Physicians are under increasing pressure to provide quality health care in a cost-effective manner. The high costs of medical care are influencing clinical decision making to adopt standardized guidelines proven to deliver satisfactory outcomes at the lowest cost.
Evidence Based Medicine (EBM) is an approach to clinical decision making that uses the scientific method to establish standards of clinical practice that lead to diagnostic and treatment guidelines. There are five major steps involved in teaching and practicing EBM: 1. Formation of a clear clinical question that defines a patient’s problem. 2. Medical literature search for current and relevant information
Physicians are under increasing pressure to provide quality health care in a cost-effective manner. The high costs of medical care are influencing clinical decision making to adopt standardized guidelines proven to deliver satisfactory outcomes at the lowest cost. Evidence Based Medicine (EBM) is an approach to clinical decision making that uses the scientific method to establish standards of clinical practice that lead to diagnostic and treatment guidelines. There are five major steps involved in teaching and practicing EBM: 1. Formation of a clear clinical question that defines a patient’s problem. 2. Medical literature search for current and relevant information. 3. Expert non-commercially biased critique of selected study. 4. Assessment of findings to formulate a plan of action. 5. Follow-up evaluation of the efficacy of the first four steps, making improvements as necessary. (EBM is optimized when data is accurate, readily available, and within standard file formats. IT deployment and integration strategies provide for the most efficient and effective EBM experience. The role of IT is to support the delivery of care including its related research and other pertinent activities.) Read Chapter 13 download link. Patient Scenario: A. Patient Description (65-year-old African American woman. Complaint of pain in both knees, with pain more severe in the left knee. Pain has developed over the past five years and left knee pain has worsened over the past 1 year. Patient’s level of disability necessitates using a cane to walk. Conservative management, including crutches and medications, failed to provide adequate relief or restore function. No pertinent medical history or risk factors.) B. Objective Findings (Pain in left knee worsens with extension. Mild discomfort in right knee at all times. Physical exam consistent with arthritis. Radiographs of both knees showed altered bone density, left knee with greater severity.) C. Preliminary Diagnosis (Bilateral arthritic changes to both knees, left worse than right. Points of ConsiderationStaging. Key Clinical Decision: Define the stage of the disease (radiographs and magnetic resonance imaging (MRI) as needed. Questions to Ask: What are the treatment options once a final diagnosis and staging workup has been completed? Does the patient need surgery? If so, to one knee or both? If both, should they be done at the same time or on separate occasions?) Based on the patient scenario above: 1. Write 1 introduction paragraph (4 sentences). 2. In 3 paragraphs (each paragraph should have 5 sentences or more), create an EBM protocol to explore how to best treat the patient. 3. In 1 paragraph (5 sentences or more), identify and explain the HIS Applications that should be integrated. 4. In 1 paragraph (4 sentences or more), evaluate the potential costs associated with an EBM study. 5. In 1 paragraph (4 sentences or more), evaluate the potential savings that are dependent on the EBM study. 6. Write 1 conclusion paragraph (4 sentences). Note: Do not plagiarize. You can research on the Internet or books/journals & you can add additional references. I want to request a draft of my order.
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