EBM . Definition from center for evidence based medicine-oxford -UK: Evidence-based medicine is the conscientious , explicit and judicious use of current best evidence in making decisions about the care of individual patients. What is evidence-based medicine (EBM)?.
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EBM is the integration of the best research evidence with clinical expertise and patient values.
Evidence-based individual decision making
In order to practice EBM we need to first appreciate that we don’t always know all the answers to our clinical questions. Once that fact has been appreciated, the following five skills need to be mastered.
P: post partum mothers with psychoses
I : ECT was used as a treatment
C: Compared to another group who used antipsychotic as a treatment
O: Rapid improvement of clinical symptoms
The Hierarchy of Evidence ( From Top to Bottom ):
Points to remember From epidemiology and statistics:
Guidelines : can be considered a top-down approach to evidence based practice .particularly useful when there is :
Audit Committee at MHS
A mental health information system (MHIS) is a system for collecting, processing, analyzing, disseminating and using information about a mental health service and the mental health needs of the population it serves.
3. Processes 4.Outcomes
→It can offer a way of providing accurate, consistent information about a mental health service.
→It helps improve coherency of planning; rational planning is not possible without accurate information.
→It is an essential tool in policy implementation and evaluation. Without accurate information, policy-makers cannot assess whether policy objectives are being achieved.
→It can assist service providers by recording and monitoring the needs of individual service users.
→It provides a means of reporting the interventions that are used, and can thus be linked to the ongoing improvement of service quality.
Dr. Fahmy Bahgat, ABPsych.
Manger Mental Health Information Center,MHS,MOHP