Evidence Flashcards
EBCP
Evidence Based Clinical Practice
EBCP (Three Principles)
Best Available Evidence
Clinical Expertise
Patient Values
EBCP (Process)
Ask a questions
Acquire evidence
Appraise evidence
Apply findings
Act and Access
Background
Foundational Knowledge
(Terminology, Pharmacotherapeutics)
Foreground
Address Clinical Scenarios using Evidence
Evidence Based Conclusions for Decision Making
PICO
Patient: Patient using therapy
Intervention: A new therapy
Comparison: Would this be better than the existing therapy
Outcomes: What do we want to solve
Systematic Approach
- Ask requestor for contact details
- Collect information related to how question was classified
- Formulate the ideal question based on classification
- Restate question to confirm with requestor
- Use CRAAP to evaluate and synthesize data to compose a response
- Give response
- Follow up as needed
Systematic Approach (Ask)
Collect background information to identify the needs of the requestor
Systematic Approach (Collect/Classify)
Creates a more focused question that will target what needs to be answered vs what was asked
Classification helps to frame the problem and understand the nature
Systematic Approach (Ideal Question)
Build question from background to create a focused question that responds to the question that needs to be answered
Systematic Approach (Search Strategy)
Identify search terms
Choose credible, relevant, and appropriate resources
Systematic Approach (Evaluate)
Use CRAAP to evaluate the data
Disease (Source)
Dynamed
Dosage (Canadian Sources)
CPS
Dosage (American Sources)
Lexicomp
Drugs Approved in Canada (Sources)
CPS
Consumer Health Information (Sources)
Medline Plus
Minor Allignments (Sources)
CPD
Monographs (Sources)
DPD
Pharmacy Topics (Sources)
Pubmed
Pharmaceutical Literature (European Sources)
EMBASE
Pharmaceutical Literature (Sources)
Scopus
If I wanted a summarize source should I use a primary, secondary, tertiary source
Tertiary
CRAAP
- Currency
Is it recent enough? - Relevant
Is it relevant to the topic at hand - Authority (Credibility)
Status of people publishing? Bias Risk? - Accuracy
How does it compare to other sources? - Point of View/Position
Who does it side with?
