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循证决策实践:第1部分——寻找最佳临床证据。

Evidence-based decision making in action: Part 1--Finding the best clinical evidence.

作者信息

Forrest Jane L, Miller Syrene A

机构信息

National Center for Dental Hygiene Research at the University of Southern California School of Dentistry, Los Angeles, CA, USA.

出版信息

J Contemp Dent Pract. 2002 Aug 15;3(3):10-26.

Abstract

The purpose of this article is to introduce evidence-based concepts and demonstrate how to find valid evidence to answer clinical questions. Evidence-based decision making (EBDM) requires understanding new concepts and developing new skills including how to: ask good clinical questions, conduct a computerized search, critically appraise the evidence, apply the results in clinical practice, and evaluate the process. This approach recognizes that clinicians can never be completely current with all conditions, medications, materials, or available products. Thus EBDM provides a mechanism for addressing these gaps in knowledge in order to provide the best care possible. In Part 1, a case scenario demonstrates the application of the skills involved in structuring a clinical question and conducting an online search using PubMed. Practice tips are provided along with online resources related to the evidence-based process.

摘要

本文旨在介绍循证医学概念,并演示如何找到有效的证据来回答临床问题。循证决策(EBDM)需要理解新的概念并培养新的技能,包括如何:提出好的临床问题、进行计算机检索、严格评价证据、将结果应用于临床实践以及评估整个过程。这种方法认识到临床医生不可能对所有疾病、药物、材料或现有产品都完全跟上最新进展。因此,循证决策提供了一种机制来弥补这些知识空白,以便尽可能提供最佳的医疗服务。在第一部分,一个案例展示了构建临床问题和使用PubMed进行在线检索所涉及技能的应用。同时还提供了实践技巧以及与循证过程相关的在线资源。

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