Lesson 5 Flashcards
1
Q
What is evidence bases medicine?
A
The process of turning clinical problems into questions and then systematically locating, appraising, and using contemporaneous research findings as the basis for clinical decisions.
2
Q
What is the EBM process?
A
Assess - evaluating the process Ask - formulating the clinical question Acquire - searching the evidence Appraise - appraising the evidence Apply - incorporating evidence into decision-making
3
Q
How many cigarettes are in a standard pack?
A
20
4
Q
What does PICO stand for?
A
Patient/population
Intervention
Comparison
Outcomes
5
Q
What are things to do to AQUIRE the best evidence?
A
- Defining and refining the research question
- Divide into concepts (PICO)
- Create a search strategy
- Search databases – Cochrane, etc
- Identify MeSH
- Keyword, limits, synonyms.
6
Q
What the the hierarchy of evidence (type of study design)?
A
- System review
- RCTs
- Cohort
- Case control
- Cross sectional
- Case reports, case series
7
Q
What are common features of high quality studies?
A
- Large sample sizes
- Prospective studies
- Blinded
- Random allocation of subjects to groups
- Control Group
- Low loss to follow-up
- Replicated across multiple studies
8
Q
Explain EBM in clinical prioritisation
A
- Evidence based policies
- Evaluating clinical and cost effectiveness
- Equitable service
- Reducing variation in care
- Role for qualitative research
- Clinical audits
- Innovation
- Research
