Flashcards in Session 2 - Evidence-based parctice Deck (8)
What is evidence-based practice?
-The integration of individual clinical expertise with the best available clinical evidence from systematic research
Why is evidence-based practice important?
-Ineffective/inappropriate interventions waste money and resources
-Variations on treatment when decided solely by clinician creates inequity
-Without evidence new intervention could be harmful
-EBM results in the most effective interventions being used which is fair to all
What is the alternative to evidence based practice?
-Practice based on professional opinion, clinical fashion, historical president and social culture
Why is it good to use systematic reviews in EBM?
-Primary literature can be biased
-Quality of review can be poor
-address clinical uncertainti and quality control by surverying all the literature
-Highlights gaps in research
Describe some practical criticisms of EBM
-Impossible task to create and maintain systematic reviews across all specialities
-Challanging and expensive to disseminate and implement findings
-RCTs not always ethical
-Limits interventions trialled to biomedical ones
Describe some philosophical criticisms of evidence based medicine
-Population-level outcomes do not always work for individuals
-Potential for EBM to crease unreflective rule followers out of clinicians with the potential to undermine the dr-pt relationship
Describe some problems of implementing EBM in pratice
-Ineffective dissemination can leave some doctors unaware
-Doctors may choose not to follow EBM out of habit/judgement
-Some organisations cannot support innovation