Test 1.1 Flashcards
What makes up EBP
Best available evidence + patients unique values & circumstances + clinical expertise
What does disablement models consist of
- categorize health and disability using common language
- outlines patient cart & research activites
what does POEM stand for
Patient Oriented Evidence that Matters
What are often overlooked in disablement model framework
Person level and societal level
What does HRQOL stand for
Health related quality of life
Patient- based outcome and HRQOL are based on what?
Person level and societal level
What is an Outcome
The study of the end result of health services that considers patients experiences, preferences and values
What does EBP involve
Involves using current evidence in the medical literature to provide the best possible care to patients
What is EBP a tool for?
For finding evidence and analyzing the quality of the evidence
What does the best research evidence include
- valid and clinically relevant research
- includes basic science
- diagnostic test
- power of prognostic marker
- therapeutic and rehab regimes
What are the steps in practicing EBP
1) craft a clinical question
2) search for the best evidence
3) critically appraise the evidence
4) integrate the evidence
5) evaluate the effectiveness
What does PICO stand for
Patient
Intervention
Comparison
Outcome
What does levels of evidence for EBP include
Used with individual studies to help clinicians to determine the value of the results reported
-usually ranks from 1-5 with 5 being the highest
What does strength of recommendation for EBP include
Used with a body of literature to grade the recommendation for evidence to be used in clinical practice
How many different oxford levels of evidence are there
5
What does level 1 of the oxford level of evidence consist of
- the best and most unbiased info
- systematic reviews, meta-analyses, well-designed RCTs
What does level 2 of oxford level of evidence include
- nonrandomized cohort studies
- poorly controlled RCTs
What does level 3 and 4 of oxford levels of evidence include
Level 3
-retrospective case-control studies
Level 4
- case series studies
- poor quality nonrandomized cohort or case-control studies
What does level 5 of oxford levels of evidence include
- anecdotal evidence or expert opinion
- bench/animal studies
- unpublished clinical observation
What are the three domains to grade the strength of evidence
Quality
Quantity
Consistency
What does SORT stand for
Strength of recommendation taxonomy
What is the strength of grade for the following:
Recommendation based on consistent and good quality patient-orientated evidence
Grade A
Grade the following:
Recommendation based on inconsistent or limited-quality patient-orientated evidence
Grade B
Grade the following:
Recommendation based on consensus, usual practice, opinion, DOE or case series for studies of diagnosis, treatment, prevention or screening
Grade C
What does EBP stand for
Evidence based practice
