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Formulating a Response
Terms in this set (12)
1) develop a defined question from available info
2) perform a literature search to find the most accurate evidence available
3) evaluate the available evidence
4) consider patient specific factors when evaluating the available evidence
5) follow-up & determine the effectiveness of the 1st 4 steps
what're the 5 steps of EBM?
we must accept responsibility & always assume our response will impact patient care, question may not be patient specific, but our answer could be used in later cases
before gathering any evidence or patient factors, what's important to keep in mind?
1) pertinent background info (setting, context, desired detail, etc)
2) pertinent patient factors (demographics, allergies, CC, HPI, PMH, ROS, current meds, labs etc.)
3) patient disease factors (S&S, diagnosis, treatments, complications, etc.)
what're some examples of critical info we need to elicit before researching? (step 2)
1) requestor's name/profession
2) is question patient related?
3) why is question being asked?
4) expectations of requestor?
5) patient history/background needed?
6) how would requestor like response (verbal, written)?
7) how will requestor use this info? (assume it'll be used in patient care)
what're some questions to ask yourself when verifying the context of the question? (step 3)
1) build a database & assess critical factors (perform lit search)
2) analyze & synthesize info to form response (most important step)
what should be done when formulating your response? (step 4)
1) determine requestor's preference for the response (can be provided in multiple formats- verbal, written, etc)
what should be considered when providing the response/recommendation? (step 5)
no (ex: community setting)
is it always possible to follow-up after providing a recommendation?
1) collect: gathering accurate info
2) assess: performing lit search & analysis
3) plan: synthesizing info
4) implement: providing response/recommendation
5) follow-up: performing a follow-up on the response when possible
describe how DI response steps mimic PPCP
(P) patient/population: consider characteristics of patient/demographics of population
(I) intervention: what intervention/treatment is being considered?
(C) comparison: what other treatments/interventions should be compared to one of interest (could be standard of care)
(O) outcome: effect of the intervention of interest; most important piece of info for requestor
describe the PICO method (what does it stand for?)
primary > secondary > tertiary
what's the ranking of the 3 types of sources?
should you use brand or generic names when searching in PubMed?
PubMed, LexiComp, EMBASE
what're some examples of resources used to find drug info?
Sets found in the same folder
Introduction to EBM
Citation review & Intro to study design
Systematic Reviews & Meta-Analyses
Randomized Control Trials
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