Exam 1 - Lecture 1 EBP Flashcards
Clinical Expertise, Best Research Evidence, and Patient Values & Preferences are the three parts of what?
Evidence Based Practice
Best available research, knowledge and skill, collaborative patient centered decisions, and context of a giving clinical situation are four key concepts of what?
EBP
When were clinical articles published?
1981
When did EBM begin to appear in the ACP Journal Club?
1991
When did the EBP Working Group publish “The Users guide to Medical Literate” in JAMA?
1993-2000
Define “Outcomes”
Measurable or observable results of illness or treatment
What are outcomes?
Objective data points
What are the three types of Surrogate Outcomes?
- Physiologic
- Biologic
- Laboratory
Example of Physiologic Surrogate measure?
BP, HR
Example of Biologic Surrogate measure?
MRI of brain and spine in MS, PET scan showing tumor high glucose metabolism
Example of Laboratory Surrogate measure?
LDL for ASCVD risk, blood tests
What some advantages of using surrogate markers?
Faster, cheaper, easier to collect.
What are some categories of outcomes?
Mortality, morbidity, quality of life, pain, others
What are three skills that go with EBP skills?
- Developing focused clinical questions
- Location applicable information
- Critically appraising information
Specific condition or outcome, patient demographic, and patient risk factors are important parts of what?
A focuses clinical question