Evidence Based Medicine (EBM) can be found as far back as the 1940s. However, it was in 1972 that the concept first came into play, originated by Professor Archie Cochrane, in his book, Effectiveness & Efficiency: Random Reflections on Health Services. This was the foundation for evidence based research, and in 1992 a facility was funded by the UK government, with the aim of performing randomly...

Can J Emerg Med 2003;5(5):343-7 These Recommendations were approved by the CAEP Board June 8, 2003. *Chief, Schwartz–Reisman Emergency Centre, Mount Sinai Hospital, Toronto, Ont.; and Assistant Professor, Department of Family and Community Medicine, University of Toronto, Toronto, Ont. †Chief, Emergency Department, Queen Elizabeth Hospital, Charlottetown, PEI; and Associate Professor, Departmen...

I would argue that it is knowledge of clinical epidemiology, not statistics, which makes medical literature accessible. If you are trying to improve your understanding of published medical literature, a book on statistics will probably not help. Instead, consult any of the widely available evidence based medicine handbooks or articles from the BMJ or JAMA. These will have enough detail to preve...

UNLABELLED The concept of evidence based medicine (EBM) as the integration of clinical expertise, patient values and the best evidence was introduced by David Sackett in the 1980s. Scientific literature in medicine is often marked by expansion, acummulation and quick expiration. Reading all important articles to keep in touch with relevant information is impossible. Finding the best evidence th...

Objective – Systematic searching is central to guideline development, yet guidelines in social care present a challenge to systematic searching because they exist within a highly complex policy and service environment. The objective of this study was to highlight challenges and inform practice on identifying social care research literature, drawing on experiences from guideline development in s...

Objectives The purpose of this study was to assess the efficacy of a concise, evidence based medicine curriculum in improving the knowledge of pediatric residents at two institutions. Methods Sixty first and second year pediatric residents at MassGeneral Hospital for Children and MedStar Georgetown University Hospital participated in a crossover study. The evidence based medicine curriculum, ...

Using machine-interpretable clinical guidelines to support evidence-based medicine promotes the quality of medical care. In this chapter, we present the Digital Electronic Guidelines Library (DeGeL), a comprehensive framework, including a Web-based guideline repository and a suite of tools, to support the use of automated guidelines for medical care, research, and quality assessment. Recently, ...

All emergency departments (EDs) have an obligation to deliver care that is demonstrably safe and of the highest possible quality. Emergency medicine is a unique and rapidly developing specialty, which forms the hub of the emergency care system and strives to provide a consistent and effective service 24 h a day, 7 days a week. The International Federation of Emergency Medicine, representing mor...

Evidence-based Medicine (EBM) is the process of systematically reviewing, appraising and using clinical research findings to aid the delivery of optimal clinical care to patients. EBM has become popular due to: the need for valid information about diagnosis, prognosis, therapy and prevention during patient care; traditional sources such as textbooks and expert opinion being frequently out-of-da...

473 There is a need for occupational therapy to conceive of evidence-based practice in a way that reflects the contextualized nature of occupational engagement. In occupational therapy, we should resist following the lead of experts in evidence-based medicine, such as Sackett and his colleagues (Rosenberg & Donald, 1995; Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996; Sackett, Straus, Ric...