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Clinical Query Support Workshop: Enhancing Evidence-Based Practice

Learn how to formulate answerable questions, track down best evidence, critically appraise, and apply evidence in healthcare decisions. Get help in conducting mediated searches and PICO(T) formulation for clinical queries.

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Clinical Query Support Workshop: Enhancing Evidence-Based Practice

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  1. Clinical Query Service - Supporting Evidence Based Practice Emma Quinn HSE South East Library Service

  2. Workshop at Waterford Regional Hospital “Evidence-Based Practice is about trying to improve the quality of the information on which health care decisions are based” From: Glasziou, Paul & Del Mar, Chris (2007) Evidence-based Practice Workbook: Bridging the gap between health care research and practice. 2nd edition. Oxford. Blackwell.

  3. The Steps in Evidence-Based Practice • Formulate an answerable question • Track down the best evidence of outcomes • Critically appraise the evidence (to find out how good it is and what it means). • Apply the evidence (integrate the results with clinical expertise and patient values).

  4. Clinical Query Service? • Mediated Search • Based on the first two steps of the CEBM method: -EBP Step 1: formulate an answerable question -EBP Step 2: track down the best evidence

  5. Formulate an answerable question using PICO(T) • Population/Problem • Intervention/Indicator • Comparator/Control • Outcome • (Timeframe)

  6. CLICK HERE

  7. On receipt of a clinical query the library staff: • Analyse the query into components according to the “PICO” algorithm: Population/Problem; Intervention/Indicator; Comparator/Control; Outcome • Conduct a detailed subject search on the most relevant primary database: MEDLINE for medical questions; CINAHL for questions related to nursing or allied health; PSYCINFO for questions related to mental health • Conduct a secondary keyword search of other resources such as Cochrane, UpToDate, MD Consult, guidelines, etc., as appropriate • Collate a selection of relevant results and return them to the requestor with details of the search strategy used and resources searched

  8. I am doing a literature review about the value of nuchal translucency ultrasound in obstetrics. • Population/Problem = Pregnant women • Intervention/Indicator = Nuchal translucency ultrasound • Comparator/Control = None • Outcome = Effectiveness in diagnosing foetal defects

  9. Things to consider • Library Staff training e.g. basic concepts of EBP, how to complete a query • Uniformity in the qualityof responses- library procedure created to address this • Staff knowledge of medical/nursing terminology/ concepts • Prioritising Patient care queries

  10. Feedback from users? • Positive • Not always forthcoming

  11. The Future? • Actively seek feedback via a user survey • Usage by medical doctors poor

  12. Any questions?

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