Step 4: Apply the evidence - Deepstash
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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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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Traditional sources like textbooks are usually out-of-date and too disorganized.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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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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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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5 step EBM model

  1. Formulate answerable questions
  2. Find the evidence needed
  3. Critically appraise evidence
  4. Apply the research 
  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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Other curated ideas on this topic:

Personal Or Core Values

They are what you consider most important in your life, literally what you “value. ” They are broad concepts that can be applied across a wide range of circumstances, as opposed to narrow answers to specific questions.

If you are conscious of them or not, you have values for every part of y...

Our values

Our values

Our values are our preferences about what we consider appropriate courses of actions.

They strongly influence our decisions. Therefore we should take the time to consider what our personal values are.

Evidence

Evidence

  • Evidence helps us prove what is likely to happen or likely to be true or false. Evidence comes from facts, observations, experiences, comparisons, and experiments.
  • Do what scientists do: Strive for objectivity. Scientists try to describe the world ...

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