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Jt Comm J Qual Improv. 1999 Oct;25(10):522-8.

The role of evidence reports in evidence-based medicine: a mechanism for linking scientific evidence and practice improvement.

Author information

1
Center for Clinical Health Policy Research, Duke University, USA. david.matchar@duke.edu

Abstract

STUDY QUESTIONS:

In this article two related questions are considered: (1) Why isn't evidence-based medicine (EBM) more consistently implemented? and (2) Using the EBM paradigm, by what mechanism can we link evidence reports to concrete practice improvement activities?

STUDY DESIGN:

To motivate a systematic analysis, answers to these questions are framed within the context of a general conceptual model for practice improvement, using as an example the application of this general model to the question of improving anticoagulation.

CONCLUSIONS:

The potential role of evidence reports is quite broad and to be most effective, they should (1) be considered as part of a comprehensive strategy for practice improvement and (2) be designed with their customers in mind. A system-based method for using the information from evidence reports involves ultimately suggesting specific practice improvement strategies in which the strategies are defined in terms of (1) a set of functional specifications and (2) a toolbox of implementation options. Such an approach brings to bear the specialized expertise and generalized fund of scientific knowledge used to produce the evidence report, but does so in a way that facilitates local tailoring. That is, while information synthesis should be global, implementation must be local.

PMID:
10522233
[Indexed for MEDLINE]

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