“The central and simple message of evidence-based practice is that best research evidence needs to be combined with patient values and circumstances, along with practitioner expertise.” *
The goal is using best evidence to improve patient care.
*Centre for Evidence-based Medicine 2014
FIVE STEPS OF EBD
1. Asking Focused Questions
Use PICO to Create a Search Question
Population / Intervention / Comparison / Outcome
2. Finding the Evidence
Best Evidence:
- Systematic Reviews
- Randomized Controlled Trials.
3 key steps: *
- Identify terms for your PICO question
- Look for Secondary Sources
- Search for Primary Sources
3. Critically Appraising the Evidence
Use pre-appraised Secondary Sources
Critical Appraisal tools for Primary Sources:
4. Making a Decision
Translation of Evidence into Practice Based on Clinical Expertise & Patient Concerns
5. Evaluation of Performance
How do you evaluate it?
What does your patient think?
How could you do it better next time?
