PHRM3031 intro

Question 1

evidence based practice definiton

Answer 1

the conscientious, explicit and judicious use of current best evidence in making decisions about the care the individual patient. it means integrating individual clinical expertise with the best available external clinical evidence from systematic research

Question 2

the evidence hierarchy

Answer 2

1. system reviews metanalysis
2. RCT’s
3. cohort studies
4. case-control
5. cross-sectional studies
6. case series, case reports
7. ideas, opinions, editorial, anecdotal

Question 3

efficacy

Answer 3

does the intervention possess the proposed benefits in a defined (and often experimental) population?

Question 4

effectiveness

Answer 4

does the intervention possess the proposed benefits in patients under routine care?

Question 5

smart searching: 6 steps

Answer 5

1. what is your question?
2. what type of clinical question?
3. what type of research is best for this type of question?
4. what are the databases most likely to capture both the research method and topic?
5. what are the best search strategies to use?
6. how do I screen the search results?

Question 6

PICO

Answer 6

P population or patient
I intervention or exposure
C comparator
O outcome

Question 7

EBP process –> 5As

Answer 7

1. ask an answerable question
2. access the best evidence
3. appraise (critically the articles
4. apply the information
5. audit