Accessing preappraised evidence: fine-tuning the 5S model into a 6S model
Authors: Alba DiCenso
Journal: Annals of Internal Medicine (2009)

ACP Journal Club15 September 2009Accessing preappraised evidence: fine-tuning the 5S model into a 6S modelAlba DiCenso, RN, PhD, Liz Bayley, MLS, R. Brian Haynes, MD, PhDAlba DiCenso, RN, PhDMcMaster University, Hamilton, Ontario, Canada (A.D., L.B., R.B.H.), Liz Bayley, MLSMcMaster University, Hamilton, Ontario, Canada (A.D., L.B., R.B.H.), R. Brian Haynes, MD, PhDMcMaster University, Hamilton, Ontario, Canada (A.D., L.B., R.B.H.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-151-6-200909150-02002 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The application of high-quality evidence to clinical decision making requires that we know how to access that evidence. In years past, this meant literature searching know-how and application of critical appraisal skills to separate lower- from higher-quality clinical studies. However, over the past decade, many practical resources have been created to facilitate ready access to high-quality research. We call these resources "preappraised" because they have undergone a filtering process to include only those studies that are of higher quality, and they are regularly updated so that the evidence we access through these resources is current.To facilitate use of the ...References1 Haynes RB. Of studies, summaries, synopses, and systems: the "4S" evolution of services for finding current best evidence. ACP J Club. 2001;134:A11-3. [PMID: 11280129] Google Scholar2 Haynes RB. Of studies, syntheses, synopses, summaries, and systems: the "5S" evolution of information services for evidence-based health care decisions. ACP J Club. 2006;145:A8. [PMID: 17080967] Google Scholar3 Garg AX, Adhikari N, McDonald H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005;293:1223-38. 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Toronto, Canada: Registered Nurses Association of Ontario, 2004 (revised 2008 supplement) www.rnao.org/Storage/39/3387_Promoting_Asthma_Control_in_Children_with_2008_supplement_FINAL.pdf (accessed 28 Jul 09) Google Scholar9 Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada. Canadian Journal of Diabetes. 2008;32:S1-201. Google Scholar10 Zaroukian MH. PubMed clinical queries. Evid Based Med. 2001;6:8. Google Scholar Author, Article, and Disclosure InformationAffiliations: McMaster University, Hamilton, Ontario, Canada (A.D., L.B., R.B.H.)This article was published at Annals.org on 1 September 2009. 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