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Integrating Research and Practice by
Health care has been called one of the most complex sectors of the U.S. economy. Driven largely by robust innovation in treatments and interventions, this complexity has created an increased need for evidence about what works best for whom in order to inform decisions that lead to safe, efficient, effective, and affordable care. As health care becomes more digital, clinical datasets are becoming larger and more numerous. By realizing the potential of knowledge generation that is more closely integrated with the practice of care, it should be possible not only to produce more usable evidence to inform decisions, but also to increase the efficiency and decrease the costs of doing clinical research. Patient-Centered Clinical Research Network, or PCORnet, is a nation-wide patient-centered clinical research network intended to form a resource of clinical, administrative, and patient data that can be used to carry out observational and interventional research studies and enhance the use of clinical data to advance the learning health care system. The primary goal of the first phase of PCORnet will be to establish the data infrastructure necessary to do such research. In April and June 2014 the Institute of Medicine's Roundtable on Value and Science-Driven Health Care convened two workshops aimed at accelerating progress toward real-time knowledge generation through the seamless integration of clinical practice and research, one of the fundamental concepts of a continuously learning health system, centered on the development of the PCORnet. The first workshop brought together health care system leaders, both administrative and clinical, and researchers to consider issues and strategic priorities for building a successful and durable clinical research network and facilitate progress toward a continuously learning health care system more broadly, including issues related to science, technology, ethics, business, regulatory oversight, sustainability, and governance. The second workshop focused on implementation approaches. Health system CEOs convened to consider strategic priorities and explore approaches to implementation. These workshops will inform the decisions of field leaders moving forward, including PCORI, the PCORnet steering committee, and PCORnet grantees. Integrating Research and Practice is the summary of the presentations and discussions of the workshops.
Publication Date: 2015
Knowledge Translation in Health Care by
Knowledge Translation in Health Care is a practical introduction to knowledge translation for everyone working and learning within health policy and funding agencies, and as researchers, clinicians and trainees. Using everyday examples, it explains how to use research findings to improve health care in real life. This new second edition defines the principles and practice of knowledge translation and outlines strategies for successful knowledge translation in practice and policy making. It includes relevant real world examples and cases of knowledge translation in action that are accessible and relevant for all stakeholders including clinicians, health policy makers, administrators, managers, researchers, clinicians and trainees. From an international expert editor and contributor team, and fully revised to reflect current practice and latest developments within the field, Knowledge Translation in Health Care is the practical guide for all health policy makers and researchers, clinicians, trainee clinicians, medical students and other healthcare professionals seeking to improve healthcare practice.
Publication Date: 2013
The Patient History: An Evidence-Based Approach to Differential Diagnosis by
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The definitive evidence-based introduction to patient history-taking NOW IN FULL COLOR A Doody's Core Title for 2019! For medical students and other health professions students, an accurate differential diagnosis starts with The Patient History. The ideal companion to major textbooks on the physical examination, this trusted guide is widely acclaimed for its skill-building, and evidence based approach to the medical history. Now in full color, The Patient History defines best practices for the patient interview, explaining how to effectively elicit information from the patient in order to generate an accurate differential diagnosis. The second edition features all-new chapters, case scenarios, and a wealth of diagnostic algorithms. Introductory chapters articulate the fundamental principles of medical interviewing. The book employs a rigorous evidenced-based approach, reviewing and highlighting relevant citations from the literature throughout each chapter. Features NEW! Case scenarios introduce each chapter and place history-taking principles in clinical context NEW! Self-assessment multiple choice Q&A conclude each chapter--an ideal review for students seeking to assess their retention of chapter material NEW! Full-color presentation Essential chapter on red eye, pruritus, and hair loss Symptom-based chapters covering 59 common symptoms and clinical presentations Diagnostic approach section after each chapter featuring color algorithms and several multiple-choice questions Hundreds of practical, high-yield questions to guide the history, ranging from basic queries to those appropriate for more experienced clinicians
Publication Date: 2012
Symptom to Diagnosis: An Evidence Based Guide by
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. "This book is a tremendous asset for students and residents learning to develop their diagnostic skills. It can also be useful as a refresher for established clinicians when the more common diagnoses are not the cause of a patient's complaints." --Doody's Review An engaging case-based approach to learning the diagnostic process in internal medicine Symptom to Diagnosis, Fourth Edition teaches an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process clinicians will be able to recognize specific diseases and prescribe the most effective therapy. Each chapter is built around a common patient complaint that illustrates essential concepts and provides insight into the process by which the differential diagnosis is identified. As the case progresses, clinical reasoning is explained in detail. The differential diagnosis for that particular case is summarized in tables that highlight the clinical clues and important tests for the leading diagnostic hypothesis and alternative diagnostic hypotheses. As the chapter progresses, the pertinent diseases are reviewed. Just as in real life, the case unfolds in a stepwise fashion as tests are performed and diagnoses are confirmed or refuted. Completely updated to reflect the latest research in clinical medicine, this fourth edition is enhanced by algorithms, summary tables, questions that direct evaluation, and an examination of recently developed diagnostic tools and guidelines. Clinical pearls are featured in every chapter. Coverage for each disease includes: Textbook Presentation, Disease Highlights, Evidence-Based Diagnosis, and Treatment.
