Evidence-based practice consists of five steps:
1. Ask a searchable clinical question;
2. Find the best evidence to answer the question;
3. Appraise the evidence;
4. Apply the evidence with clinical expertise, taking the patient's wants/needs into consideration;
5. Evaluate the effectiveness and efficiency of the process.
Use the tabs of this LibGuide to learn:
Source: Strauss, S. E. Evidence-Based Medicine: How to Practice and Teach EBM. New York: Churchill Livingstone, 2005.
University of Toronto Centre for Evidence-based Medicine
The website that accompanies the evidence-based practice text by Sackett et al. (2000) entitled "Evidence-Based Medicine: How to practice and teach EBM". It contains links for a glossary of EBP terms, worksheets for critically appraising individual articles on diagnosis, therapy, prognosis, etc. among other resources, including handy online calculators for plugging in numbers to determine sensitivity, specificity, number needed to treat, odds ratios, etc.
Evidence-based medicine (EBM) or evidence based practice (EBP), is the judicious use of the best current evidence in making decisions about the care of the individual patient. EBP also integrates clinical expertise and takes patient desires, values, and needs into consideration.
Dr. David Sackett and his colleagues at McMasters University in Ontario, Canada, initially proposed EBM.
Sackett DL, Straus SE, Richardson WS, et. al. Evidence-Based Medicine: How to Practice and Teach EBM. Edinburgh: Churchill Livingstone, 2000.
EBP differs slightly from EBM, in that it is an umbrella term of sorts; it encompasses evidence-based medicine, evidence-based nursing, evidence-based physical therapy, evidence-based dentistry, etc.
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