PoS Flashcards
What is evidence-based practice
integration of clinical expertise, patient values, and the best research evidence in the process for patient care
EBP key points
improves outcomes- using latest and most accurate research
increases healthcare efficiency-reduces unnecessary treatments and focuses resources where they’re most effective
Empowers Clinicians and Patients: Provides clinicians with reliable information for decision making and respects patient preferences
QI
Method: PDCA
Sample: unit level
Human subjects: mehbeh IRB
Data collection: evaluation
Results: improve process
Implications: Process change
Dissemination: unit/agency
EBP
Method: level of evidences
Sample: Patient Population
Human Subjects: shrug IRB
Data Collection: Search & Appraise
Results: Impact
Dissemination: Practice Standards
Research
Method: Qualitative, Quantitative
Sample: Representative
Human Subjects: Need IRB
Data Collection: Validity
Results: Add to body of knowledge
Implications: understand change
Dissemination: Scientific community
How many Doctorate Standards?
13
Background Questions
Ask for general knowledge about a disease/disease process, e.g. what are strategies for SSI? what are LA adjuncts
Foreground Questions
PICO, comparing patient/population interventions and comparing them to standard of care with a few measures
FINER
Feasible, Interesting, Novel, Ethical, Relevant
PICO
Patient/Population/Problem
Intervention
Comparison
Outcomes
Level 1 Evidence
RCT, Systematic Review with/without metanalysis
Level 2 Evidence
System Review with a combo of experimental and non experimental or mixed sutdies
Level 3 Evidence
Non-experimental qualitatitve study, metasynthesis
Level 4 evidence
Clinical Practice guidelines, consensus statements, position statements
Level 5 evidence
Integrative review, literature review, case reports, QI, opinions