Session 2 - Evidence-based parctice Flashcards Preview

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Flashcards in Session 2 - Evidence-based parctice Deck (8)
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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


State how some NHS policies encourage EBP

-Clinical governance and quality care commission leagally olblige NHS organisations to follow NICE guidance within 3 months of issue