Pico element detection in medical text without metadata. The first stage of any evidencebased practice process is formulating an answerable question. Picot and clinical questions evidence based nursing practice. Pico method evidence based practice library guides at. One of the fundamentals in the evidencebased medicine toolkit is known by the acronym pico. Fortunately, the evolution of evidencebased medicine has provided systematic tools to simplify the formulation of interrogatives that serve as the foundation of a real clinical research question. Various models and decisionmaking aids exist for chiropractic clinical practice.
Background questions are best answered by medical textbooks, pointofcare tools such as dynamed plus and essential evidence plus, and. A wellformulated question will facilitate the search for evidence and will assist you in determining whether the evidence is relevant to your question. Pico evidencebased practice libguides at duke university. They require a specific named intervention and comparison, which makes them good questions for medline and the research literature. If your topic has a behavioralmental health component, also try psycinfo. Start with both cinahl and medlinepubmed as initial article databases for a scoping search for most health sciences questions. Clinical questions and the pico method evidencebased practice. Often these questions can best be answered by using a textbook or consulting a clinical.
The pico process or framework is a mnemonic used in evidence based practice and specifically evidence based medicine to frame and answer a clinical or health care related question. Pico evidence based medicine subject and course guides. Evidencebased models use a process for framing a question, locating, assessing, evaluating, and. A book or an ebook on medical ethics and legal issues. A simple database search strategy should begin with the p and i. They cover the same 4 content areas as background questions diagnosis, treatment, etiology, and prognosis and are the only types of questions we deal with in evidencebased medicine.