Evidence-Based - Lecture 1 (EBM)
- Created by: Former Member
- Created on: 29-03-16 18:03
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- Lecture 1 - EBM
- The integration of best research evidence with clinical expertise and patient values
- Why do we need it?
- To have clear reasons to guide clinical decisions and care
- To contribute to good clinical governance - improving quality of care in NHS
- To be accountable for your decisions in clinical practice
- 5 steps of EBM
- 1. Formulate an answerable question
- 2. Track down the best evidence
- 3. Critically appraise the evidence for validity, clinical relevance and applicability
- 4. Individualise, based on clinical expertise and patient concerns
- 5. Evaluate your own performance
- Before EBM
- Dogma: natural is best
- Tradition: we've always done it that way
- Convention: everyone does it this way
- Trial and error
- Overall medicine was ritual more than science
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