EVIDENCE-BASED MEDICINE. Dr. Gerry Gormley Clinical Research Registrar Dept. of General Practice QUB. OBJECTIVES. Define the term EBM Understand the components involved in EBM Describe how to develop an ‘answerable question’ List several resources of evidence
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Dr. Gerry Gormley
Clinical Research Registrar
Dept. of General Practice
‘The process of systematically finding, appraising and using contemporaneous research findings as a basis for clinical decisions’.
‘EBM begins and ends with patients’
1) Convert patient health care needs into answerable questions.
2) Track down the best evidence.
3) Critically appraise evidence.
4) Apply the results into clinical practice.
5) Evaluate your performance.
‘Answerable questions are the backbone of practising EBM’
In practice, good questions usually include:-
PATIENT In patients with
AF and who are >65….
INTERVENTION ….would adding
COMPARSION ….when compared with
OUTCOME ….lead to lower mortality or morbidity from VTE. Is this enough to be worth the increased risk of bleeding?
General search strategy:-
Bandolier web site
UK Primary care EB database
Lycos, yahoo etc.
Hierarchy of study designs:-
Case controlled study
Cross sectional study
Prescribing / referral rates
Mortality / morbidity rates