Information about Evidence based medicine,procedure in steps, Benefits of EBM, PICO, 5'a"s in EBM Method.

1. EVIDENCE BASED
MEDICINE

3. EBM INCLUDES:

4. WHETHER TREATMENT BENEFITS PATIENT?

6. EBM HAS TRIPLE AIM
OBJECTIVE
IMPROVED QUALITY
IMPROVED PATIENT
SATISFACTION
REDUCED COSTS

7. It is done by 5 steps
Step 1:
Assess the patient condition
Step 2:
To ask a question
Step 3:
Aquire the best evidence
Step 4:
Appraise the evidence
Step 5:
Apply the evidence to patient

8. Assess the patient condition:
History.
Diagnosis :
 Physical Examination
 Objective data-Lab details like
X rays, blood tests
Differential diagnosis should be
conducted in all the diseases.
Step 1:

9. ASK A QUESTION:
Asking a clinical questions to patient by
pharmacist after assessment?
PICO is the useful tool in asking a clearly focused
question.
The complicated clinical question can be dissected
into small parts (PICO) and in a way that the patient
can clearly structure the question.
The terms of PICO can be used in searching for
medical literature.
Step 2:

10. 4 ELEMENTS WHILE ASKING THE QUESTION:
EXAMPLE:

11. Step 3:
TO AQUIRE BEST EVIDENCE:
High quality evidence is obtained from:
 Textbooks
 Medline or Pub med search
 Clinical research
 Systematic reviews
 Browse online electronic databases

13. Apprasial means
Verifying the results valid?
What are the results?
Are the results suited to our patient?
•Screening for internal validity and
relevance.
•Determining the intent of the article.
•Evaluating the validity based on its intent.
•Critically appraise articles yourself.
Step 4:

14. APPLY THE EVIDENCE:
Best documented critically appraised research
evidence is already with us.
 Patient values to be considered while applying
evidence are
 Economical/Financial status of patient.
 No contraindication for drug to be applied.
 Dosage form preferred.
 Integrate the evidence with clinical expertise and
patient preferences.
Evidence is applied on patient.
Step 5:

15.  Minimize the errors in patient care
 Reduces the cost of treatment to patient
 Optimizes the quality patient care.
 Skills learned in practicing evidence based medicine
are very same ones needed for being a lifelong, self-
directed learner.
Habit of accessing literature on a daily basis is the
best guarantor of ensuring advancement of
knowledge and keeping abreast of scientific progress.

16. REFERENCES:
1. https://www.google.co.in/search?q=evidence+
based+medicine&biw=1242&bih=557&source=
lnms&tbm=isch&sa=X&ved=0ahUKEwi-xI7epaf
2. http://www.slideshare.net/healthcatalyst1/5-
reasons-the-practice-of-evidencebased-
medicine-is-a-hot-topic
3. http://www.slideshare.net/DrSUHASINIKANYA
DI/evidence-based-medicine-43822003

17. THANK
YOU…