WWW Resources

WWW Resources


Agency for Healthcare Research and Quality (AHRQ)
AHRQ, the premier United States evidence-based practice agency was established by the US Congress to support research with a mission to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. AHRQ "helps people make more informed decisions and improves the quality of health care services.

Cochrane Library
The Cochrane Library is produced by the world-wide virtual Cochran Collaboration network of more than 28,000 dedicated people from over 100 countries. The Library includes four databases that cover the subject area of evidence-based medicine: Database of Systematic Reviews, Database of Abstracts of Reviews of Effects (DARE), Cochrane Central Register of Controlled Trials (CENTRAL), and Cochrane Methodology Register. Further information about these databases is available at http://www.thecochranelibrary.com/view/0/AboutTheCochraneLibrary.html. Library resources are available for free, such as the Cochrane Reviewer's Handbook (http://www.cochrane.org/training/cochrane-handbook), and training materials in the form of videos, podcasts, and webinars (http://training.cochrane.org/). A subscription is required for the entire Cochrane Library. NOTE: Some of the Cochrane Library databases are indexed in CINAHL and PubMed.

Guide to Community Preventive Services Task Force:
The Guide to Community Preventive Services Task Force is an independent, nonfederal, unpaid body appointed by the Director of the Centers for Disease Control and Prevention. The Task Force was established in 1996 with the mission to develop guidance on which community-based health promotion and disease prevention interventions work and which do not work, based on available scientific evidence. The Task Force bases its recommendations on a rigorous, replicable http://www.thecommunityguide.org/about/methods.html process. The Guide to Community Preventive Services is a free resource that helps to choose programs and policies for improving health and preventing disease in a community. The compilation of all Task Force reviews, findings, and recommendations is known as the Guide to Community Preventive Services (Community Guide).

Improvement Science Research Network (ISRN)
ISRN is a network of national and international healthcare professionals and organizations with a primary mission to accelerate interprofessional improvement science in a systems context across multiple hospital sites. ISRN's focus on organizational systems makes it possible to scientifically explore the system effect(s) on the delivery of healthcare in the acute care setting. ISRN fills a national gap in improvement science, creating a central structure upon which to build a sustainable, comprehensive network for testing which improvement approaches work in acute care settings.

US Preventive Services Task Force (USPSTF):
The Task Force was first convened by the US Public Health Service in 1984 and since 1998 has been sponsored by the Agency for Healthcare Research and Quality (AHRQ). The USPSTF is a leading independent panel of private-sector experts in prevention and primary care. The USPSTF conducts rigorous, impartial assessments of the scientific evidence for the effectiveness of a broad range of clinical preventive services. Tools for Using Recommendations in Primary Care Practice are designed to help primary care clinicians access information at the point of care, especially The Pocket Guide to Clinical Preventive Services, 2010-2011 and Resource Links. The free USPSTF subscription list provides updated information on drafts, final recommendations, and USPSTF activities.

Veterans Evidence-Based Research Dissemination Implementation Center (VERDICT):
VERDICT is one of 13 Research Enhancement Award Programs (REAPs) funded by the Veterans Health Administration's (VHA) Health Services Research & Development Service (HSR&D). VERDICT's mission is to improve the health of veterans by researching methods of improving the performance of clinical microsystems. HSR&D provides free materials such as citations and in-house publications, fact sheets, and management and research briefs (http://www.hsrd.research.va.gov/publications/). VERDICT is housed at the Audie L. Murphy Division of the South Texas Veterans Health Care System (STVHCS) in San Antonio, Texas. 

Revised August 2, 2012

How-To Tools

AHRQ Health Care Innovations Exchange (HCIE):
The U.S. Agency for Healthcare Research and Quality (AHRQ) created the Health Care Innovations Exchange (HCIE) to speed the implementation of new and better ways of delivering health care. The AHRQ mission is to improve the quality of health care and reduce disparities. It offers a variety of opportunities to share, learn about, and ultimately adopt evidence-based innovations and tools suitable for a range of health care settings and populations. The HCIE provides searchable profiles of successful and attempted innovations, quality tools, expert commentaries, articles, perspectives, and adoption guides. Interaction networking with innovators and organizations is available through innovator names and contact information, Web Events that focus on cutting-edge innovations, and comments posted on specific innovations..

