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Evidence based medicine

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Information about Evidence based medicine,procedure in steps, Benefits of EBM, PICO, 5'a"s in EBM Method.

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Evidence based medicine

  1. 1. EVIDENCE BASED MEDICINE
  2. 2. EBM INCLUDES:
  3. 3. WHETHER TREATMENT BENEFITS PATIENT?
  4. 4. EBM HAS TRIPLE AIM OBJECTIVE IMPROVED QUALITY IMPROVED PATIENT SATISFACTION REDUCED COSTS
  5. 5. It is done by 5 steps Step 1: Assess the patient condition Step 2: To ask a question Step 3: Aquire the best evidence Step 4: Appraise the evidence Step 5: Apply the evidence to patient
  6. 6. Assess the patient condition: History. Diagnosis :  Physical Examination  Objective data-Lab details like X rays, blood tests Differential diagnosis should be conducted in all the diseases. Step 1:
  7. 7. ASK A QUESTION: Asking a clinical questions to patient by pharmacist after assessment? PICO is the useful tool in asking a clearly focused question. The complicated clinical question can be dissected into small parts (PICO) and in a way that the patient can clearly structure the question. The terms of PICO can be used in searching for medical literature. Step 2:
  8. 8. 4 ELEMENTS WHILE ASKING THE QUESTION: EXAMPLE:
  9. 9. Step 3: TO AQUIRE BEST EVIDENCE: High quality evidence is obtained from:  Textbooks  Medline or Pub med search  Clinical research  Systematic reviews  Browse online electronic databases
  10. 10. Apprasial means Verifying the results valid? What are the results? Are the results suited to our patient? •Screening for internal validity and relevance. •Determining the intent of the article. •Evaluating the validity based on its intent. •Critically appraise articles yourself. Step 4:
  11. 11. APPLY THE EVIDENCE: Best documented critically appraised research evidence is already with us.  Patient values to be considered while applying evidence are  Economical/Financial status of patient.  No contraindication for drug to be applied.  Dosage form preferred.  Integrate the evidence with clinical expertise and patient preferences. Evidence is applied on patient. Step 5:
  12. 12.  Minimize the errors in patient care  Reduces the cost of treatment to patient  Optimizes the quality patient care.  Skills learned in practicing evidence based medicine are very same ones needed for being a lifelong, self- directed learner. Habit of accessing literature on a daily basis is the best guarantor of ensuring advancement of knowledge and keeping abreast of scientific progress.
  13. 13. REFERENCES: 1. https://www.google.co.in/search?q=evidence+ based+medicine&biw=1242&bih=557&source= lnms&tbm=isch&sa=X&ved=0ahUKEwi-xI7epaf 2. http://www.slideshare.net/healthcatalyst1/5- reasons-the-practice-of-evidencebased- medicine-is-a-hot-topic 3. http://www.slideshare.net/DrSUHASINIKANYA DI/evidence-based-medicine-43822003
  14. 14. THANK YOU…

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