Introduction to EBD Flashcards
What is EBD the integration of?
Best Available Research
Clinical Expertise
Patient values and circumstances
How does EBD improve patient outcomes?
uses best current evidence to make patient care decisions
What can invalidate previously accepted diagnostic tests or treatments?
New evidence from clinical research
What is clinical expertise?
Using experience to ID a patient’s unique health state and then the risks/benefits of potential intervention
Why are published journal articles an inefficient way to keep clinical decision making skills sharp?
There is an overwhelming number of articles
What are a Dentist’s motivations to practice EBD?
Less likely to put patient at risk
Reduce errors and variability in clinical care
What should all clinical actions be based on?
Sound quantitative evidence from high quality clinical/epidemiological research
Who is the burden on to remain up to date?
The Dentist
What are two patient centered facts that increase the importance of EBD?
Increasing expectation of quality care
They have ready access to poor quality information on the internet
What do insurance companies want to know about procedures?
Do they work
Is it likely to produce the most successful outcome?
How do we know it works?
What is an example of a therapy that is now funded by insurance thanks to research and EBD?
Nicotine Replacement Therapy
What are the 5 Steps (A’s) of EBD
Ask Acquire Appraise Apply Assess
What does the Ask step entail?
Converting the need for information into an answerable question
What does the Acquire step of EBD entail?
Use the best evidence available to answer questions
What does the Appraise step of EBD entail?
Critically evaluating evidence for validity and impact
