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Evidence-based Practice in Healthcare

This guide is designed to assist health care professionals and students become effective and efficient users of the medical literature.

Evidence-based Practice

What is Evidence-based Practice and Evidence-based Medicine?

evidence based practice include: clinicalexpertise, patient values, and best research evidence

 

"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.

5 Steps of EBP

5 steps to evidenced based practice - ask question, search, critically appraise, implement, and evaluateAsk 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