Evidence Based Care Delivery Resources

 Agency for Healthcare Research and Quality - AHRQ

This link connects to the Evidence Based Practice section of the AHRQ. The AHRQ is the USA Agency for Healthcare Research and Quality—a Federal agency for research on health care quality, costs, outcomes, and patient safety.

http://www.ahrq.gov/clinic/epcix.htm

 Appraisal of Guidelines Research Evaluation - AGREE

This link connects to the homepage of AGREE. It is an international collaboration of researchers and policy makers who aim to work together to improve the quality and effectiveness of clinical practice guidelines by establishing a shared framework for their development, reporting and assessment. It started in 1998 as a research project ‘Appraising clinical guidelines' under the Biomedicine and Health Research (BIOMED 2) Programme, funded by the European Union - www.cordis.lu/biomed/home.html . The project was coordinated by the Department of Public Health Sciences at St George's Hospital Medical School www.sghms.ac.uk and ended in June 2001. The main objective was to develop an appraisal instrument to assess clinical guidelines and to harmonise guideline development across Europe in order to minimize duplication of efforts.

In November 2002 the AGREE Collaboration received additional funding from the Accompanying Measures EU funded programme of the 5 th Framework until April 2004 to further disseminate and implement the AGREE Instrument. This was again coordinated by the Department of Public Health Sciences at St George's Hospital Medical School in London. The central aim of the project was to enhance effective health care policy in Europe by promoting the diffusion of a comprehensive approach to the production, dissemination and evaluation of high-quality clinical guidelines through established networks

http://www.agreecollaboration.org

 Centre for Evidence Based Medicine

This link connects to the homepage of the Oxford CEBM. It aims to promote evidence-based health care and provide support and resources to anyone who wants to make use of them.

http://www.cebm.net/

and this link connects to the 'Levels of Evidence and Grades of Recommendations' section

http://www.cebm.net/levels_of_evidence.asp

 Centre for Health Evidence - CHE

This link connects to the home page of the Centre for Health Evidence (CHE) which was established to help patients, practitioners, and policy makers:

•  Know what to do:
  • because quality knowledge resources are assembled, integrated and packaged using simple, user-specific, Internet desktops.
• Do what is known:
  • because on-line aids help users assess problems, ask questions, and acquire, appraise, and apply knowledge.
• Understand what is done:
  • because information use is monitored and managed.

http://www.cche.net/che/home.asp

They also provide a “Users' Guides to Evidence-Based Practice”
The following link connects to the complete set of Users' Guides originally published as a series in the Journal of the American Medical Association (JAMA). The CHE continues to maintain the full text pre-publication version of this series on behalf of the Evidence-Based Medicine Working Group with permission from the journal. Individual articles are listed and can be viewed in their entirety.

http://www.cche.net/usersguides/main.asp

 Clinical Evidence – BMJ

This link connects to the homepage of Clinical Evidence journal. It aims to provide an international source of the best available evidence for effective health care.

http://www.clinicalevidence.org/ceweb/conditions/index.jsp

 Evaluation in Clinical Practice- BMJ

This link connects to the Journal of Evaluation Clinical Practice.

http://www.blackwellpublishing.com/journal.asp?ref=1356-1294&site=1

 Evidence Based Health Care (EBHC)

This link connects to the home[age of the Rocky Mountain Workshop on How to Practice Evidence-Based Health Care (EBHC Workshop) who train health care practitioners, policy makers, consumer advocates and medical journalists from around the world.  The EBHC Workshop receives funding from the Agency for Healthcare Research and Quality (AHRQ), and the Milbank Memorial Fund.

http://ebhc.uchsc.edu/index.php

 Evidence Based Nursing

This link connects to the homepage of the EBN online services. It aims to survey a wide range of international journals. Key elements are then presented.

http://ebn.bmjjournals.com/

NOTE: This service can now be obtained free of charge from the National Council for the Professional Development of Nursing & Midwifery (Ireland).

http://www.ncnm.ie

 Evidence Based Medicine

This link connects directly to the Evidence Based Medicine homepage. It surveys a wide range of international medical journals, which are assessed by practising clinicians as to the clinical relevance of the best studies. Details are then presented with an expert commentary on its clinical application. It is owned and operated by BMJPG Ltd., and requires a subscription.

http://ebm.bmjjournals.com/

 Evidence Base Practice Web Based Online Course

This link connects to a website designed for nurses and other healthcare practitioners interested in learning the process of evidence-based practice, locating resources and services to assist in adoption of evidence-based practices, and accessing electronic repositories of evidence-based practice guidelines.

