scholarly journals Clinical guidelines: an evidence-based debate

2019 ◽  
Vol 8 (2) ◽  
pp. 92-96
Author(s):  
Fereshte Farhadi ◽  
Masoumeh Abbasi-Asl ◽  
Negar Taleschian-Tabrizi ◽  
Mohammad Ali Hajebrahimi ◽  
Hadi Mostafaie ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Guidelines ◽  
International Student ◽  
Guideline Implementation ◽  
Research Integrity ◽  
Evidence Based ◽  
Clinical Encounters ◽  
Clinical Scenarios ◽  
Practice Methods ◽  
Based Medicine

Background: This study aimed to evaluate the effectiveness of debate as a learning tool for changing audiences’ views regarding the use of clinical guidelines in routine clinical practice. Methods: A debate scenario including different rationales for and against using guidelines in clinical practice, presented by the student section of Iranian Evidence Based Medicine Center of Excellence, was held at the first International Student Congress of Research Integrity and Evidence-Based Practice (Kish Island, Iran, December, 2015). The audience was first asked to check the papers given to them, and if they agreed to the terms, they were asked to choose,"Yes", "No", or "I don’t know". Results: Of the 400 individuals participating in the congress, 100 were present during the scheduled debate time. Among the 71 people completing pretest questionnaires, 73% (52)answered "yes" to the question, "Should we use guidelines? "About 7% (5) claimed that we shouldn’t use guidelines, and 20% (14) had no opinion about using them. Following the debate,the participants who chose "yes" to the guidelines remained in favor of their use in clinical practice. Of the 14 who did not have an opinion for guideline use, all agreed to use guidelines in clinical practice. Surprisingly, the five participants who were against guideline implementation remained fixed in their view, continuing to disagree regarding their use in clinical encounters. Conclusion: Although we were unable to change the attitudes of physicians who were against the use of guidelines in clinical practice, the debate caused a positive shift among participants who did not have an opinion regarding their use in clinical scenarios.

scholarly journals Atrioventricular Block in Children

2018 ◽  
Vol 15 (5) ◽  
pp. 365-375
Author(s):  
Igor A. Kovalev ◽  
Yuri M. Belozerov ◽  
Dinara I. Sadykova ◽  
Dina R. Sabirova ◽  
Lyudmila V. Yakovleva ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Atrioventricular Block ◽  
Evidence Based Medicine ◽  
Clinical Guidelines ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Cardiovascular Pathology ◽  
Slowing Down ◽  
Conduction Disorders ◽  
Based Medicine

Rhythm and conduction disorders of the heart occupy one of the leading places in the structure of cardiovascular pathology in children. Atrioventricular block is the slowing down or loss of impulses from the atria to the ventricles. The team of authors presents clinical guidelines based on the principles of evidence-based medicine, including all stages of diagnosis and treatment of children with atrioventricular block. The use of guidelines in clinical practice will allow to choose the best strategy for the diagnosis and treatment of atrioventricular block for each individual patient.

scholarly journals Implementing clinical guidelines

2019 ◽  
Vol 19 (6) ◽  
pp. 529-535
Author(s):  
Josephine Mayer ◽  
Christopher Kipps ◽  
Hannah R Cock
Keyword(s):  
Clinical Practice ◽  
Evidence Based Medicine ◽  
Clinical Guidelines ◽  
Evidence Based ◽  
Healthcare Environment ◽  
Team Working ◽  
Based Medicine ◽  
Provision Of Care

Clinical guidelines that support practice and improve care are essential in this era of evidence-based medicine. However, implementing this guidance often falls short in practice. Sharing knowledge and auditing practice are important, but not sufficient to implement change. This article brings together evidence from the study of behaviour, education and clinical practice and offers practical tips on how practising neurologists might bring about change in the healthcare environment. Common themes include the importance of team working, multidisciplinary engagement, taking time to identify who and what needs changing, and selecting the most appropriate tool(s) for the job. Engaging with the challenge is generally more rewarding than resisting and is important for the effective provision of care.

Evidence-Based Medicine in Otolaryngology, Part 6: Patient-Reported Outcomes in Clinical Practice

2017 ◽  
Vol 158 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Thomas L. Carroll ◽  
Stella E. Lee ◽  
Robin Lindsay ◽  
Drew Locandro ◽  
Gregory W. Randolph ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Evidence Based Medicine ◽  
Implementation Process ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Outpatient Setting ◽  
Evidence Based ◽  
Clinical Scenarios ◽  
Patient Reported ◽  
Based Medicine

The assessment of patient-reported outcome measures (PROMs) in the outpatient setting is gaining momentum in clinical and research venues. Implementing this data capture into one’s practice, however, is not a one-size-fits-all venture, and it is critical to determine when, how, and where to include these patient-centered assessments. This installment of the “Evidence-Based Medicine in Otolaryngology” series provides insight into the implementation process and experiences with successful incorporation of PROMs into clinical practice. Specifically, 4 differing clinical scenarios and collection techniques are described, including data acquisition protocols, formats for clinician data usage, and applications of PROM results in clinical and research scenarios.

scholarly journals Psychiatry in the future

2004 ◽  
Vol 28 (8) ◽  
pp. 277-278
Author(s):  
Frank Holloway
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Evidence Based Medicine ◽  
Cochrane Collaboration ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Policy Makers ◽  
The Future ◽  
The Cochrane Collaboration ◽  
Based Medicine

In an era of evidence-based medicine, policy-makers and researchers are preoccupied by the task of ensuring that advances in research are implemented in routine clinical practice. This preoccupation has spawned a small but growing research industry of its own, with the development of resources such as the Cochrane Collaboration database and journals such as Evidence-Based Mental Health. In this paper, I adopt a philosophically quite unfashionable methodology – introspection – to address the question: how has research affected my practice?

Principles of evidence-based medicine

2018 ◽  
pp. 3-14
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick
Keyword(s):  
Clinical Practice ◽  
Statistical Methods ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Quality Research ◽  
Grading Systems ◽  
Scientific Papers ◽  
Research Findings ◽  
Evidence Grading ◽  
Based Medicine

Evidence-based medicine (EBM) is an effective tool for identifying and critically appraising quality research findings, and allowing the best to be integrated within clinical practice. EBM requires familiarity with evidence grading systems, key statistical methods, and requires a good understanding of how to review and critique scientific papers to guide the clinical practice. This chapter introduces these tools and provide an easy-to-use layout for reading academic papers in hand.

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