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The basics of EBD

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Dominic Hurst

on 6 June 2012

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Transcript of The basics of EBD

The basics of EBD
3. Is it any good
and is it useful to you?

1. Asking a question
2. Searching for evidence
4. How will you implement?
Sources
Terms
A
B
Implementation
For
Against
Root cause analysis:
5 "Why"s
Force field analysis
5. How will you evaluate?
What is EBD?
:-)(-:Why structure a question?
Research
evidence
Clinical
experience
Patient
preferences
EBD
:-)(-: Why use EBD?
1. Ask
2. Search
3. Appraise
4. Implement
5. Evaluate
:-)(-: What's going to hinder and what's going to help you use an innovation in your clinical setting?
A clinician encounters a clinical situation where he is unsure of the best way to proceed.
He attended a course on using EBD three weeks previously.
Why A?
Because B
Why B?
Because C
Why C?
Why D?
Why E?
Because D
Because E
Because F
To help be concise in searching for published evidence
To focus on learning directly relevant to our patients' needs
To focus on our learning needs
To help make searches higher yielding
To improve communication with colleagues, students and teachers
P: patient, population or problem
DARE
Cochrane library
ADA
EBD journal
Systems
Summaries
Synopses of syntheses (systematic reviews)
Syntheses
(systematic reviews)
Synopses of studies
Studies
Computerised decision support systems
Evidence-based guidelines
EBD journal
Journal EBDP
http://goo.gl/mFQZq
http://goo.gl/l3kzp
http://goo.gl/eR0Ct
http://goo.gl/eR0Ct
http://goo.gl/SNHH8
http://goo.gl/8fZoU
Pre-appraised
http://goo.gl/hkWCq
NICE
SIGN
http://goo.gl/F5FdS
Databases only give you what you ask for
:-)(-: What alternative terms could be used for your PICO?
Raw
Where to search
In addition to those just mentioned...
TRIP database
NHS Evidence
http://www.evidence.nhs.uk/
http://www.tripdatabase.com/
Pubmed
http://www.ncbi.nlm.nih.gov/pubmed/
normal search & clinical queries
EBD Prescription
I: intervention or E for exposure
C: comparison or control
O: outcome
(T: time)
:-)(-:Let's try one of your PICOs
Suitable studies
If there is no pre-appraised evidence, what primary studies are the most suitable to answer your question?
:-)(-:Which type would be most suitable to answer your PICO?
http://goo.gl/RHVmu
:-)(-:How about we appraise a study?
Boolean operators
AND, OR, *, ( )
http://goo.gl/qJAT9
AND
OR
http://goo.gl/hTtIs
*
http://goo.gl/1NAi5
( )
http://goo.gl/oKJmD
Thanks for your attention
;-)
And don't forget Qualitative studies - beliefs, attitudes, experiences
:-)(-:Why does he not use the skills taught on the course to identify evidence to help solve the problem?
Dominic Hurst
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