it is a five-step approach to patient care that focuses on three main aspects:<ol><li>The best and most current available research</li><li>Clinical expertise</li><li>Patient values, background, and culture</li></ol>It has a focus on lifelong learning and on patient-centered care.

What is EBM

Relevant and appropriate research must be conducted. Primary research or textbooks can be outdated or inaccurate. Basic search principles should be used.

Step 2: Finding the evidence

<ul><li>It allows for outdated research and methods to be replaced by new and effective methods. </li><li>EBM needs critical thinking and open-mindedness. these will both encourage new practices to be developed and new research to be conducted. </li><li>It incorporates three spheres of health care and tries to give the best answer for all three spheres. </li></ul>

Why EBM

<ul><li>The clinical problem needs to be turned into an answerable question</li><li>Questions should be direct, clear, and answerable by research. </li><li>PICO points used:</li></ul>P - patient/problemI - interventionC - comparisonO - outcomes

Step 1: Formulating answerable clinical questions

Evaluate the research's quality and whether it applies to the question asked or not. <ul><li>validity</li><li>importance</li><li>applicability</li></ul>If these are not taken into account, harm could be caused and limited resources could be wasted.

Step 3: Appraising the evidence

Now is when everything other than the actual clinical research is taken into account.Things such as: <ul><li>Patient background and beliefs</li><li>Circumstances and context</li><li>Available resources, own expertise, and budget</li></ul>should all be considered before deciding on a course of action.

Step 4: Applying the evidence

EBM is an ongoing process and the approach chosen in a specific instance needs to be constantly evaluated and updated. This way, new and improved methods, and research can be developed along with the ever-changing medical world.

Step 5: evaluating performance

<ul><li>use relevant key-words</li><li>choose a good bibliographic database</li><li>conduct the search</li></ul>

Basic search principles

Evidence Based Pediatrics and Child Health is a ground-breaking new text on pediatrics and child care management, using evidence based approach. It covers all the major childhood conditions and contains the features of both a handbook and a reference text. Each chapter combines both advice on management and how best to practice evidence based medicine with reviews of all the available evidence in a specific area. The goal of the book is to help pediatricians and others who care for children to provide the best possible care by combining the best, most current evidence with special circumstances of each individual patient.

Step 1: Formulating answerable clinical questions

Evidence-based Pediatrics and Child Health

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