1. Decision Support
Clinical Guidelines and Reviews for Evidence Based
Medicine
(Where Do I Start?)
Policy Development & Management Program,
Nov. 2011
Jessica E. Rolle (Mrs.)
Planning Unit, PMH

2. Evidence (Truth or Reality?)
 Healthcare decisions/services should be
based on evidence
 Evidence: the numbers that represent the
current condition or situation as it relates
to a specific service/topic or area. It
reflects the PRESENT state or transitional
truth, however it does not necessarily
represent an absolute truth.

3. Sourcing The Information
(Using The Internet)
 DO NOT GO TO GOOGLE!!!!
 Use google on the search the broad subject,
not specifics
 Use Pre-filtered sources of clinical evidence.
Why?
 Provides more focused information
 Not subject to advertisements
 Has more inclusive information from worldwide
sources

4. The Cochrane Library
 Comprised of 6 different databases
 Provides information to inform health
decision making.
 Independent reviews
 The ‘diamond’ in evidentiary reviews for
clinical papers
 www.thecochranelibrary.com

5. Medline Plus
 Provides information that is also suitable
for patient education
 Has videos and podcasts that provide
visual reinforcement and assistance.
 Easier Reading
 http://www.nlm.nih.gov/medlineplus

6. Other Sites…..
 Bandolier:
 http://www.medicine.ox.ac.uk/bandolier/
 Quick and dirty
 Provides reviews and quick ratings
 Attract:
 http://www.attract.wales.nhs.uk/default.aspx
 Answers questions and reviews specific to the
clinical conditions (ex. Diabetes)

7. It’s a Trip!
 http://www.tripdatabase.com
 Trip Database
 Combines all reviews
 The HUB….no need to go further!
 Provides a succinct site for cross referenced
data (globally)
 Rates the quality of the information

8. The Standard for Guidelines
 N.G.C.:
 National Guidelines Clearing House
 Provides resource guideline data base for
clinicians
 The baseline for guidelines (the Bible)
 Health Service Management resource
information
 Supports clinical governance
 www.guideline.gov
 New Zealand & Scotland have developed
skills in developing guidelines

9. DAU…..What does this mean?
 Resource Sites to pull and review
information
 Supports
 Comparative Analysis
 Expanded Services (evidence sources for
medical and clinical research,
costing/diagnosis code)
 Validates information produced by the
unit

10. Assignment
 Pick one issue that means a lot to you, ex.
(Diabetes, migraines, breast cancer, cost
of healthcare)
 Look up on the sites provided the reviews
and guidelines that are appropriate
 Present it at the next meeting in a power
point presentation (5mins)