Several groups have been leaders in Evidence Based Medicine. Their initiatives in promoting the practice of EBM are numerous and are detailed in various sections of this guide.
♦ Agency for Healthcare Research and Quality (AHRQ)
♦ Centre for Evidence Based Medicine
♦ Health Information Research Unit-- McMaster University
♦ Joanna Briggs Institute
What is Evidence Based Medicine?
Sackett, et al. defined Evidence-Based Medicine (EBM) as “the integration of best research evidence with clinical expertise and patient values.”
-- Sackett DL, Straus SE, Richardson WS, Rosenberg W Haynes RB. "Evidence-based Medicine: How to Practice and Teach EBM". Edinburgh: Churchill Livingstone.
“EBM is nothing more than a process of life-long, self-directed learning in which caring for patients creates the need for clinically important information about diagnosis, prognosis, therapy, and other clinical and health care issues.”
-- The EBM Working Group
EBM is… “an evolutionary progression of knowledge based on the basic and clinical sciences and facilitated by the age of information technology.”
-- Doherty, Steve. "Evidence-based medicine: Arguments for and Against." Emergency Medicine Australasia 2005; 17: 307-13.
Evidence Based Medicine is a process of life-long, problem-based learning. The process involves:
♦ Converting information needs into focused questions.
♦ Efficiently tracking down the best evidence with which to answer the question.
♦ Critically appraising the evidence for validity and clinical usefulness.
♦ Applying the results in clinical practice.
♦ Evaluating performance of the evidence in clinical application.
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The lecture provides history, definitions, and general background information that is helpful when first learning about evidence based medicine. If you are interested in taking the full online course, please feel free to contact us at firstname.lastname@example.org.
Evidence Based Practice - Introductory Lecture (approximately 10 minutes)
Throughout this guide we have chosen to use the phrase 'Evidence-Based Medicine' or 'EBM'. We acknowledge that many health care professionals prefer the more encompassing terminology of 'Evidence-Based Practice' or 'EBP'. We hope that this guide is helpful to everyone interested in evidence based health care.