Evidence-Based Medicine and the Search for a Science of Clinical Care

Evidence-Based Medicine and the Search for a Science of Clinical Care

Author: Jeanne Daly

Publisher: Univ of California Press

Published: 2005-05-11

Total Pages: 300

ISBN-13: 9780520931442

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Patient management is the central clinical task of medical care. Until the 1970s, there was no generally accepted method of ensuring a scientific, critical approach to clinical decision making. And while traditional clinical authority was under attack, there was increasing concern about the way in which doctors made decisions about patient care. In this book, Jeanne Daly traces the origins, essential features, and achievements of evidence-based medicine and clinical epidemiology over the past few decades. Drawing largely on interviews with key players, she offers unique insights into the ways that practitioners of evidence-based medicine set out to generate scientific knowledge about patient care and how, in the process, they reshaped the way medicine is practiced and administered.


Evidence-Based Medicine and the Changing Nature of Health Care

Evidence-Based Medicine and the Changing Nature of Health Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-09-06

Total Pages: 202

ISBN-13: 0309113695

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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.


The Philosophy of Evidence-based Medicine

The Philosophy of Evidence-based Medicine

Author: Jeremy H. Howick

Publisher: John Wiley & Sons

Published: 2011-02-23

Total Pages: 248

ISBN-13: 1444342665

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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.


Evidence-based Medicine

Evidence-based Medicine

Author: Sowdhamini Wallace

Publisher: Nova Science Publishers

Published: 2022

Total Pages: 363

ISBN-13: 9781685077006

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"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"--


Evidence-based Medicine

Evidence-based Medicine

Author: Sharon E. Straus

Publisher: Elsevier Masson

Published: 2005

Total Pages: 306

ISBN-13: 9782842997731

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The accompanying CD-ROM contains clinical examples, critical appraisals and background papers.


Fundamentals of Evidence Based Medicine

Fundamentals of Evidence Based Medicine

Author: Kameshwar Prasad

Publisher: Springer Science & Business Media

Published: 2013-08-16

Total Pages: 165

ISBN-13: 8132208315

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This is a basic book on evidence-based medicine (EBM). It starts with an introduction to the topic. It outlines the relationship between EBM and research and quality of care. Then It goes on to cover the most commonly used modules of EBM, i.e. therapy, diagnosis, prognosis and meta-analysis. Each module starts with an introduction to fundamental concepts, and description of the related research process, and then follows the critical appraisal of related type of research artcle. At the end, it covers the different systems of grading of level of evidence and strength of recommendations. The book also has three examples of critical appraisal on diagnosis, therapy, and meta-analysis.​


Crash Course Evidence-Based Medicine: Reading and Writing Medical Papers Updated Edition - E-Book

Crash Course Evidence-Based Medicine: Reading and Writing Medical Papers Updated Edition - E-Book

Author: Amit Kaura

Publisher: Mosby

Published: 2015-06-03

Total Pages: 278

ISBN-13: 0723439427

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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.


Clinical Practice Guidelines We Can Trust

Clinical Practice Guidelines We Can Trust

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-06-16

Total Pages: 217

ISBN-13: 030921646X

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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.


Evidence-Based Emergency Care

Evidence-Based Emergency Care

Author: Jesse M. Pines

Publisher: John Wiley & Sons

Published: 2013-01-22

Total Pages: 502

ISBN-13: 0470657839

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This book for emergency physicians and fellows training in emergency medicine provides evidence-based information on what diagnostic tests to ask for and when and how to use particular decision rules. The new edition builds on the success of the current book by modifying the presentation of the evidence, increasing the coverage, and updating the current information throughout.