Exam 1 - Lecture 1 EBP Flashcards

1
Q

Clinical Expertise, Best Research Evidence, and Patient Values & Preferences are the three parts of what?

A

Evidence Based Practice

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2
Q

Best available research, knowledge and skill, collaborative patient centered decisions, and context of a giving clinical situation are four key concepts of what?

A

EBP

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3
Q

When were clinical articles published?

A

1981

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4
Q

When did EBM begin to appear in the ACP Journal Club?

A

1991

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5
Q

When did the EBP Working Group publish “The Users guide to Medical Literate” in JAMA?

A

1993-2000

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6
Q

Define “Outcomes”

A

Measurable or observable results of illness or treatment

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7
Q

What are outcomes?

A

Objective data points

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8
Q

What are the three types of Surrogate Outcomes?

A
  1. Physiologic
  2. Biologic
  3. Laboratory
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9
Q

Example of Physiologic Surrogate measure?

A

BP, HR

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10
Q

Example of Biologic Surrogate measure?

A

MRI of brain and spine in MS, PET scan showing tumor high glucose metabolism

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11
Q

Example of Laboratory Surrogate measure?

A

LDL for ASCVD risk, blood tests

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12
Q

What some advantages of using surrogate markers?

A

Faster, cheaper, easier to collect.

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13
Q

What are some categories of outcomes?

A

Mortality, morbidity, quality of life, pain, others

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14
Q

What are three skills that go with EBP skills?

A
  1. Developing focused clinical questions
  2. Location applicable information
  3. Critically appraising information
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15
Q

Specific condition or outcome, patient demographic, and patient risk factors are important parts of what?

A

A focuses clinical question

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16
Q

What is the lowest and highest in the Hierarchy of Evidence?

A

Lowest=case reports/case series

Highest=metaanalysys

17
Q

Which type of study to select and interpret diagnostic tests?

A

Prospective, blind comparison to gold standard

18
Q

Which type of study to select therapy that does more good than harm and are worth the efforts and cost of using them? (Diagnosis)

A

RCT

19
Q

Which type of study to estimate PT’s likely clincal course over time not based on intervention and anticipate likely complications of dz? (Prognosis)

A

Cohort study

20
Q

Which type of study to identify cause for disease? (Harm/Etiology)

A

Cohort

21
Q

Prospective research is when?

A

Researching things ahead of time

22
Q

Concurrent research is when?

A

Researching as it happens when seeing a patient

23
Q

Retrospective research is when?

A

Researching after asked

24
Q

What is “critically appraising information”?

A

A process of evaluating the trustworthiness and relevance of a resource within the context of a given clinical scenario. Within a hierarchy of evidence.

25
Q

What are the six steps of the EBP process?

A

Assess, Ask, Acquire, Appraise, Apply, Self-evaluate

26
Q

Three factors for asking a focused clinical question?

A
  1. Specific condition
  2. Patient demographic
  3. Risk factors