Publication Date: 2019
"Evidence-based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research." (Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: What it is and what it isn't. BMJ. 1996; 312(7023):71-72. DOI: 10.1136/bmj.312.7023.71)
"...an approach to oral healthcare that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the patient's oral and medical condition and history, with the dentist's clinical expertise and the patient's treatment needs and preferences." (American Dental Association. About EBD. ADA Center for Evidence-Based Dentistry. https://ebd.ada.org/en/about)
"...an integration of the best evidence available, nursing expertise, and the values and preferences of the individuals, families, and communities who are served." (Sigma Theta Tau International Honor Society of Nursing. Evidence-based nursing position statement. Revised July 6, 2005. https://www.sigmanursing.org/why-sigma/about-sigma/position-statements-and-resource-papers/evidence-based-nursing-position-statement)
Steps of EBP
1. Assess the patient and their needs.
2. Ask a focused clinical question.
3. Acquire evidence.
4. Appraise the evidence.
5. Apply the evidence to practice.
Additional EBP Information
Catalogue of Bias
List of biases that can affect the quality of health research and how the results of health research are reported from the Oxford University Centre for Evidence-Based Medicine.
Course of six online modules on the importance of EBP, steps to implementing EBP, and current trends and challenges in EBP from the Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare at Ohio State University.
Series of online modules from the Duke University Medical Center Library and Archives.
Glossary of Terms
Glossary of terms related to EBP produced by the EBEM (Evidence-Based Emergency Medicine) working group, a group of largely academic emergency medicine physicians dedicated to the development of resources related to EBP in their field.
EBP and Health Equity
Analytic Hierarchy Process: An Innovative Technique for Culturally Tailoring Evidence-Based Interventions
Corvin JA, Chan I, Aguado Loi CX, Dollman I, Gonzales J. Analytic hierarchy process: An innovative technique for culturally tailoring evidence-based interventions to reduce health disparities. Health Expect. 2021 May; 24(S1):70-81.
Considering Health Equity When Moving from Evidence-Based Practice Guideline Recommendations to Implementation
Eslava-Schmalbach J, Mosquera P, Alzate JP, Pottie K, Welch V, Akl EA, Jull J, Lang E, Katikireddi SV, Morton R, Thabane L, Shea B, Stein AT, Singh J, Florez ID, Guyatt G, Schünemann H, Tugwell P. Considering health equity when moving from evidence-based guideline recommendations to implementation: A case study from an upper-middle income country on the GRADE approach. Health Policy Plan. 2017 Dec; 32(10):1484-1490.
Cultural Adaptation of Promising, Evidence-Based, and Best Practices: A Scoping Literature Review
Thier M, Martinez CR Jr, Alresheed F, Storie S, Sasaki A, Meline M, Rochelle J, Witherspoon L, Yim-Dockery H. Cultural adaptation of promising, evidence-based, and best practices: A scoping literature review. Prev Sci. 2020; 21:53-64.
Cultural Considerations in Evidence-Based Practice
Hulme PA. Cultural considerations in evidence-based practice. J Transcult Nurs. 2010; 21(3):271-280.
Determinants of Implementation of a Clinical Practice Guideline for Homeless Health
Magwood O, Hanemaayer A, Saad A, Salvalaggio G, Bloch G, Moledina A, Pinto N, Ziha L, Geurguis M, Aliferis A, Kpade V, Arya N, Aubrey T, Pottie K. Determinants of implementation of a clinical practice guideline for homeless health. Int J Environ Res Public Health. 2020 Nov; 17(21):7938.
Why Isn't Evidence Based Practice Improving Health Care for Minorities in the United States?
Lee H, Fitzpatrick JJ, Baik S-Y. Why isn't evidence-based practice improving health care for minorities in the United States? Appl Nurs Res. 2013 Nov; 26(4):263-268.