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Author : Jeanne Daly
Publisher : Univ of California Press
Page : 292 pages
File Size : 46,8 Mb
Release : 2005-05-11
Category : Medical
ISBN : 9780520243163
Jeanne Daly traces the development of evidence-based medical practices from the 1970s until the present day.
Author : Jeremy H. Howick
Publisher : John Wiley & Sons
Page : 248 pages
File Size : 51,8 Mb
Release : 2011-02-23
Category : Medical
ISBN : 9781444342666
Evidence-based medicine (EBM) has become a required element of clinical practice, but it is critical for the healthcare community to understand the ongoing controversy surrounding EBM. Seeking to address questions raised by critics, The Philosophy of Evidence-based Medicine challenges the over dependency of EBM on randomized controlled trials. This book also explores EBM methodology and its relationship with other approaches used in medicine.
Author : Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Publisher : National Academies Press
Page : 202 pages
File Size : 40,6 Mb
Release : 2008-09-06
Category : Medical
ISBN : 9780309113694
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author : Trisha Greenhalgh
Publisher : John Wiley & Sons
Page : 185 pages
File Size : 52,8 Mb
Release : 2010-11-18
Category : Medical
ISBN : 9781444390360
How to Read a Paper describes the different types of clinical research reporting, and explains how to critically appraise the publications. The book provides the tools to find and evaluate the literature, and implement the findings in an evidence-based, patient-centered way. Written for anyone in the health care professions who has little or no knowledge of evidence-based medicine, it provides a clear understanding of the concepts and how to put them into practice at the basic, clinical level. Changes for the 4th edition The fourth edition will include two new chapters on important developments in health care research and delivery, but otherwise retains its original style, size, and scope. New chapter on quality improvement – describing papers on quality improvement projects using ebm methods; this will extend the readership to non clinical health care professionals working in hospitals and family practice, and to nurse specialists and practice nurses working in this field New chapter on complex interventions - how to set up research projects involving both qualitative and quantitative methodology (known as mixed methods) Thorough revision and updating of existing chapters and references New illustrations – diagrammatic representations of ebm concepts
Author : Institute of Medicine,Board on Health Care Services,Committee on Standards for Systematic Reviews of Comparative Effectiveness Research
Publisher : National Academies Press
Page : 267 pages
File Size : 48,6 Mb
Release : 2011-06-20
Category : Medical
ISBN : 9780309216715
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Author : Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines
Publisher : National Academies Press
Page : 217 pages
File Size : 44,9 Mb
Release : 2011-06-16
Category : Medical
ISBN : 9780309216463
Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
Author : Gordon Guyatt,Drummond Rennie,Maureen Meade,Deborah Cook
Publisher : Mcgraw-hill
Page : 860 pages
File Size : 42,9 Mb
Release : 2008-05-21
Category : Medical
ISBN : 007159034X
The #1 guide to the principles and clinical applications of evidence-based medicine has just gotten better! A Doody's Core Title ESSENTIAL PURCHASE for 2011! No other resource helps you to put key evidence-based medicine protocols into daily clinical practice better than Users' Guides to the Medical Literature. An instant classic in its first edition, this detailed, yet highly readable reference demystifies the statistical, analytical, and clinical principles of evidence-based medicine, giving you a hands-on, practical resource that no other text can match. Here, you'll learn how to distinguish solid medical evidence from poor medical evidence, devise the best search strategies for each clinical question, critically appraise the medical literature, and optimally tailor evidence-based medicine for each patient. The new second edition of this landmark resource is now completely revised and refreshed throughout, with expanded coverage of both basic and advanced issues in using evidence-based medicine in clinical practice. FEATURES: Completely revised and updated to reflect the enormous expansion in medical research and evidence-based resources since the first edition Innovative organization guides you from the fundamentals of using the medical literature to the more advanced strategies and skills for use in every day patient care situations Abundant and current real-world examples drawn from the medical literature are woven throughout, and include important related principles and pitfalls in using medical literature in patient care decisions Practical focus on the key issues in evidence-based practice: What are the results? Are the results valid? How to I apply to results to the care of my patients? More than 60 internationally recognized editors and contributors from the U.S., Canada, South America, Europe, and Asia -- the best of the best in the discipline NEW coverage on how to: --Avoid being misled by biased presentations of research findings --Interpret the significance of clinical trials that are discontinued early --Influence clinician behavior to improve patient care --Apply key strategies for teaching evidence-based medicine Also look for JAMAevidence.com, a new interactive database for the best practice of evidence based medicine.
