HLSC 3473U Lecture Notes - Lecture 5: Evidence-Based Practice, Evidence-Based Medicine, Clinical Trial
Document Summary
The conscientious explicit and judicious use of current best evidence in making decisions about the care of individual patients . Considered a new paradigm for health professional practice. De-emphasizes intuition, unsystematic clinical experience, biologic rationale. Concerned with making good decisions about effective prevention and treatment strategies, making diagnoses and accurate prognoses. The integration of best research evidence with clinical expertise and patient values . Quality of evidence increases as we move up the pyramid. Rct is on the top of unfiltered resources. Design of rct is preferred broadly recognized as gold standards for effectiveness. Causal relationship between exposure and intervention with an outcome without any bias. Convert the need for information (about therapy/intervention/treatment) into a question that is answerable. Track down the best evidence to answer the question. Integrate critical appraisal with clinical expertise and patent circumstances. Questions can be focused with a clear intervention.
