Implementing Evidence-Based Medicine in Practice

Integrating Evidence and Practice: Until recently, practicing EBM was vague and few physicians had little skills to implementation of it, need time and effort to promote their own practice. Today, rising of new resources and technologies, EBM has become doable even for busy healthcare professionals for introducing evidence in to their practice. To get started:

1. Know where to search for the answers to your clinical questions. “The easiest way to practice EBM is to let someone else do the work for you, many EBM resources now available, which continually search, appraise and summarize the literature for physicians. To decide suitable resources for best evidence, ask your colleagues for their recommendations as well, and answer the following questions:

• How strong is the evidence, and is it rated?

• Is it comprehensive?

• Is the information filtered to focus on the most relevant information that actually addresses patient outcomes?

• Is it easy to use?

• Does the resource offer a final recommendation?

Start with common, important conditions. To make the best use of your time and energy, focus your EBM efforts on the most common and important conditions in your practice.

5. Use evidence-based clinical guidelines.

6. Don’t lose sight of the individual patient. The one step in EBM that remains a do-it-yourself endeavor is integrating the evidence with your clinical expertise and applying it to the patient sitting in front of you. For example, when deciding intervention or surgery is appropriate for a patient with critical situation, the physician must not only be aware of the evidence but must take into account the patient’s risk factors, comorbidities, preferences, etc. (Bhimani, 2013). The “Strength of Recommendation Taxonomy” is one system of evidence grading, developed by a collaboration among family medicine professionals whose seek to provide approach to summarize evidence. The evidence quality is the best for improving the patient-oriented outcomes (Ebell,