Clinical Procedures II Test I: EBM
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Created by:
monkey93063 on February 1, 2011
Classes:
Clin Procedures II, Penn College PA program 2012
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28 terms
Terms | Definitions |
|---|---|
 the conscientious, explicit, and judicious use of the best evidence in making decisions about the care of individual patients | EBM |
| providers need _________therapies to offer pts. | proven |
| application of the best ______ available in medicine to the patient in your office with a particular medical problem | evidence |
| in the past when an answer was unknown you went to ______ | the eldest provider for the answer (the most experienced) |
| Now when the answer is unknown we consult _______ to determine what decision is associated with the best clinical outcome | medical evidence (the best proven) |
| what are the 3 components to EBM | clinical problem solving, medical information systems, and critical appraisal of medical literature |
| good questions, epidemiology, and statistics are used in | clinical problem solving |
| up to date, pubmed, cochrane, etc. are examples of | medical information systems |
| statistics, epidemiology, knowledge of study design and level of evidence represent the | critical appraisal of medical lit |
| why EBM | too many pts., too many problems, too many journals, info overload, no time, read only what your familiar with, avoid difficult issues |
| truth is a probablility statement..... | that what we do for pts. Does more good than harm |
| deductive way to find out what is true | EBM |
| the focus is on outcomes that work not _______ | what ought to work |
| The five A's | Ask, access, appraise, apply, assess |
| ask is | formulate and ask a question |
| access is | access the information |
| appraise is | critically appraise the evidence |
| apply is | apply the evidence |
| assess is | assess the usefulness of the information in practice |
| the 6 steps in EBM | create a clinical question (PICO), search the medical lit, find the study that will answer your question and note the effect size, perform a critical appraisal of the study to determine validity, determine if/how results will help your pt (external validity), evaluate the result in your pts. |
| evidence packaging began in the | UK |
| CAT | critically appraised topic |
| DOE | disease oriented evidence |
| POEM | patient oriented evidence that matters |
| JCB | journal club bank |
| DOE vs POEM | some studies may only review the disease but may irrelevant to your pt., some studies directly matter to your pts. |
| improves decision making confidence, help communication, decreases time wading through lit, fosters focused productive reading, lessens lag time for applying and finding research, dovetails with tech such as pda's and databases | advantages of EBM |
| requires commitment, time, effort, not everyone is equally skilled at data searches, not everyone can afford resources, not everyone is equally skilled at appraising literature, better know and choose reliable filters, there is a risk of misinterpretation | disadvantages of EBM |
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