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Evidence-Based Decision-Making Essay

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An ever increasing trend in the healthcare industry is the emphasis on evidence-based decision making. If we, as clinicians, want to contribute to better medical practices, we need to conduct more research by utilizing already existing literature. In order to create foundation for the research, Riva, Malik, Burnie, Endicott, & Busse (2012) suggest that we ask the right questions first. The PICO format, where the “P” stands for population, “I” for intervention, “C” for comparison, and “O” for outcome, is an invaluable tool for framing our research strategy. The quest starts with identifying a problem, which in our field is the poor patient outcome. For example, Chronic Obstructive Pulmonary Disease (COPD) and the decreased quality of life associated with it, a common knowledge in the medical circles, imposes the problem for which we need to find a better solution in our community. To initiate the PICO framework, we need to identify the patient population or the participants involved in a study that are affected by this poor outcome. To pinpoint an example, let us focus on a person suffering with COPD, presenting with mild to moderate symptoms. Our person of interest either does not qualify for a pulmonary rehabilitation program or has already graduated from one and does not exercise on their own. The next step is to…show more content…
To fine tune the study, we can narrow down the patient demography by an age bracket, or compare it to the control group enrolled in a pulmonary rehabilitation program. On the other hand, we may deem the 6MWT as the best indicator for quality of life and stick with that for the next study. Identifying the strengths and weaknesses of our clinical research question will help us formulate a better PICO question, which will lead to more relevant answers in the
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