EB Practice defined as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." (Sackett D, 1996)
ASSESS The patient |
1. Start with the patient -- a clinical problem or question arises out of the care of the patient |
ASK The question (PICO) |
2. Construct a well built clinical question (PICO) derived from the case |
ACQUIRE The resource |
3. Select the appropriate resource(s) and conduct a search |
APPRAISE The evaluation |
4. Appraise that evidence for its validity (closeness to the truth) and applicability (usefulness in clinical practice) |
APPLY The patient |
5. Return to the patient -- integrate that evidence with clinical expertise, patient preferences and apply it to practice |
Self-evaluation |
6. Evaluate your performance with this patient |
From Connie Schardt, Duke University Medical Center Library and Jill Mayer, University of North Carolina at Chapel Hill Health Science Library.
Many thanks to Amanda Avery and The Commonwealth Medical College Library in Scranton, PA for allowing me to copy material and page design.