Evidence based medicine can be defined as an approach to the medical practice that is intended to optimize decision making by emphasizing the use of evidence from research that is well designed and well conducted.The components of evidence based medicine are patient values and preferences, best evidence and clinical expertise. These three components need to work seamlessly together in order to uphold the best Evidence Based Medicine Standards. In recent years, Evidence Based Medicine has piqued the interest of health professionals and practitioners. A simple definition of evidence-based medicine is: it’s the conscious and reasonable use of current, best scientific evidence in making decisions in the treatment of each individual
Evidence based medicine is carried out by health practitioners and clinicians in healthcare organizations and hospitals. The goals of evidence based medicine health practitioners and evidence based medicine-Clinicians are to use evidence summaries in clinical practice, to help develop and update selected systematic reviews or evidence-based guidelines in their area of expertise, and to enroll patients in studies of treatment, diagnosis, and prognosis on which medical practice is based. Evidence based medicine should be carried in all healthcare organizations regardless of size or number of employees. So a large teaching hospital and an urgent care facility both have an equal need and use for evidence based care.
For health practitioners, this is, however, difficult to put into practice. Medical Knowledge grows rapidly and exponentially with new publications and journals constantly being published and previously accepted facts becoming stale and no longer viable it’s hard to keep up. Contributing to this factor is the fact that health practitioners don’t have the time to do as much studying needed to keep up to date with new changes and developments. Hence most doctors simply reviews or brisk through published articles, studies, and medical journals. And if they find the time to read thoroughly, they still lack the time to evaluate the value of the study, its methodology and its transparency. This is one major recurring problem in the practice of Evidence Based Medicine hence doctors are advised to read selectively, make effective selections of what he/she needs and expand on those.
So how can doctors and health practitioners transfer into practicing evidence-based medicine? It is already a bit of a problem increasing physician engagement in other areas of healthcare so it’s no walk in the park getting physicians to be fully engaged in the practice of evidence based care. There are some steps to take to get physicians and healthcare practitioners to be more engaged in the implementation of evidence based care:
- Ask clinicians and doctors to identify a/the key problems
- Acquire the best possible evidence and medical knowledge about the problem
- Appraise the evidence i.e see if it’s applicable
- Apply the evidence to daily clinical practice
- Access performance
You might be wondering why there is so much emphasis on the implementation of evidence based care. Evidence based medicine is an improvement on traditional medicine and adds value to the performance of health systems. In addition to adding value to performance, it also
It helps clinicians stay current on standardized, evidence-based protocols:
There are always new protocols established and these changes happen quite frequently. Evidence based care helps health practitioners stay up to date on these changes and speeds the transition
It uses real-time data to make care decisions:
In the era of big data and data analytics, making a decision using real-time data greatly increases the efficiency of health practitioners and hospitals as a whole
It improves transparency, accountability, and value:
This helps the organization run more smoothly and without frequent errors.
It improves quality of care:
With evidence as a base for decision making as opposed to guessing, there will be fewer errors and more proactive care which increases the overall quality.
It improves outcomes all around:
Considering its many advantages both big advantages and nuanced improvements, the overall outcome of the organization will be improved.