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Effective Search Techniques for Asking and Answering Clinical Questions Gale G. Hannigan Internal Medicine Clerkship Informatics Rotation 2006-07 General information New to topic Orientation Refresher Often answered by texts Specific to patient For decision making Action

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effective search techniques for asking and answering clinical questions

Effective Search Techniques for Asking and AnsweringClinical Questions

Gale G. Hannigan

Internal Medicine Clerkship

Informatics Rotation

2006-07

background vs foreground questions
General information

New to topic

Orientation

Refresher

Often answered by texts

Specific to patient

For decision making

Action

“Best evidence”

New tools for clinicians

Background vs Foreground Questions

Throughout your practice you will have both kinds of questions, but the proportion will change

slide4

Clinical Question (PICO Format)

Patient Problem:

Intervention:

or

Comparison:

Outcome:

slide5

Clinical Question in PICO Format

Patient Problem: Type II Diabetes

Intervention: Glyburide

or

Comparison: Metformin

Outcome: Lower Hb A1c

slide6

Clinical Question (PICO Format)

Patient Problem:

Intervention:

or

Comparison:

Outcome:

dr suma pokala
Dr. Suma Pokala

suma.pokala@med.va.gov

Send question by Tuesday evening. Do not work on answer until you hear from her – Thursday morning when we meet is soon enough.

slide8

Systematic Reviews

Summarized Evidence-

Referenced Resources

Research Articles

Other Sources

slide9

Systematic Reviews

Cochrane Library (SRs and DARE)

PubMed Clinical Queries(Systematic Reviews)

PubMed Limits(Meta-analysis)

slide10

Systematic Reviews

Summarized Evidence-

Referenced Resources

InfoPOEMS/InfoRetriever

ACP Journal Club

Up-To-Date

slide11

Systematic Reviews

Summarized Evidence-

Referenced Resources

Research Articles

MEDLINE

pubmed medline
PubMed MEDLINE
  • Newest interface
  • Premier database – content and organization
  • Features
    • Subheadings
    • Limits
    • Find Related Articles
    • Clinical Queries
    • Patient/Consumer Information
    • Automatic article request service
pubmed hints
PubMed Hints
  • Use the MeSH Database
  • Use specific terminology
  • Start with disease term
  • Use subheadings
  • Restrict to Major Topic if common disease
  • “AND” other terms with/without subheadings, major topic restriction
  • Use Limits for language, human, age groups, years of publication
  • Use system capabilities until your retrieval set is approximately <30
slide14

Systematic Reviews

Summarized Evidence-

Referenced Resources

Research Articles

Other Sources

Where to look - Textbooks, reviews, experts

slide15

Aggregators

Ex. InfoRetriever