MIDTERM 01 - Evidence-Based Medicine Flashcards
Combines the practitioner’s clinical expertise and the patient’s desires with the conscientious use of the current best evidence from the clinical literature
Evidence-based medicine (EBM)
3 components of evidence-based medicine (CPC)
Clinical expertise, Patient values, Current best evidence
Is one’s ability to identify the patient’s diagnosis, risks and benefits, and specific clinical circumstance (3 components of EBM)
Clinical expertise
Refers to the individual patient’s concerns, expectations, and preferences that must be integrated into clinical decisions (3 components of EBM)
Patient values
Means high-quality, relevant research, usually from clinical trials that replaces previously accepted treatment standards (3 components of EBM)
Current best evidence
The EBM movement was first described by __________’s group at McMaster University in 1992
Dr. Gordon Guyatt
The EBM movement was first described by Dr. Gordon Guyatt’s group at __________ in 1992
McMaster University
The EBM movement was first described by Dr. Gordon Guyatt’s group at McMaster University in __________
1992
5 A’s of evidence-based practice
Assess, Ask, Acquire, Appraise, Apply
A word or phrase for the patient or clinical problem (PICO format)
P
The intervention (PICO format)
I
Any comparison intervention being considered (PICO format)
C
Outcome of concern (PICO format)
O
A service of the US National Library of Medicine and free through the Internet; contains millions of biomedical citations (Different resources)
PubMed
A product of the American College of Physicians; a journal that reviews over 100 other internal medicine journals (Different resources)
ACP journal club
An online educational product that contains thousands of chapters on basic pathophysiology and current treatment recommendations for diseases of interest (Different resources)
UpToDate
A comprehensive database of evidence-based clinical practice guidelines maintained by the federally funded Agency for Healthcare Research and Quality (Different resources)
National Guideline Clearinghouse
Are a very high-quality, evidence based review addressing well-researched clinical questions (Different resources)
Cochrane reviews
Are defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances” (CE)
Clinical practice guidelines/Evidence-based guidelines
Is typically written as a consensus statement by a group of experts in the associated field
Guideline
