõ äîêàçàòåëüñòâ, ïðîèçâîäíîé êîòîðîé è ÿâëÿåòñÿ HTA. Äîêàçàòåëüíàÿ áàçà ñîçäàåòñÿ ïóòåì ñáîðà èíôîðìàöèè èç ðàçëè÷íûõ èñòî÷íèêîâ è ïðîâåäåíèÿ ïîèñêîâ â ëèòåðàòóðå. Âûïîëíåíèå âûñîêîêà÷åñòâåííîãî ïîèñêà â èíôîðìàöèîííûõ ðåñóðñàõ îáåñïå÷èò òî÷íîñòü è ïîëíîòó äîêàçàòåëüíîé áàçû, èñïîëüçóåìîé â îò÷åòàõ HTA.  íàñòîÿùåå âðåìÿ íå ñóùåñòâóåò îáçîðà, êîòîðûé áû ïîäñêàçàë íàì, êàêèå ýëåìåíòû ïðîöåññà ïîèñêà îêàçûâàþò ìàêñèìàëüíîå âëèÿíèå íà îáùåå êà÷åñòâî ðåçóëüòèðóþùåé äîêàçàòåëüíîé áàçû.„ Ýòà ðàáîòà âîñïîëíÿåò ïðîáåë â îáåñïå÷åíèè ìåòîäîëîãè÷åñêîãî êà÷åñòâà ñèñòåìàòè÷åñêèõ îáçîðîâ ïóòåì ïðèâíåñåíèÿ íàó÷íî îáîñíîâàííîé øêàëû, ïðåäíàçíà÷åííîé äëÿ ðåöåíçèðîâàíèÿ ñòðàòåãèé ýëåêòðîííîãî ïîèñêà. Ïðîåêò çàðó÷èëñÿ ïîääåðæêîé è ó÷àñòèåì èíôîðìàöèîííîé íàó÷íîé îáùåñòâåííîñòè, à äàííûé ïîäõîä ê ðåöåíçèðîâàíèþ ñòðàòåãèé ïîèñêà áûë îäîáðåí Ãðóïïîé ìåòîäîâ èçâëå÷åíèÿ èíôîðìàöèè Ñîòðóäíè÷åñòâà Êîõðàí [Cochrane Collaboration]. Ïðîöåññ ðåöåíçèðîâàíèÿ ñòðàòåãèé ïîèñêà ñ äîêàçàííîé äîñòîâåðíîñòüþ – îäíîâðåìåííî è ïðîçðà÷íûé, è çäðàâûé – óëó÷øèò èçâëå÷åíèå ðåëåâàíòíîé èíôîðìàöèè, ôîðìèðóþùåé äîêàçàòåëüíóþ áàçó. Êàíàäñêîå àãåíòñòâî ïî îöåíêå ëåêàðñòâåííûõ ïðåïàðàòîâ è ìåäèöèíñêèõ òåõíîëîãèé. Èìååòñÿ â ðåæèìå online â ôîðìàòå PDF [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#52
04.02.2008, 16:37
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Podcasts from the Cochrane Library - Listen now!
Audio summaries of selected reviews from The Cochrane Library [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Listen to audio summaries of the following Reviews from Issue 1, 2008 of The Cochrane Library: - Cranberries for preventing urinary tract infections - Hand washing for preventing diarrhoea - Hawthorn extract for treating chronic heart failure - Infection control strategies for preventing the transmission of MRSA in nursing homes for older people - Music Therapy for depression - Non-steroidal anti-inflammatory drugs (NSAIDs) for low back pain - Water for wound cleansing You can listen the mp3 files directly in your browser or subscribe to these and all future Podcasts of Reviews by using the "Subscribe" button. All of this can be found at the URL below. Please contact us if you are experiencing technical problems with the Podcasts. Also we want your feedback - please email [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] with your comments and suggestions. External link to more information: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ].
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#53
14.02.2008, 19:55
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February Resource of the Month:
Evidence-Based Medicine Reviews (EBMR) Evidence-Based Medicine Reviews (EBMR) on Ovid EBMR helps clinicians practice EBM through a combination of resources that provide: systematic reviews of topics; article reviews; and access to definitive controlled trials. And only with EBMR on Ovid can you get comprehensive integration with MEDLINE. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#54
06.06.2009, 16:37
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Introduction to Evidence-Informed Decision Making
Canadian Institutes of Health Research – April 2009 [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Topic outline Introduction to Evidence-Informed Decision Making Resource 1 What is Evidence-Informed Decision making? Why bother? Resource 2 Ask. How do I frame the question? Resource 3 Acquire. How can I find the best evidence in 5 minutes or less? Resource 4 Appraise. How can I decide if the particular study is good enough to apply? Resource 5 Integrate. How do I decide which of multiple studies to use? Resource 6 Adapt. How do I use the information from #5 in decision-making/policy brief? Resource 7 Apply. How do I develop the implementation plan? Resource 8 How do I evaluate? Resource Glossary A Guide to Researcher and Knowledge-User Collaboration in Health Research [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Topic outline Preamble Resource 1 Introduction Resource 2 Identifying and recruiting research partners Resource 3 Taking stock of barriers and facilitators Resource 4 Engaging in collaborative research design Resource 5 Governance Resource 6 Ethics Resource 7 Maintaining partnerships over time Resource 8 Identify IKT Funding Opportunities Resource 9 Dissemination and Knowledge to Action Resource 10 Epilogue Resource Glossary of Terms Critical Appraisal of Intervention Studies [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Topic outline Critical Appraisal of Intervention Studies Resource 1 What is critical appraisal? Why bother doing it? Resource 2 Critical appraisal tools and criteria for intervention and prevention studies Resource 3 Application of critical appraisal criteria Resource 4 Are the results valid? Resource 5 What are the results? Resource 6 How can I apply the results? Resource 7 Resolution of scenario Resource 8 Optional review practice Resource 9 Useful References Resource Glossary
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#55
28.09.2009, 15:34
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Êàëüêóëÿòîð äëÿ ðàñ÷åòà ×ÁÍË
Number Needed to Treat (NNT) [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#56
09.01.2010, 16:14
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Ïîëíûé òåêñò â ïäô íà ñòðàíè÷êå àâòîðà
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Evidence-based Practice for Information Professionals: A handbook 2004 Andrew Booth and Anne Brice, editors [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#57
29.08.2010, 15:53
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Introduction to Comparative Effectiveness and EBM
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] A beginners guide to comparative effectiveness and evidence based medicine. Non-health economists or epidemiologists working in the pharmaceutical industry to either develop or market drugs Healthcare professionals who need to understand how to compare drugs and how the evidence is generated Pharmacy, pharmacology or medical students who need to understand how to evaluate medicines and treatments
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#58
11.09.2010, 16:36
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The AGREE Research Trust announce the launch of the new AGREE Enterprise website.
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] The Appraisal of Guidelines for Research and Evaluation (AGREE) Instrument evaluates the process of practice guideline development and the quality of reporting. The original AGREE Instrument has been updated and methodologically refined. The AGREE II is now the new international tool for the assessment of practice guidelines. New features of the website include a discussion forum and a "My AGREE" platform where you can complete AGREE II appraisals online and manage your own library of practice guideline appraisals.
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Ëèíåéíûé âèä
