Background: The Cochrane Database is one of the most valuable medical library resources. Since 2001, Wan Fang Hospital Medical Center in Taiwan started using the Cochrane Database.
Objectives: To analyze the utilization of the Cochrane Database in a medical center in Taiwan and its correlation to EBM events.
Methods: 1) We obtained the monthly log-in information for the Cochrane Database from January 2001 to December 2010; 2) We collected all major evidence-based medicine (EBM) events in Taiwan over the past decade. These events were categorized as: (1) Nationwide events, (2) Organizational regulation, and (3) EBM educational activities; 3. We identified the top 10 utilization months and the EBM events held at the time.
Results: December is the annual top month in utilization of the Cochrane Database. It may be related to the factor of organizational regulation, as the annual evaluation in nurse promotion requires an EBM related report (Figure 1). The top five months in utilization of the Cochrane Database were all in 2010 when there were major EBM activities, including: (1) Nationwide events including online publishing of the traditional Chinese translation of all Cochrane abstracts by National Health Research Institutes and EBM contests held by Taiwan Joint Commission on Hospital Accreditation; (2) EBM educational activities, such as Cochrane systematic review workshop. The regular Cochrane Database training lectures and hospital accreditation did not significantly correlate with the utilization of the Cochrane Database.
Conclusions: The key factors for increasing the utilization of the Cochrane Database in a Taiwan medical center between 2001 and 2010 were: the annual nurse promotion evaluation, the publishing of the traditional Chinese translation of Cochrane abstracts, EBM contests, and Cochrane systematic review workshop.