tailieunhanh - Evidence-Based Medicine: mini-manual

A man of native intelligence and shrewdness, and of good business training. Doctor Charles Harley Cleaveland might have rendered signal service had he not proved tactless and turbulent and disposed to controversialism. He knew little concerning Eclectic medicines, and through his conduct in the matter of the resinoids he became the most potent factor in bringing about the imbroglio which disrupted the college and led to the institution of a rival school in 1856. From the foregoing it might appear that the college had accomplished nothing in the first years of its existence, because of the frequent involvement of men and. | Evidence-Based Medicine mini-manual Based in part on the Evidence-Based Medicine Toolkit http ebm . a collection of tools for identifying assessing and applying relevant evidence for better health care decision-making. The appraisal tools are adapted from the Users Guides series prepared by the Evidence Based Medicine Working Group and originally published in JAMA Jeanette Buckingham John W. Scott Health Sciences Library University of Alberta Bruce Fisher Department of Medicine Duncan Saunders Department of Public Health Sciences July 2007 What is Evidence-Based Medicine Evidence-based medicine is the conscientious explicit and judicious use of the best current evidence in making decisions about the care of individual patients. David L. Sackett et al. BMJ 1996 312 71 Evidence-based practice is a process of care that takes the patient and his or her preferences and actions the clinical setting including the resources available and current and applicable scientific evidence and knits the three together using the clinical expertise and training of the health-care providers. Haynes et al. 2002 What are the steps of practicing Evidence Based Medicine Analyze the clinical situation. Ask a focused clinical question Access the clinical research literature . the evidence Appraise the best evidence you have found Apply the evidence to care of your patient Assess the effectiveness of care based on this evidence Looking for the evidence What kind of study Descriptive documents and communicates experience begins the search for explanations . case reports case series population studies general review articles Explanatory makes comparisons Observational--investigator observes nature Cohort studies usually prospective Case-Control studies usually retrospective Cross-sectional studies Experimental--investigator introduces an intervention controlled trial randomized controlled trial randomized placebo-controlled trial .

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