如何找到現有的最佳證據.pptVIP

實證資訊 系統 Systems 精要 Synopses 統整 Syntheses 研究 Studies 傳統搜尋 現代搜尋 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 Harrison’s Online Evidence-Based… 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 統整 系統性文獻回顧 Cochrane Database 研究 醫療統合搜尋: SUMSearch 實證資料庫 Medline Google 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 邏輯運算 A AND B A OR B A NOT B 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. 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. 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 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. 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. Thanks for your attention! * PIER: physician’s information and education resource * DARE: database of abstracts of reviews of evidence * PIER: physician’s information and education resource * DARE: database of abstracts of reviews of evidence