ACCESSSS is a service to help provide current best evidence for clinical decisions. It conducts searches simultaneously in several evidence-based information services (online evidence-based texts, evidence-based guidelines and pre-appraised journal publications). ACCESSSS also provides email alerts to newly published evidence in the user’s chosen area(s) of training/interest.
Searching ACCESSSS yields content that is hierarchically organized: Always look first at the content available at the highest level of the hierarchy, as it is most likely to be useful for clinical purposes.
Evidence at all levels of the pyramid has been pre-appraised for scientific merit and clinical relevance. The levels of the pyramid reflect the extent to which the evidence has been integrated into the context of decisions for clinical care, with the most integration at the top.
For more details please consult: Explanation of the EBHC Pyramid 5.0
Journal articles below the level of "Summary Clinical Texts" (see What is ACCESSSS? above) are selected from over 120 clinical journals through a systematic process of critical appraisal by expert research staff (using these criteria) and ratings of qualifying articles by 3 front-line clinicians from a panel of over 3500 physicians around the world (using these scales for clinical relevance and newsworthiness), creating the McMaster Premium Literature Service (McMasterPLUS™). Articles are processed very quickly after online publication and posted before it is likely that they could be incorporated into higher levels (ie "Summary Clinical Texts" and Systematic Guidelines).McMaster PLUS features include:
Great resource, convenient to use and up to date. I subscribe to a number of search or newsletter services and this is by far the best. I highly recommend it to others.
...the greatest innovation since PubMed.
... a fantastic teaching tool.
...Definitely an EBM tool of the future that will likely have a great impact on the way we access the evidence.
The Knowledge Refinery processes the raw material into products to be utilized by the consumer. Now I understand why you call it a Refinery. When oil was first discovered, they mainly used it for lighting, which was very important, but then someone discovered how to refine it into the petroleum products which now shape the world's economy. Fascinating parallels!
ACCESSSS is useful when someone does a systematic review, when someone needs not only a quick answer but also wants to do a more in-depth review. When I used the same search strategy in PubMed, I spent at least 15 minutes and got lots of results a lot of which were not very relevant so I had to go through them one by one whereas ACCESSSS gave me exactly what I wanted within seconds!