LibraryGuides: Evidence-Based Practice: Applying the Evidence in Clinical Practice

Applying the Evidence

the 4 aspects of clinical decision making are the synthesis of patient values, research evidence, clinical experience and practice context

Once you have found relevant evidence and critically appraised it to ensure its quality, you are ready to implement it into clinical practice. Some important questions to consider at this stage include:

Critical appraisal of the evidence: is it relevant to the clinical context and patient values?
Is it optimal for patient treatment?
Does this conform with the patient's values and preferences?
Have the potential benefits, harms, costs, and inconveniences been considered?

Implement

Making a Decision
From CEBM
Applying the Evidence: Worksheet
From Dartmouth Biomedical Library

Books: Implementing EBP

Essential Evidence Plus & AHFS DI Essentials by Mark H. Ebell Provide best-evidence answers to the most important clinical questions concerning symptoms, diseases, drugs, and other treatment regimens. Its concise, highly structured content is tightly integrated and hyperlinked to thousands of calculators, articles, Cochrane Systematic Reviews, and evidence summaries within EE+ to make searching for answers quick and seamless. Each topic has a "strength-of-evidence" rating for every recommendation, a "Bottom Line" summary that introduces each section, and a broad array of algorithms to aid in the decision-making process.
Publication Date: 2014
Symptom to Diagnosis an Evidence Based Guide, Fourth Edition by Scott D. C. Stern; Adam S. Cifu; Diane Altkorn "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 A Doody's Core Titles for 2023!   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.  
ISBN: 9781260121117
Publication Date: 2019-11-21