Evidence Informed Best Practice. Dr. Richard Volpe Professor and Projects Director Life Span Adaptation Projects University of Toronto 45 Walmer Road, Toronto, Ontario, Canada email: [email protected] April 24, 2007. Evidence-Based Practice.
“the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients” requiring the “integration of best research evidence with clinical expertise and patient values” (Sackett, 2000)
“The systematic application of the best available evidence to the evaluation of options and to decision-making in clinical, management and policy settings.” (Prime Minister’s National Forum on Health in 1997)
Nature of Evidence
Shortage of Evidence
Implement an evidence-based injury prevention practices in Ontario.
Evaluate their effectiveness and potential in reducing the incidence of head and spinal cord injury.
To assist communities and other interested stakeholders to go forward after the implementation evaluations and to secure long-term funding.
Determine policy impact and implications of implementations.
Inform and make recommendations to the provincial government and other stakeholders on the feasibility of this strategic initiative and any implications for future directions.
Survey the range of neurotrauma prevention strategies and programs.
Identify examples of effective, evidence-based practice.
Describe, analyze and evaluate these in terms of their effectiveness for diverse age groups.
Develop and strengthen networks by mobilizing public support and encouraging the participation of stakeholders.
Provide a casebooks of exemplary, evidence based neurotrauma prevention efforts.
Create a means of distributing the casebooks, resource documents and field contacts.
Compendium of Effective, Evidenced Based Practices In the Prevention of Neurotrauma
Preventing Neurotrauma: A Casebook of Evidenced Based Practices
Road Safety Review
Source book of Evidenced-Based Practices in the Prevention of Severe Injuries
Science and Sustainability in Injury Prevention
Preventing Severe Sports injuries
Stay On Your Feet (SOYF)
Senior Falls Prevention
Best Start Resource Centre
North Bay General Hospital
North Bay Public Health
Midwives of North Bay
Sudbury General Hospital
Sudbury Public Health
Midwives of Sudbury
Credit Valley Hospital
Lakeridge Health Centre
Public Health Services – Healthy Babies
University of Toronto
Life Span Adaptation Projects
Institute of Child Study, OISE/UT
ONF Implementation of a Community-Systems Approach to Injury Prevention- North Bay, Ontario
Nature of Evidence
Shortage of Evidence
Evidence and Action Prevention- North Bay, OntarioEvidence and Prevention
Maternal & Child Health
Public Health Nursing
Disaster Control & Emergency Services Communicable Diseases HIV/AIDS Nutrition Chronic Diseases & Conditions Public Health Laboratory Sciences Public Health Informatics Global Health
General Public Health Epidemiology Biostatistics Vital Statistics & Surveillance Environmental Health Occupational Health Health Services Administration Social & Behavioral Sciences Health Promotion & Education Community Health
Socio-cultural Prevention- North Bay, Ontario
The Life Space
Injuries are not the result of accidental events but are predictable.
Risk factors are identifiable and modifiable.
Risk factors can substitute for understanding causes.
Risk factors also point to protective factors.
More than one risk factor usually needed to bring about an adverse outcome.
More than one positive factor usually needed to produce a positive outcome.
Life span transformations in individuals and groups that emerge in the process of adaptation.
“A wise person is one who uses his or her successful intelligence in order to seek a common good, by balancing intrapersonal, interpersonal, and extrapersonal interests; over the short and long terms; through the infusion of values; in order to adapt to, shape, and select environments.”