????? PowerTemplate

1
??????????

• ??????

2
EBM (Evidence-based Medicine) ?????????
??????????????????????,??????????????????????,????
?????????,??????????? (evidence) ?????
(experience) ????? (expectation)
????,?????????????????????,?????????????????
Not only a skill but also an attitude change for
everyone in hospitals
3
??????
J Am Med Inform Assoc. 1997 Jul-Aug4(4)266-78.
Elson RB, Faughnan JG, Connelly DP
4
The 6S levels of organization of evidence from
health care research
by R Brain Haynes, 2009
Computer
Summaries
Synopses of Syntheses
Syntheses
ACP Journal Club
Synopses of studies
Studies
5

• ?????? (???????)
• 1. System??
• 2. Summaries for Background questions
• (1) Evidence-based CPG (free)
• (2) Best Practice-Clinical Evidence
• (3) UpToDate
• (4) ACP Pier ACP Medicine
• (5) FirstConsult
• (6) DynaMed
• (7) Medscape-eMedicine (free)
• 3. Synopses??( Article reviews ) - for Background
  questions
• (1) ACP Journal Club
• (2) Evidence-based Medicine
• (3) Evidence-based Nursing
• 4. Syntheses??( Systematic reviews ) - for
  Foreground question
• (1) The Cochrane Library - CDSR Other Reviews
  (????? free)
• (2) PubMed-Clinical Queries? systematic review
  (free)
• (3) Medline?systematic review
• ?????? (???????)

???? (?????????)
6
EBM Solution
???? ???? ??????? ?? ?????? ????
ACP Journal Club ??100?????????? ?????????????????? ARTICLE REVIEW ????????? ???????????? McMaster Online Rating of Evidence (MORE) ??
7
???? ???? ??????? ?? ?????? ????
ACP Medicine ???????RCTs?????????? ??????,??????????????????????????????,?????????? ?????? ?????,???? ? ??
8
???? ???? ??????? ?? ?????? ????
ACP Pier ???MKSAP?Annals of intermnal Medicine?ACP Journal Club??????MEDLINE?????????????????AHFS???? ??400??????????? ??? ????????????????????????? ?????,???? AC??A?????????????????,??????RCTs?SR?Meta analyses??????cohort study? B??????????A???????????,C????? ??
9
????
Which therapy have more benefit for Atopic
Dermatitis either Tacrolimus or
Corticosteroids.
10
EBM Solution
11
TREATMENT
ACP MEDICINE
12
ACP PIER
13
(No Transcript)
14
(No Transcript)
15
?????
16
??ADR
17
(No Transcript)
18
???????????
19
(No Transcript)
20
ACP Journal Club
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
Thank You!