Blog Archives

Quality decision making – a dangerous idea to fix EBM?

I am writing this blog to complement a podcast I made at the recent EvidenceLive conference in Oxford.  We were asked to propose a dangerous idea in relation to the future of EBM, and then to suggest a solution. My

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Posted in clinician expertise, evidence-based practice, local context, mindlines, patient preference, patient values, research evidence, shared decision making

Does research knowledge change clinical practice?

When we teach clinicians the skills of  evidence-based practice (EBP), we encourage them to search for and critically appraise research  evidence to answer their clinical questions. Then, we expect them to apply this research evidence to improve their clinical practice,

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Posted in change, complex interventions, evidence-based practice, implementation, knowledge translation, organisation, sustainability, using research

Patients need knowledge to make healthcare decisions

At some time, we are all patients, and will want to know about the potential benefits and harms of  our health care. In serious and life-threatening trauma, few of us will want to, or be in position to do this,

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Posted in evidence, information, knowledge, shared decision making

Using clinical guidelines: benefits and challenges

With the enormous amount of published literature, it is practically impossible for individual clinicians to routinely use the 5 steps of evidence-based practice to frame their research question, search for and find a suitable research article, and appraise the research

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Posted in clinical guidelines, using research

Where are the knowledge gaps?

In healthcare, there are gaps and conflicting ideas everywhere. Will aspirin protect against future heart attacks? Will melatonin help manage jet lag? What about antibiotics for a sore throat? In some areas there is certainty within the scientific evidence and

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Posted in knowledge