Author : David L. Katz
Publisher : SAGE
Page : 324 pages
File Size : 55,6 Mb
Release : 2001-08-21
Category : Psychology
ISBN : 0761919392
Using clinical examples and citing liberally from the peer-reviewed literature, this book shows how statistical priniciples can improve medical decisions.
Author : Sowdhamini Wallace
Publisher : Nova Science Publishers
Page : 363 pages
File Size : 42,7 Mb
Release : 2022
Category : Medical
ISBN : 1685077005
"This book, Evidence-Based Medicine : From the Clinician and Educator Perspective, is authored by experts in evidence-based medicine (EBM) from various medical specialties and healthcare disciplines across the United States and Europe. This book is geared toward any healthcare professional or trainee who wishes to learn more about critical appraisal of the scientific literature, how to teach EBM and other important facets of EBM. The book covers fundamental concepts in defining clinical questions, literature search strategies and basic biostatistics. Additionally, the book describes the process for critically appraising scientific studies across many different study designs including : observational studies, interventional studies, diagnostic test accuracy studies, systematic reviews and meta-analyses. In addition to these traditional appraisal concepts, readers will learn the principles to consider during appraisal of survey-based research, qualitative research and clinical practice guidelines. Readers will also attain knowledge to prepare them to be skilled in teaching evidence-based medicine in clinical settings, designing EBM curricula for trainees, and implementing strategies for faculty development in EBM. Last, the book covers other important facets of EBM including high value care, the nurse's role in evidence-based practice, and the integration of technology to aid in evidence-based practice. Overall, this book will provide clinicians with the knowledge needed to provide high quality evidence-informed care for patients and to teach the next generation of trainees how to incorporate EBM into patient care"--
Author : Amit Kaura
Publisher : Mosby
Page : 278 pages
File Size : 40,9 Mb
Release : 2015-06-03
Category : HEALTH & FITNESS
ISBN : 9780723439424
Crash Course - your effective everyday study companion PLUS the perfect antidote for exam stress! Save time and be assured you have all the core information you need in one place to excel on your course and achieve exam success. A winning formula now for over 15 years, each volume has been fine-tuned to make your life easier. Especially written by junior doctors - those who understand what is essential for exam success - with all information thoroughly checked and quality assured by expert Faculty Advisers, the result is a series of books which exactly meets your needs and you know you can trust. This essential recent addition to the series clearly brings together the related disciplines of evidence-based medicine, statistics, critical appraisal and clinical audit - all so central to current study and to modern clinical practice. It starts with the basics that every student needs to know and continues into sufficient detail to satisfy anyone contemplating their own research studies. Excel in Student Selected Component (SSC) assessments and that dreaded evidence-based medicine and statistics exam! Ensure you know how to prepare the highest quality reports and maximize your chances of getting published. If you are not sure: why you need to know the standard deviation of a sample when to use a case-control study and when a cohort study what to say to your patient who asks about the benefits and harms of a drug how to argue the case for the inclusion of a drug on the hospital formulary how to make audit and quality improvement work for you, ...then this groundbreaking book is for you! Answer these and hundreds of other questions and lay a foundation for your clinical practice that will inform every consultation over a lifetime in medicine.
Author : Milos Jenicek
Publisher : CRC Press
Page : 400 pages
File Size : 52,6 Mb
Release : 2019-09-19
Category : Medical
ISBN : 9780429584350
This comprehensive text focuses on reasoning, critical thinking and pragmatic decision making in medicine. Based on the author’s extensive experience and filled with definitions, formulae, flowcharts and checklists, this fully revised second edition continues to provide invaluable guidance to the crucial role that clinical epidemiology plays in the expanding field of evidence-based medicine. Key Features: • Considers evidence-based medicine as a universal initiative common to all health sciences and professions, and all specialties within those disciplines • Demonstrates how effective practice is reliant on proper foundations, such as clinical and fundamental epidemiology, and biostatistics • Introduces the reader to basic epidemiological methods, meta-analysis and decision analysis • Shows that structured, modern, argumentative reasoning is required to build the best possible evidence and use it in practice and research • Outlines how to make the most appropriate decisions in clinical care, disease prevention and health promotion Presenting a range of topics seldom seen in a single resource, the innovative blend of informal logic and structured evidence-based reasoning makes this book invaluable for anyone seeking broad, in-depth and readable coverage of this complex and sometimes controversial field.
