Evidence Based Medicine

According to Dr. David Sackett (1996) Evidence Based Practice (EBP) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.”

Evidence based Practice allows for there to be a relationship between the care of patients and the best practices available. In order to achieve this relationship EBP combines a few key components in the clinical setting to enhance decision making to provide the best care possible. These key components are:

It would seem a foregone conclusion that effective clinical practice is based on the best possible, rigorously tested evidence because the public assumes it, patients expect it and practitioners profess to value it. Yet the emphasis on evidence as a basis of clinical practice reached the forefront of health care only in the last two decades. The past decade has seen unprecedented advances in information technology, making research and other types of evidence widely available to healthcare practitioners. Technology has supported the rapid communication of best practice and afforded consumers open access to healthcare information as well. As a result, Evidence Based Practice (EBP) is quickly becoming the norm for effective clinical practice.

Evidence based medicine is a type of medical practice which involves decision making based on the evidence from the research, patient values, clinical experience to provide better quality healthcare services without any errors.

This essay will be a critical review on the study conducted by Majid et al (2011). The article which is titled ‘Adopting evidence-based practice in clinical decision making:

To enable them to do this they need to understand recent research, always weighing up the evidence to their own knowledge base, and expertise. Scientific research enables an approach, to evolving knowledge and practice, and in this way, one can test out their beliefs to either prove or, alternatively, to attempt to disprove them. Another name for critical practice is ‘evidence based practice’. Evidence-based practice (EBP) is an interdisciplinary approach to clinical practice. Its basic principles are, that all practical decisions made, should be based on research studies, and that these research studies, are selected and interpreted, according to some specific norms characteristics for EBP (Birger, 2011). Using EBP gives practitioners the reassurance that they are giving the patient the correct treatment, and not just giving them what they believe is correct, whilst using their own current knowledge only. Practitioners make decisions every day, and for some, these decisions can be life threatening. This enables the practitioner to know, that what they are doing is the right thing to do. Marsh et al. (2005) argues that all practitioners’ actions and their final decision on medication and/or treatment should come from research and proven theory. They tell us, that the better a practitioner is informed; the better it is for those, who find themselves in a highly disadvantaged state i.e., someone who has been diagnosed with a life threatening

Third, professionals who are given new, unusual, and unfamiliar situations may have trouble with accessing and retrieving new evidence (Rousseau & Gunia, 2016). Among these main issues, other criticisms that have arose since its beginning include the effectiveness of treatments and evidence. The first criticism states that evidence-based practice has only one approach, which is only one approach for all people. This is an error within itself and in practice because not all people have the same illnesses and not all people respond to one treatment in the same way (Rousseau & Gunia, 2016). Another criticism is that the practice mainly relies on randomly controlled trials (RCTs), which involves randomly allocating one or other of the different treatments under study. This may affect the patient solemnly on the fact the patient may be receiving only one form of treatment that may increase or decrease effectiveness against their illness, or may be receiving a treatment that has not fully researched and may be excessively failing (Rousseau & Gunia, 2016). Evidence-based practice may also rely heavily on human judgement, which may affect a practitioner 's decision on what type of evidence to use before conducting practice on a patient. Their judgement may not be very stable and acceptable, thus causing various problems in their practice and

Evidence-based practice (EBP) centers around using the current, best evidence available to make patient care decisions. EBP solves issues and problems by searching for the most relevant evidence available and critically appraising it. It then takes into account one’s own clinical expertise, as well as patient values and preferences (Academy of Medical-Surgical Nurses, 2017). The goal of evidence-based practice is to provide optimal clinical service while treating the patient as an individual (American Speech-Language-Hearing Association, 2017).

Great post Danielle, Evidence based medicine provides the best patient outcome, and It is a guide that prevents providers from ordering unnecessary treatments. Due to the frequent changes in healthcare, providers needs to stay current, and the best way to do that is to adopt the evidence-based practice. Clinicians can be misled into bad practice; when they adopt medical practices that are based on expert opinion (Mayer, 2006). Evidence-based practice will prevent them from such practices; they will assess the evidence and decide whether it would benefit the patient or not. Also, the patient can participate in the decision-making process.

The three categories of models are for, designing and implementing systematic approaches to, in return, strengthen the evidence-based clinical decisions that are made. As stated in the book, evidence- based clinical decision making can be described as a prescriptive approach to making choices in diagnostic and intervention care, based on the idea that research- based care improves outcomes most effectively. These models set grounds for medical or healthcare professionals

Evidence based medicine is utilizing the most accurate and current scientific research to guide the case management of clients in conjunction with the clinical experience of the treating practitioner. It also takes into account the patients individual circumstances, their treatment expectations, viewpoints, values and choices.

Evidence based medicine is reliable and thoroughly gathered information from trustworthy sources and skilful research. This information is precise that is stated clearly, in detail and leaves no room for confusion or doubts.It ensures that any choices made about an individual’s health are based upon information gathered from up to date, well designed and conducted research.

Evidence-based medicine (EBM) is a method that treats clinical issues by utilizing best scientific research, clinical expertise, and patient values. Many patients die from medical errors which can be prevented. As a result, EBM can be implemented to prevent these errors and as a result, improve the quality of healthcare provided to patients. Furthermore, health care costs are rising and the industry is trying to find ways to decrease those costs. They believe by employing the EBM it can help to remove redundant tests that are performed. “With the cost of health care rising along with its benefits, creating an evidence-based system will be critical to achieving the promise of personalized medicine in which treatments are more targeted to those

The term "evidence-based medicine", as it is currently used, has two main tributaries. Chronologically, the first is the insistence on explicit evaluation of evidence of effectiveness when issuing clinical practice guidelines and other population-level policies. The second is the introduction of epidemiological methods into medical education and individual patient-level decision-making.

Evidence-Based Management theory started from the success of Evidence–Based Medicine. By continued observance of cause and effect on patients, doctors can make a better prognosis on future patients, therefore eliminating unneeded care and cost. The attributes of evidenced based medicine provide a useful reference point for exploring what its counterpart in management might look like (ROUSSEAU, 2006) .