Evidence-Based Decision Making Flashcards
the integration of best research evidence with our clinical expertise and our patient’s unique values and circumstances
evidence-based decision making
fundamental principles of EBDM
- evidence alone is never sufficient to make a clinical decision: that, clinical research is only one key component of the decision-making process and does not tell a practiocioner what to do
- levels of evidence exist (higher up the pyramid -> the better)
primary research
includes original research studies. can be divided into 2 categories: experimental studies + nonexperimental studies + observational studies
experimental research
the researcher is testing a hypothesis, most likely to establish cause and effect
provides the strongest evidence for demonstrating cause and effect
randomized controlled trials (RCT)
used to describe and interpret conditions or relationships that already exsist
cohort studies and case control studies
secondary research
includes preappraised, or filtered research, that is already conducted individual studies. includes: meta-analyses, systemic reviews, evidece based clinical practice guideleines, evidence based article reviews
lowest on the evidence pyramind
animal and laboratory studies
synthesis of the findings from individual studies on the same topic
systematic review
analysis collected of pooled data
meta-analysis
top of the hierarchy
clinical practice guidelines