ASK Flashcards
Develop your answerable clinical question is which of the 5 As
Ask
Ask uses what model to evaluate the key components:
- Patient/Population problem
- Intervention/exposure
- Comparison
- Outcome
What questions should be asked about the patient/population of interest? (3)
- who are the patients of interest?
- is there a particular age group, gender, or population?
- What is the health concern?
What questions should be asked about the intervention/exposure? (2)
- what therapeutic, diagnostic, preventative, or other health care interventions are you interested in knowing more about?
- what health care management strategies are you interested in comparing?
what questions should be asked about the comparison of interest? (1)
- is there a comparison to be evaluated against the intervention?
comparison should only be used if: (2)
- more than one intervention
- no intervention is a factor
What questions should be asked about the outcome of interest?
- what is the desired outcome to be evaluated?
- How will the patient or population be affected, or not affected by the intervention?
Along with PICO, it is also important to know: (2)
What type of question you are asking
-what is the best study design to search for to find evidence to answer your clinical question
Evidence supports how to select ________ to offer your patients that do more good than harm and that are worth the efforts and cost of using them
treatment/therapy
evidence supports how to select and interpret ________ in order to confirm or exclude a diagnosis, based on considering their precision accuracy, acceptability, expense, safety, etc.
diagnosis
evidence supports how to estimate your patiently likely ___________ over time and anticipate likely complications o the disorder
prognosis/ clinical course
evidence supports how to identify causes for disease is a question relating to:
harm/etiology
Study/methodology for treatment/therapy questions: (2)
- Double-blind randomized controlled trial
- systematic reviews/ meta analysis of RCT
Study/methodology for diagnosis questions: (2)
- controlled trial
- systematic reviews/meta analysis of controlled trial
study/methodology for prognosis questions (3)
- cohort studies
- case control
- case series
study/methodology for harm/etiology questions (1)
cohort studies
study/methodology for prevention questions: (2)
- randomized controlled trial
- cohort studies
study/methodology for quality improvement: (1)
randomized controlled trials
You should find the ________ strength of evidence available to answer your clinical question
highest
What has the highest strength of study? (2)
systematic reviews and Meta analyses
what has the second highest strength of study? (1)
-randomized controlled double blind study
what has the third highest strength of study
cohort studies
What has the fourth highest strength of study?
Case Control studies
What has the fifth highest strength of study?
case series
what has the sixth highest strength of study?
case reports
what has the 3rd lowest strength of study? (3)
- ideas
- editorials
- opinions
what has the 2nd lowest strength of study?
animal research
what has the lowest strength of study?
in vitro “test tube” research
What questions does PICO work best for? (2)
- Treatment/therapy
- diagnosis
PICO is a ________, not a rigid structure
model
finding the right _____ in the most _______ manner is key to successfully practicing EBP
- information
- efficient
