The Development and Use of Evidence Summaries for Point of Care Information Systems: A Streamlined Rapid Review Approach
The Development and Use of Evidence Summaries for Point of Care Information Systems: A Streamlined Rapid Review Approach
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DOI：
10.1111/wvn.12094
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发表时间：
2015-06-01
影响因子：
4.3
通讯作者：
Moola, Sandeep
中科院分区：
文献类型：
--
作者：
Munn, Zachary;Lockwood, Craig;Moola, Sandeep
研究背景循证医学的传统研究方法是对证据进行系统的回顾。由于系统评价遵循严格的方法，因此可能需要大量时间才能完成，持续时间从6个月到2年不等。快速审查已被提出作为一种方法，以更及时的fashion.AimThe本文的目的是概述我们的经验，发展证据摘要的背景下，一个点的护理资源作为一个贡献的新兴领域的快速审查methods.MethodsEvidence摘要被定义为一个概要，总结现有的国际证据的医疗干预措施或活动。这些总结基于文献和选定的循证医疗数据库的结构化检索。搜索后，所有研究的内部有效性进行评估，使用一套精简的关键评价工具。一旦开发，他们经历了三个层次的同行评审由内部和外部experts.ResultsAs的2014年11月，有2458证据摘要，已创建了一系列的条件，以告知循证医疗实践。此外，目前正在就广泛的专题编写各种新的证据摘要。每月大约有60-70份新的证据摘要出版，涵盖各种医学专业领域的研究。所有的综述每年更新一次。将证据与实践联系起来系统综述虽然是为实践提供信息的理想研究类型，但往往不能满足使用者在护理点的需求。本文描述了创建证据摘要（一种快速审查）的开发框架。虽然证据摘要可能会导致不太严格的开发过程，但它们可以用于改善护理点的实践。
BackgroundA systematic review of evidence is the research method which underpins the traditional approach to evidence-based health care. As systematic reviews follow a rigorous methodology, they can take a substantial amount of time to complete ranging in duration from 6 months to 2 years. Rapid reviews have been proposed as a method to provide summaries of the literature in a more timely fashion.AimThe aim of this paper is to outline our experience of developing evidence summaries in the context of a point of care resource as a contribution to the emerging field of rapid review methodologies.MethodsEvidence summaries are defined as a synopsis that summarizes existing international evidence on healthcare interventions or activities. These summaries are based on structured searches of the literature and selected evidence-based healthcare databases. Following the search, all studies are assessed for internal validity using an abridged set of critical appraisal tools. Once developed, they undergo three levels of peer review by internal and external experts.ResultsAs of November 2014, there are 2458 evidence summaries that have been created across a range of conditions to inform evidence-based healthcare practices. In addition, there is ongoing development of various new evidence summaries on a wide range of topics. Approximately 60-70 new evidence summaries are published every month, covering research in various medical specialty areas. All summaries are updated annually.Linking Evidence to ActionSystematic reviews, although the ideal type of research to inform practice, often do not meet the needs of users at the point of care. This article describes the development framework for the creation of evidence summaries, a type of rapid review. Although evidence summaries may result in a less rigorous process of development, they can be useful for improving practice at the point of care.