Evidence Based Medicine

Question 1

Define EBP?

Answer 1

Conscientious, explicit and sensible use of current best evidence in making decisions about the care of a patient.

Question 2

Clinical decisions should be based on?

Answer 2

Up-to-date, relevant and robust evidence

Question 3

What is the importance of evidence based medicine?

Answer 3

It enhances clinical effectiveness, decision making and ensures patients are given the best, most effective treatment by doctors using the best evidence.

Question 4

What are the three principles of evidence based medicine?

Answer 4

1. High quality health care rests on objective and clinically relevant information. 2. There is a hierarchy of evidence where some types are stronger than others. 3. Scientific data alone is not a sufficient basis for making clinical decisions about individual patients.

Question 5

Why is EBM essential?

Answer 5

It provides correct answers to questions about the effects of therapy, utility of diagnostic tests, prognosis of disease and etiology of disorders

Question 6

What are some of the Cons of EBM?

Answer 6

• Some people believe this is something clinicians have always done. - It identifies statistically significant benefits which may be marginal in clinical practice, - It generates massive volumes of evidence and guidelines which are unmanageable. - It is the mindless application of population statistics.

Question 7

What are some of the Pros of EBM?

Answer 7

• Formalises the old process doctors have always used. - It is only one part of the process and should not be used alone. - Produces expert judgement in a format clinicians can understand. - Doctors should determine if the EBM is applicable to patient.

Question 8

How do you practice evidence based medicine?

Answer 8

• Create clinical question, - Search medical literature, - Find best study, - Preform critical appraisal, - Determine how it will help patient, - Evaluate results in patient.

Question 9

Try draw the evidence pyramid

Answer 9