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Next Steps
We already know how it begins (Assess, Ask and Acquire) but what are the other steps in the process?
| ASSESS | Recognise uncertainties around a situation or context and current actions taken or treatments or tests used. Identify the problem (a scenario). |  | ||
| ASK | Formulate a relevant answerable question | |||
| ACQUIRE/FIND | Select an appropriate resource/s and do a search. Select a relevant result/s. | |||
| APPRAISE | Appraise the evidence for validity, relevance & usefulness | |||
| APPLY | Act on or apply the evidence to your clinical situation, including shared decision making. | |||
| SELF-EVALUATION | Reflect on the action you took. |
Critical appraisal
7 videos on critically appraising various types of studies from the Cochrane Common Mental Disorders group
'This playlist includes seven modules that address critical appraisal concepts and methods for six different research designs. In each video, we walk through the CASP checklist alongside an open access research article, to demonstrate how to approach critical appraisal in practice.'
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Show play log
Stetchy EBM - series of short videos on EBM including RR, NNT, ITT, confidence intervals etc. List of all the videos in the series.
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Youtube url https://www.youtube.com/watch?v=eSEP2T-xz8g |
Show play log
 | Greenhalge T. How to read a paper. 6th ed. Hoboken, NJ: John Wiley; 2019. A very useful guide. Note there are earlier editions including an ebook for the 5th ed 2014. |
Additional resources
- If you are critically appraising evidence based research remember you can use the GATE model.
- There are also lots of help sheets at the:
- Critical Appraisal Skills Programme (UK) website.
- Critical Appraisal Tools and Worksheets (CEBM)
- Joanna Briggs Institute critical appraisal tools
- Duke University Medical Center Library has a number of worksheets for a variety of study types.
- The EBM Toolkit in BMJ Best Practice has a selection of critical appraisal checklists and statistics calculators
- EQUATOR network list a variety of named tools
- Catalogue of Bias from the Centre for Evidence Based Medicine at the University of Oxford lists the different bias categories and for each gives background, examples, impact and preventive steps.
- The Whatis series has brief information on eg NNTs, confidence intervals. Bandolier has similar information including an EBM glossary.
- The NHMRC has a Guidelines for Guidelines which includes sections on Assessing risk of bias and Assessing certainty of evidence
See Appraisal including CATS under Evaluating, appraising, critiquing, peer review in the left side menu for additional resources.
Calculate results
- The Medical Center Library at Duke University has a variety of resources to help you calculate results
- Free statistical calculators from MedCalc
- Know your chances: Understanding health statistics
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