The web-site under the direction of Dr. Marita Titler, PhD, RN, FAAN and colleagues at the University of of Iowa Hospitals and Clinics, and the College of Nursing.

http://www.nursing.uiowa.edu/sites/users/Gardery/ebp/

 Medscape web site

Medscape is owned and operated by WebMD, Inc. It contains articles, references, tools, and continuing education tools for healthcare professionals. It requires a one time, free registration, in which the user registers their areas of interest. Then it will automatically deliver the user a site that best fits their profile, which can be changes by the user as appropriate.

This link connects directly into Medscapes homepage.

http://www.medscape.com/px/urlinfo
 
OR

• This link connects directly into Medscapes Nurse Practitioner section.

 http://www.medscape.com/NurseAskExperts

• This link connects directly to Medscapes Nursing Resource Centre.

http://www.medscape.com/pages/editorial/public/resourcecenters/index-nurses?src=hdr

• This link connects directly to Medscapes Online learning section.

http://www.medscape.com/cmecenterdirectory/splash?src=hdr

 National Centre for Patient Safety

This link connects to the toolkit page of the NCPS.  It aims to support practitioners to find ways to reduce the number of falls as well as the severity of the falls that occur, using evidence. In line with this they have created the Falls Toolkit which provides information on:

• Designing a falls prevention and management program.
• Effective interventions for high-risk fall patients.
• Implementing hip protectors for high-risk fall patients.
• Educating patients, families and staff on falls and fall-injury prevention.

http://www.patientsafety.gov/SafetyTopics/fallstoolkit/

 National Institute of Clinical Excellence 

This link connects directly to the homepage of NICE. It works on behalf of the National Health Service (UK) and the people who use it. They make recommendations on treatments and care using the best available evidence

http://www.nice.org.uk/

 Nursing Best Practice Guidelines - NBPG

This link connects to the Nursing Best Practice Guidelines (NBPG) Program of the The Registered Nurses Association of Ontario (RNAO) which was launched the in November 1999 with funding from the Government of Ontario. It aims to support Ontario Nurses by providing them with Best Practice Guidelines for client care. The program has been designed in multiple cycles. Each cycle consists of five phases: planning, development, pilot implementation, evaluation and dissemination/uptake. Each guideline also undergoes full review every three years and revised as necessary.

http://www.rnao.org/bestpractices/

 Nursing Centre

This link connects directly to the Nursing Centre homepage. The Nursing Centre is a Web portal for nurses, which was created in 1986 and is now owned and operated by Lippincott Williams & Wilkins (LWW). It contains a:

• Collection of information from over 30 top nursing journals.
• Online access to cover-to-cover journal content.
• Online continuing education (CE) collection.
• Reference material specifically for nurses.

http://www.nursingcenter.com/home/index.asp

 Research, Quality and Outcomes Management - RQOM

This link connects to the homepage of the Research, Quality, and Outcomes Management Program in the Department of Nursing Services and Patient Care is directed by Marita Titler, Ph.D., R.N. (marita-titler@uiowa.edu). The program consists of three major components:

• Evidence-Based Practice
• Quality and Outcomes Management.
• Conduct of Research.
  

The program aims to promote quality patient care via excellence in clinical practice, research, and data-based decision making. It aims to integrate research utilization and evidence-based practice activities into the quality and outcomes management initiatives.

http://www.uihealthcare.com/depts/nursing/rqom/index.html

A list of its publications with links can be found at:
http://www.uihealthcare.com/depts/nursing/news/publications.html

The Joannabriggs Institute

This link connects directly to the Joannabriggs home page. The Joanna Briggs Institute was established in 1995 as an initiative of Royal Adelaide Hospital and the University of Adelaide. It aims to provide a collaborative approach to the evaluation of evidence from a wide range of sources, which include experience, expertise, research and the transfer of the best practice from clinical practice.

http://www.joannabriggs.edu.au/about/home.php

 The Royal Marsden Hospital Manual of Clinical Nurse Procedures 6th Edition

This link connects to a review of the Royal Marsden Hospital Manual.

http://www.blackwellroyalmarsdenmanual.com/

OR

• This link connects to sample chapters.

http://www.blackwellroyalmarsdenmanual.com/sample.asp

 World Views on Evidence Based Nursing

This link connects to the home page of WorldViews on Evidence Based Nursing. It is a journal of the Honour Society of Nursing, Sigma Theta Tau International, which also produces the Journal of Nursing Scholarship. It is a peer-reviewed journal aiming to bridge knowledge and application and is a source of information for using evidence-based nursing practice to improve patient care.

http://www.blackwellpublishing.com/journal.asp?ref=1545-102X&site=12

• External Resource Links
• Resource and Information Centre