CMA Infobase: Clinical Practice Guidelines (CPGs):
Supported by the Canadian Medical Association, CPGs provides guidelines produced or endorsed in Canada. A number of resources are available for free, such as a list of useful resources for practice guideline developers and researchers, new and updated guidelines, and the Handbook on Clinical Practice Guidelines (free PDF available). Membership in the CPGs is available to a number of other resources and requires a person's membership in their ;provincial/territorial medical association.

National Guideline ClearinghouseTM :
The Agency for Healthcare Research and Quality (AHRQ), in partnership with American Association of Health Plans (AAHP) and the American Medical Association (AMA), is sponsoring the National Guideline Clearinghouse (NGC). It is a publicly available electronic repository for clinical practice guidelines and related materials. Topics include a list of guideline resources, comparative analyses on similar topics, and expert commentaries. Note: only minimal criteria for quality are applied to guidelines listed in the Clearinghouse.

National Quality Measures Clearing House (NQMC):
NQMC, an initiative of the Agency for Healthcare Research and Quality (AHRQ), is a database and Web site for information on specific evidence-based health care quality measures and measure sets. The NQMC provides an accessible mechanism for obtaining detailed information on quality measures to further their dissemination, implementation, and use to inform health care decisions. NQMC builds on AHRQ's previous initiatives in quality measurement, including the Computerized Needs-Oriented Quality Measurement Evaluation System (CONQUEST), the Expansion of Quality of Care Measures (Q-SPAN) project, the Quality Measurement Network (QMNet) project, and the Performance Measures Inventory (PMI). A useful Tutorial on Quality Measures (http://www.qualitymeasures.ahrq.gov/tutorial/index.aspx) provides an introduction to the field of quality measurement and how to best use NQMC.

Revised July 13, 2012

Search Strategies

OVID Evidence-Based Medicine Reviews Multi-File:
Multi-File is a search strategy that can be used to search three or more OVID databases simultaneously. For articles related to Evidence-Based Medicine, search Best Evidence (ACP), Cochrane Database of Systematic Reviews (COCH), and Abstracts of Reviews of Effectiveness (DARE) files. Contact your affiliated medical library for OVID, as it is a subscription database.

Revised July 13, 2012

Other Resources

Centre of Health Evidence (CHE):
The Centre of Health Evidence (CHE) was developed as a non-profit organization based at the University of Alberta to help health organizations and associations locate and use best evidence in practice. The website contains EBM tips, tools, and user guides.

Evidence-Based Medicine and the ACP Journal Club Plus
ACP Journal Club provides the latest evidence-based clinical information relevant to internal medicine and its subspecialties. Over 130 leading medical journals are reviewed to provide this monthly feature in Annals of Internal Medicine. Each feature contains an editorial, easy to read abstracts, and a bibliography of other notable articles. All ACP members have free access to the online version of Journal Club. Non-member subscribers who receive Annals of Internal Medicine also have free access to the online version of the Journal Club through either individual or academic library subscriptions. http://www.acponline.org/clinical_information/journals_publications/acp_journal_club/

Evidence-Based Medicine Tool-Kit:
This site contains a collection of tools for identifying, assessing, and applying relevant evidence for better health care decision-making. It is based on the work of the Evidence-Based Medicine Working Group (Canada).

Health Information Research Unit (HIRU):
McMaster University's Health Information Research Unit conducts research in the field of health information science. It is dedicated to the generation of new knowledge about the nature of health and clinical information problems, development of new information resources supporting evidence-based health care, and evaluation of innovations to overcome health care information problems.  As an informatics research unit, HIRU's main goal is to study research transfer problems and to develop and test innovations based on information technology to improve the transfer of evidence into practice.  McMaster PLUS (Premium LiteratUre Service) Projects, a database of current medical literature articles using a Critical Appraisal Process (CAP), identifies studies and systematic reviews (http://hiru.mcmaster.ca/hiru/HIRU_McMaster_PLUS_projects.aspx).  Articles are also rated by physicians for relevance and newsworthiness.

Revised July 13, 2012

© Stevens November 2002
Kathleen R. Stevens, EdD, RN, ANEF, FAAN, Professor, stevensk@uthscsa.edu
Center For Advancing Clinical Excellence
The University of Texas Health Science Center at San Antonio