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
What does the Apply step of EBD entail?
Integrate evidence with other aspects of EBD
What does the Assess step of EBD entail?
Evaluate the effectiveness of the first 4 steps and then seek ways to improve.
What does PICO/PECO stand for?
Patient/Problem
Intervention/Exposure
Comparator
Outcome
How does PICO save time?
Uses evidence to focus directly on patient needs and address knowledge gaps
How does PICO help when referring patients?
Allows for precise and concise communication with other dentists
What are the 4 types of PICO questions?
Therapy/Prevention
Diagnosis
Etiology/Causation
Prognosis
What are the top 2 levels in the evidence pyramid?
Systematic Reviews/Meta-Analysis
Randomized Double Blind Studies
What are the bottom 2 levels of the evidence pyramid?
In Vitro Research
Animal Research
