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Evide nce Based Practice

Evide nce Based Practice. INLS 705. Better performance in medicine. Diligence Do right Ingenuity. Goals. evidence-based medicine? evidence-based healthcare? evidence-based clinical practice? EBM?. What is. Purpose of EBM. Emphasizes evidence from clinical research

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Evide nce Based Practice

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  1. Evidence Based Practice INLS 705

  2. Better performance in medicine Diligence Do right Ingenuity

  3. Goals

  4. evidence-based medicine? evidence-based healthcare? evidence-based clinical practice? EBM? What is

  5. Purpose of EBM • Emphasizes evidence from clinical research • New rules and skills for learning and awareness

  6. EBM process • Assess the patient • Ask a question • Acquire resources • Evaluate and appraise the information • Apply to the patient • Evaluate your performance

  7. Lifelong learning

  8. Why is EBM necessary?

  9. Opponents of EBM

  10. Ask PICO question • PATIENT/PROBLEM In school children with active head lice • INTERVENTION is wet combing • COMPARISON or malathion lotion • OUTCOME a more effective treatment in eliminating live head lice?

  11. Common types of questions Therapy Diagnosis Prognosis Harm/Etiology

  12. Activity • Here are some recent NY Times articles on health • Phrase a PICO question that comes to your mind • Share

  13. Health evidence from research

  14. Types of research designs - 1

  15. Types of research designs - 2

  16. Hierarchy of evidence

  17. Appropriate research design

  18. Example resources Electronic textbooks and libraries Harrisons MD Consult STAT!Ref Meta-Search Engines TRIP: Turning Research into Practice SUMSearch Summaries of the primary evidence ACP Journal Club UpToDate Clinical Evidence POEMs and InfoRetriever eMedicine DynaMed Evidence Matters Databases MEDLINE Cochrane Library EBM Reviews (Ovid)

  19. Roles for information professionals

  20. Learn more about EBM? INLS 890-03W: Evidence Based Medicine

  21. Information synthesis

  22. Sharing information • Open movements • Open access • Open courseware • Web 2.0: podcasts, etc.

  23. What a waste!

  24. Transparent Convenient Universal tailored to personal needs

  25. Mashups, GIS, visualization

  26. Writing concisely In a Station of the Metro by Ezra Pound The apparition of these faces in the crowd; Petals on a wet, black bough. Ernest Hemingway

  27. Tips Headings in MS Word Spreadsheets for writing Pretend you’re talking to your friend about the key points

  28. Readings

  29. Readings

  30. Portal to good EBM resources http://www.mclibrary.duke.edu/subject/ebm?tab=contents

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