Author : Tammy Hoffmann,Sally Bennett,Christopher Del Mar
Publisher : Elsevier Health Sciences
Page : 464 pages
File Size : 52,6 Mb
Release : 2013-04-15
Category : Medical
ISBN : 9780729582278
An expanded and revised new E-book edition of the respected evidence-based practice (EBP) foundation text. Evidence-based Practice across the Health Professions, 2nd Edition E-book provides health professions students with the basic knowledge and skills necessary to become evidence-based clinicians. Years after its 2009 publication, Evidence-based Practice across the Health Professions remains one of the few truly multidisciplinary evidence-based practice textbooks meeting the needs of undergraduate and postgraduate students enrolled in inter-professional courses. Fully revised and expanded, the second edition of this key health textbook picks up where the first left off: demystifying the practice of finding and using evidence to inform decision-making across a range of professions and roles within the healthcare sector. Evidence-based Practice across the Health Professions, 2nd Edition E-book covers an additional three health disciplines - now totalling 12 - and features a new chapter on the important role of organisations in promoting evidence-based practice. Additional new content includes a greater emphasis on reflection, new clinical scenarios and additional examples of systematic reviews. The authors’ focused, user-friendly approach helps students understand the importance and implications of evidence-based practice, and addresses the growing importance of collaborative practice and the reality of multidisciplinary health teams in the overall healthcare environment. Worked examples of a wide range of case scenarios and appraised papers (some are discipline-specific and others are multidisciplinary). Designed to be used by students from a wide range of health professions, thus facilitating the student’s ability to understand the needs of multi-disciplinary health-care teams in a real-life setting. Includes a detailed chapter on implementing evidence into practice and other topics that are not typically addressed in other texts, such as a chapter about how to communicate evidence to clients and another that discusses the role of clinical reasoning in evidence-based practice. Summary points at the end of each chapter. Supported by an Evolve resource package that contains revision questions that utilize a range of question formats. Three new health disciplines covered - human movement & exercise science, pharmacy and paramedicine - with new clinical scenarios. New chapter - Embedding evidence-based practice into routine clinical care. Elsevier’s Evolve - an expanded suite of online assets to provide additional teaching and student resources. New examples of appraising and using systematic reviews of qualitative evidence (meta-synthesis) Nine new contributors including paramedicine, CAMS, qualitative EBP and nursing. New larger format and internal design.
Author : Christopher Silagy,Andrew Haines
Publisher : BMJ Books
Page : 220 pages
File Size : 43,8 Mb
Release : 2001-08-08
Category : Medical
ISBN : 0727915681
Evidence Based Practice in Primary Health Care is split into two sections. The frist discusses how the individual can apply evidence based medicine in the clinical setting, and the second covers the wider issue of changes in organisation and strategy to promote better and more effective delivery of care within a practice or primary care group. Chapters are writtten by leading specialists in evidence based primary care from Australlia, the UK,and mainland Europe.
Author : Carl Heneghan,Douglas Badenoch
Publisher : John Wiley & Sons
Page : 112 pages
File Size : 41,9 Mb
Release : 2013-05-06
Category : Medical
ISBN : 9781118684764
This bestselling pocket guide to the skills of evidence-basedmedicine succeeds in demystifying the terminology and processes ina handy and easy-to-follow format, all within the space of 100pages. With an improved layout, this second edition ofEvidence-based Medicine Toolkit offers more up-to-dateguidance as well as new sections on important areas ofresearch. New features of this second edition include: A box for each major database showing how to search theevidence, and highlighting the differences between them Flow charts for different study types New critical appraisal sections on qualitative research andeconomic evaluation Expanded list of EBM resources on the net. With these added features to make the job easier, the newToolkit is now an even better companion for all health careprofessionals using evidence-based methodology in their researchand practice.
Author : Sharon E. Straus
Publisher : Elsevier Masson
Page : 306 pages
File Size : 55,5 Mb
Release : 2005
Category : Medical
ISBN : 2842997735
The accompanying CD-ROM contains clinical examples, critical appraisals and background papers.