Step 3: Appraising the evidence - Deepstash
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Step 3: Appraising the evidence

3 main areas to appraise:

  • Validity
  • Importance
  • Applicability to patient

The Critical Appraisal Skills Program (CASP) can be used to appraise research articles.

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Basic Search Principles

  1. Formulate a question using the PICO format.
  2. Generate keywords - use the PICO format to generate a keyword for the problem, intervention, comparison and outcome.
  3. Chose a bibliographic database:
  • Cochrane has systematic reviews
  • Medline is administrated b...

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Step 2: Finding the evidence

Traditional sources like textbooks are usually out-of-date and too disorganized. Experts can be consulted. Secondary sources that can be used are "Archimedes", "Clinical evidence" and "BestBets". They give reliable summaries of evidence. You can also consult online electronic bibliographic databa...

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Step 4: Apply the evidence

Consider the following:

  • Can evidence be applied to the specific patient?
  • What is patient's personal values and circumstances?
  • What are the efficiency and risks of the treatment?
  • What is the cost and availability of the treatment?

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Why use evidence based medicine

It improves quality care through determining:

  • Practices that work and promoting them
  • Practices that are ineffective and eliminating them

It helps health care professionals to find, appraise and use new research in their clinical practice.

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5 step EBM model

  1. Formulate answerable questions
  2. Find the evidence needed
  3. Critically appraise evidence
  4. Apply the researchΒ 
  5. Evaluate the results

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What is Evidence Based Medicine

It is the integration of:

  • Best research
  • Clinical expertise
  • Patient values

It is used to stay current and involves the process of self...

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Step 5: Evaluating performance

  • Evaluate your approach frequently
  • Do you need to improve any of the first 4 steps?
  • Is your approach a rational and acceptable management strategy?
  • Is EBM improving patient care?

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Step 1: Formulate answerable clinical questions

Use the PICO format to structure questions:

  • P -> Identify the patient or problem
  • I -> What intervention do you want to try
  • C -> What other alternative intervention are you comparing yours to?
  • O ...

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  • Validity helps us evaluate the accuracy

The lesson learned from the movie 'Kim Man-bok'

According to the main character's behaviour, one should used other means of negotiation besides persuasion, which is, undoubtedly, of high importance. For instance, why not try using the very language of the counterparts, if possible. It can lead to unexpectedly good results.

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The focus of skills over knowledge

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