Evidence Based Medicine

What is the EBP Cycle/Process: - Answer&Ask - Acquire - Appraise - Apply - Audit What is the EBP Triad? - Answer&1. Clinical expertise 2. Best research evidence 3. Patient values How do you formulate a clinical question using PICO-T? - Answer&P: describe the Patient (age, race, gender) I: Intervention desired C: Comparison to alternative O: Outcome desired T: Time What is the purpose of using PICO to formulate a clinical question? - Answer&Focus clinical treatment on individual patient When is it appropriate to use broader search terms? - Answer&When using specific terms will not give enough information What is the best level of evidence? - Answer&Meta-analysis What is the lowest valued level of evidence? - Answer&Textbook, expert opinion How do you evaluate internet evidence for accuracy, authority, bias, currency and coverage? - Answer&Validity: can I trust the information Clinical importance: are the results important? Applicability: is it applicable to my pt? What are the 4 major categories of clinical questions? - Answer&Diagnosis, Prognosis, Therapy, Harm Which is better evidence for clinical practice? POEM or DOE? - Answer&POEM: patient oriented evidence, using personal experience (DOE: disease oriented evidence, should not affect practice) What is descriptive and inferential statistics? - Answer&Descriptive: pictures of the data (bell curve, plot grams) Inferential: Confidence of decisions relying on the data, use data to make decisions (ex. alpha values)