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Written for students and clinicians seeking a clear and simple model for putting evidence-based medicine into practice, it systematically covers the fundamentals: medial decision-making techniques; accessing medical information; and assessing the validity of medical information. Case examples of how to analyze the literature are also included.
The accompanying CD-ROM contains clinical examples, critical appraisals and background papers.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
"This research methods textbook distinguishes itself from other textbooks by providing a unique framework and perspective for users/students to establish the relevancy of research in their clinical practice. Many, if not most, students in professional preparation allied health care programs view the research methods/statistics course requirement of the curriculum as an obstacle to be overcome, or at best, as a necessary evil. Most research methods textbooks promote these notions because of the way they are presented. Of course, most times they are written by researchers or statisticians and are absolutely correct in presenting the theoretical underpinnings and mechanistic applications of the scientific method. They correctly present explanations as to why one type of methodology requires a certain type of statistical analysis based on the characteristics of the study population, the type of data collected, or the underlying assumptions pertinent to a specific statistical model. So, while technically beyond reproach, their failure is in establishing how and why research activity and understanding is integral to a professional practice"--Provided by publisher.
Evidence-Based Diabetes Care is designed to help clarify the strengths and weaknesses upon which current clinical practice is based. This is a valuable source of important, up-to-date information for all clinicians and researches concerned with improving the quality of life of those affected by diabetes and its subsequent complications. Comprehensive commentary encompasses the areas of diabetes epidemiology, assessment of diagnostic tests, and development and assessment of management options.
Guidelines for the clinical practice of medicine have been proposed as the solution to the whole range of current health care problems. This new book presents the first balanced and highly practical view of guidelinesâ€"their strengths, their limitations, and how they can be used most effectively to benefit health care. The volume offers: Recommendations and a proposed framework for strengthening development and use of guidelines. Numerous examples of guidelines. A ready-to-use instrument for assessing the soundness of guidelines. Six case studies exploring issues involved when practitioners use guidelines on a daily basis. With a real-world outlook, the volume reviews efforts by agencies and organizations to disseminate guidelines and examines how well guidelines are functioningâ€"exploring issues such as patient information, liability, costs, computerization, and the adaptation of national guidelines to local needs.
Evidence-Based Clinical Practice in Nursing and Healthcare examinesthe Joanna Briggs Institute model for evidence-based practice whichrecognises research, theory and practice as sources of evidence andtakes a practical approach to developing, implementing andevaluating practice, based on 'evidence' in its broadestsense. Evidence-based Clinical Practice in Nursing and Healthcareaddresses the nature of evidence in clinical practice, generatingand synthesising evidence, and transferring and utilising evidencein clinical practice. It describes the development of practiceinformation sheets and clinical guidelines and provides practicalguidance on the implementation of evidence-based practice and itsevaluation using clinical audit.
This user-friendly guide to evidence-based practice will serve as a guide to implementing evidence-based practice in nursing and healthcare.