Stout on Evidence Based Practice Tools


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Stout on Evidence Based Practice Tools

  1. Evidence Based Medicine: Wouldn’t It Be Nice…? Chris E. Stout, PsyD Department of Research, ATI College of Medicine, University of Illinois, Chicago
  2. It’s nice to work with workers’ comp outcomes because… Outcomes are VERY Quantified – RTW at the same job description and PDL or not? – How many days passed before RTW? – Nice, clean, and tidy!
  3. Surgeon’s Perspective on a Good Outcome • No anesthesia issues • No surprises during or after • No complications • Good wound healing • No post-op infection
  4. But how does the story end? Is the patient back at work? Quickly? At the same PDL as prior to injury? With the same job classification?
  5. Just the facts, er, evidence…
  6. Evidence is predicated on clinical outcomes
  7. So, evidence-based practice ROCKs! Right…?
  8. Half of what you are taught in medical school will be wrong in 10 years’ time, the problem is you don’t know which half. - Sydney Burwell, MD, former Dean, Harvard Medical School
  9. It took an average of 17 years for new knowledge generated by RCTs to be incorporated into practice. –IOM
  10. Not a problem of too little, but too much
  11. • 3600 statistical articles are published on average each year • Do you know how long it would take you to keep up…? Just for Coronary Heart Disease…
  12. If you read 1 article/15 minutes You would have to read >10 articles 7 days/week Forever…
  13. In addition, too often there is a disconnect between actual practice and the evidence
  14. OK, So, now WHAT?
  15. It’s about tools…
  16. Onset Location Duration Character Aggravating/Alleviating Relieving factors Timing & severity
  17. Got an image? Onset Location Duration Character Aggravating/Alleviating Relieving factors Timing & severity
  18. • 75% hit rate for NEJM’s weekly puzzler via cut-and-paste • 96% if fill in the fields
  19. There are a number of resources available
  20. EvidenceUpdates • A joint collaboration of BMJ Group and the Health Information Research Unit at McMaster University • Best new evidence tailored to your interests. • 2-step process shrinks ~50,000 articles/year (from >140 clinical journals) down to the most important 1 - 2 articles per month = "noise reduction" of over 99.9%.
  21. And, wouldn’t it be cool if you could have your latest post-op protocol available to your rehab-referrals? You already do, and for free.
  22. I have been experimenting with a number of online tools….
  23. Tutorials on Information Mastery and EBPs
  24. Evidence-based Medicine Resource Center
  25. Group That Grade the Evidence For You
  26. Curated Library
  27. Please be in touch and get these slides (and more) via