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Evidence Based Medicine (Practice)   Tags: evidence_based_medicine, health  

Last Updated: Aug 2, 2016 URL: Print Guide RSS Updates

EBM/Practice Pyramid & USD Databases Print Page

Evidence Based Medicine/Practice Pyramid & USD Databases


Evidence-Based Medicine (EBM) Resources

Evidence-Based Medicine is the integration of best research evidence with clinical expertise and patient values. (Sackett DL, Straus SE, Richardson WS, et al. Evidence-based medicine: how to practice and teach EBM. 2nd ed. Edinburgh: Churchill Livingstone, 2000.)

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TRIP (Turning Research Into Practice) Database Plus

Simultaneously searches evidence-based sources of systematic reviews, practice guidelines, and critically-appraised topics and articles -- including most of those listed above and many more. Also searches MEDLINE’s Clinical Queries, medical image databases, e-textbooks, and patient information leaflets.


 Filtered Resources


Systematic Reviews / Meta-Analyses

The Cochrane Database of Systematic Reviews

Consists of detailed, structured topic reviews of hundreds of articles. Teams of experts complete comprehensive literature reviews, evaluate the literature, and present summaries of the findings of the best studies. Published by the International Cochrane Collaboration.

The Database of Abstracts of Reviews of Effect (DARE)

Full-text database containing structured abstracts of systematic reviews from a variety of medical journals. DARE is produced by the National Health Services' Centre for Reviews and Dissemination (NHS CRD) at the University of York. DARE records cover topics such as diagnosis, prevention, rehabilitation, screening, and treatment.

Systematic Reviews are also searchable in PubMed:

  • Click on “Clinical Queries” under PubMed Tools in the center of the screen; Enter your search query; Systematic Reviews will be dispalyed in the center column.

Critically-Appraised Topics

National Guideline Clearinghouse

A comprehensive database of evidence-based clinical practice guidelines and related documents produced by the Agency for Health Care Research and Quality, in partnership with the American Medical Association and the American Association of Health Plans. Updated weekly.

Note: Guideline evidence varies from expert opinion to high levels of evidence.

ACP Smart Medicine

Evidence-based clinical guidance designed for rapid access to clinical information at the point of care. Smart Medicine is peer-reviewed, updated continually and includes recommendations based on all levels of medical evidence. Recommendations also include strength-of-recommendation ratings based on the quality of the underlying evidence. From the American College of Physicians.

There is a PDA version of this product.


Provides the most useful information at the point of care. Usefulness requires a balance of validity, relevance, convenience and affordability. Where available, links are provided to full-text electronic electronic resources via a PubMed reference.

Critically-Appraised Individual Articles

The ACP Journal Club (Currently unavailable)

The editors of this journal screen the top 100+ clinical journals and identify studies that are methodologically sound and clinically relevant. An enhanced abstract, with conclusions clearly stated, and a commentary are provided for each selected article. Published by the American College of Physicians-American Society of Internal Medicine.

Check ejournals list for multiple subscriptions.


Bandolier is an independent journal about evidence-based healthcare published in the UK. It includes “information about evidence of effectiveness (or lack of it), and put[s] the results forward as simple bullet points of those things that worked and those that did not: a bandolier with bullets. Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies.”

BMJ Evidence Updates

Quality articles from over 110 clinical journals are selected by research staff, and then rated for clinical relevance and interest by an international group of physicians. Includes a searchable database of the best evidence from the medical literature and an email alerting system. From BMJ Publishing Group and McMaster University's Health Information Research Unit.

Unfiltered Resources


To limit your PubMed search to the best evidence-producing studies: Click on "Clinical Queries" (under PubMed Tools). This specialized search is intended for clinicians and has built-in search "filters." Five clinical study categories--therapy, diagnosis, etiology, prognosis, clinical prediction guidelines--are provided, and you may indicate whether you wish your search to be more broad (i.e., include most relevant articles but probably including some less relevant ones) or more narrow (i.e., including mostly relevant articles but probably omit a few).



International coverage of the professional and academic literature in psychology, medicine, psychiatry, nursing, sociology, education, pharmacology, physiology, linguistics, and other areas.

To limit your PsycINFO search to the best evidence-producing studies: Click on the ‘Limits’ icon to use ‘Clinical Queries’ or limit to ‘methodology’ types.


Cumulative Index to Nursing and Allied Health Literature

To limit your CINAHL search to the best evidence-producing studies: Click on the ‘Limits’ icon to use ‘Clinical Queries’ or limit to ‘Research’ or other ‘publication’ types (i.e., systematic review).

Background Information/Expert Opinion 

Note: Evidence in this resource may vary from expert opinion to high levels of evidence.

Harrison's Online

Searchable and continually updated version of Harrison's Principles of Internal Medicine.

Full Text Available via AccessMedicine -- 17th ed. 2008

Evidence-Based Medicine Information Sites

Centre for Evidence-Based Medicine (Oxford University)

The Centre promotes evidence-based health care and provide support and resources to anyone who wants to make use of them. Includes the EBM Toolbox, an assortment of materials which are very useful for practitioners of EBM, and EBM Teaching Materials, including PowerPoint presentations.

Centre for Evidence-Based Medicine (Toronto)

Includes many resources for practicing and teaching EBM.



Evidence-Based Medicine Tutorials

Introduction to Evidence-Based Medicine

From Duke University Medical Center Library and University of North Carolina at Chapel Hill Health Sciences Library.

SUNY Health Sciences Evidence-Based Medicine Tutorial

Handout showing hierarchy of evidence and search strategies. Includes definitions of study designs. From Duke University Medical Center Library

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Writing quidelines

Sacket, D.L. et al.  (2000).  Evidence-Based Medicine.  How to practice and teach EBM.  Churchill Livingstone: London.

 vi. Use the following guidelines in choosing references:

•Avoid citing other clinical review articles—you should emphasize original research articles, systematic reviews, Cochrane Library reviews, and citations from BMJ’s Clinical Evidence, validated clinical decision rules, randomized trials, and evidence-based practice guidelines where possible. Clinical review articles may be cited as sources for tables, figures, or general background information.

•Emphasize recent references (past 10 years); in general, avoid letters to the editor, editorials, and references that are older than 10 years or of historic interest only.

•Avoid references from obscure or non–English-language journals.

•Do not cite abstracts, unpublished observations, manuscripts in preparation or submitted for publication, or personal communications.

•To avoid plagiarism, be sure not to use the language, content, or concepts of another source without an appropriate reference. Do not use extensive verbatim or near-verbatim portions of text from another source, even with appropriate citation.


Subject Guides

USD & Wegner Librarians

Contact Info


Creating Clinical Questions - The PICO Method

EBM Tutorial from UNC Health Science Library & Duke Medical Center


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