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如何找到現有的最佳證據 實證醫學 臨床實踐與教學指引

如何找到現有的最佳證據 實證醫學 臨床實踐與教學指引. 門諾醫院實證醫學種子教師訓練課程 王啟忠 2008/11/07. 實證資訊. 系統 Systems 精要 Synopses 統整 Syntheses 研究 Studies. 現代搜尋. 傳統搜尋. 系統. 電腦決策支持系統 統整實證資訊，透過電子醫療記錄自動將病患情況與相關資訊連結 系統資訊經過審核評估，並隨時更新. 系統. 線上實證系統資源 BMJ: Clinical Evidence ACP: PIER Up to Date ACP Medicine

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如何找到現有的最佳證據 實證醫學 臨床實踐與教學指引

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  1. 如何找到現有的最佳證據實證醫學 臨床實踐與教學指引 門諾醫院實證醫學種子教師訓練課程 王啟忠 2008/11/07

  2. 實證資訊 系統 Systems 精要 Synopses 統整 Syntheses 研究 Studies 現代搜尋 傳統搜尋

  3. 系統 • 電腦決策支持系統 • 統整實證資訊，透過電子醫療記錄自動將病患情況與相關資訊連結 • 系統資訊經過審核評估，並隨時更新

  4. 系統 • 線上實證系統資源 • BMJ: Clinical Evidence • ACP: PIER • Up to Date • ACP Medicine • Harrison’s Online • Evidence-Based…

  5. 精要 • 文獻回顧或原始研究的實證摘要 • 節省評讀及搜尋時間 • ACP Journal Club • Evidence-Based Medicine • DARE

  6. 統整 • 系統性文獻回顧 • Cochrane Database

  7. 研究 • 醫療統合搜尋: SUMSearch • 實證資料庫 • Medline • Google

  8. 搜尋策略 • 資料庫 • 關鍵字 • 位置、同義字、相關字、去尾 • Focus / Explode • 邏輯運算 • 限制 • 文獻性質、發表年份、語言、實驗對象 • 輔助關鍵字

  9. 邏輯運算 • A AND B • A OR B • A NOT B

  10. 輔助關鍵字 (OVID Medline) • 治療 (Sens/Spec) • (99/70) clinical trial.mp. OR clinical trial.pt. OR random:.mp. OR tu.xs • (93/97) randomized controlled trial.pt. OR randomized controlled trial.mp. • (96/95) randomized controlled trial.pt. OR randomized.mp. OR placebo.mp.

  11. 輔助關鍵字 (OVID Medline) • 診斷 (Sens/Spec) • (98/74) sensitiv:.mp. OR diagnos:.mp. OR di.fs. • (64/98) specificity.tw. • (93/92) sensitiv:.mp. OR predictive value:.mp. OR accurac:.tw.

  12. 輔助關鍵字 (OVID Medline) • 預後 (Sens/Spec) • (90/80) incidence.sh. OR exp mortality OR follow-up studies.sh. OR mortality.sh. OR prognos:.tw. OR predict:.tw. OR course:.tw. • (52/94) prognos:.tw. OR first episode.tw. OR cohort.tw. • (83/84) prognosis.sh. OR diagnosed.tw. OR cohort:.mp. OR predictor:.tw. OR death.tw. OR exp models, statistical

  13. 輔助關鍵字 (OVID Medline) • 指引 (Sens/Spec) • (96/79) predict:.mp. OR scor:.tw. OR observ:.mp. • (54/99) validation.tw. OR validate.tw. • (90/90) predict:.tw. OR validat:.mp. OR develop.tw.

  14. 輔助關鍵字 (OVID Medline) • 文獻回顧 (Sens/Spec) • (98/69) review.pt. OR meta-analysis.mp,pt. OR tu.xs. • (59/99.9) search strategy.tw. • (93/92) review.pt. OR meta-analysis:.tw. OR Cochrane.tw.

  15. Thanks for your attention!

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