Evidence Based Practice

Question 1

3 components

Goal

Answer 1

• Best available evidence
• Clinical expertise
• Preference of fully-informed patient and family
  Goal: to provide high quality services and improve patient outcomes

Question 2

Searching for external evidence (IL)

Answer 2

Pose clear and concrete questions
Search the literature
…

Question 3

Hierarchy of Evidence
1, 2a, 2b
2c
3, 4
5
6

Answer 3

1, 2a, 2b: group-design, randomized control trial, meta analysis, systematic review

2c: single-subject experimental design, some control

3, 4: quantitative/narrative reviews, commentaries on published articles

5: non-experimental, case study, report, pre/post-test
6: respectable expert opinion

Question 4

PICO

Answer 4

Patient/population/problem
-detailed to disorder, identity, and risk profile

Intervention
-“best course of clinical action”

Comparison
-“what is the baseline or the equivalent of doing nothing?”

Outcome

• client goal
• refinement of diagnosis
• adverse effects to avoid