Lecture 2.1.18 Flashcards
Level of Evidence Pyramid
weakest to strongest
Expert opinion to Meta Analysis
Non-research based evidence
Clinical practice guidelines (IV) EBP projects (V) QI Case Study Expert opinion (MORE)
Quality of Non-research evidence
A: High quality
B:good
C:low
Evidence Apprasial
Level: I-V
Quality: A-C
Level IA is stronger that IIB or IVA
non-Research
weaker evidence
used when research evidence does not exist for isn’t enough
Lit Review
Summary of Lit
generally descriptive
purpose: give background info
Expert opinion
Level V
opinions of expert: commentary articles, letters to editor, cade reports,
make sure they have the credentials to support topic
Editorials
Level V
similar to opinion piece
Issues of public interest
Case Study
level V
in depth look at a single person, group or social unit
descriptive info to understand issues like disease, symptoms, treatment course
can provide alternative explanations or current challenges
EBP and QI
Level V
ongoing efforts to improve quality of care
QI: method to improve workflows and processes
EBP: using evidence to make practice changes
Position or Consensus statements
Level V
Similar to clinical practice guidelines
recommendations that may or may not be supported by research
broad statements of best practic
meant to guide members of a professional org.
Clinical practice guidelines
Level IV
systematically developed statements that guide clinical practice
recommendations that synthesize available evidence
should be developed by a panel of multidisciplinary experts
VARY in QUALITY
Research Evidence
Stronger that non-research
Varies in terms of:
level (determined by research design)
Quality(by clinical appraisal)
High Quality
consistent, generalizable results, sufficient sample size, adequate control, definitive conclusions
Good quality
Reasonably consistent results, sufficient sample size, some control, fairly definitive conclusions,