"Evidence-based Medicine (EBM) is the integration of best research evidence with clinical expertise and patient values." --Guyatt G, et al. Evidence-Based Medicine working Group. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA 1992; 268: 2420-5.
"Evidence based practice (EBP) is the conscientious use of current best evidence in making decisions about patient care." --Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000
Based on the Evidence-based Medicine Triad Source: Florida State University, College of Medicine. Retrieved 08.07.11.
Ask a question - Converting the need for information (about prevention, diagnosis, prognosis, therapy, causation, etc) into an answerable question
Find information/evidence to answer question - Finding the best evidence with which to answer that question
Critically appraise the information/evidence - Critically appraising that evidence for its validity (closeness to the truth), impact (size of the effect), and applicability (usefulness in our clinical practice)
Integrate evidence with clinical expertise and patient’s preferences- Integrating critical appraisal with clinical expertise and patient's unique biology, values, and circumstances
Evaluate- Evaluating effectiveness and efficiency in executing Steps 1-4 and seeking ways to improve them both for next time