Evidence-based medicine is it working?

Glasziou, Paul P. and Del Mar, Christopher B. (2009). Evidence-based medicine is it working?. In: Positioning the Profession: the Tenth International Congress on Medical Librarianship, Brisbane, Australia, (1-28). August 31-September 4, 2009.

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Author Glasziou, Paul P.
Del Mar, Christopher B.
Title of paper Evidence-based medicine is it working?
Conference Paper Type Fully Published Paper
Conference name Positioning the Profession: the Tenth International Congress on Medical Librarianship
Conference location Brisbane, Australia
Conference dates August 31-September 4, 2009
Publication date 2009
Start page 1
End page 28
Abstract/Summary There is a considerable gap between what is known from research and what is done in practice. Part of the problem is not knowing and part is not doing. The "not knowing" arises from our information overload, e.g., over 1,500 studies and 55 randomised trials - are added to MEDLINE each day. The "not doing" can be broken down into several steps between valid research publishing and improved patients outcomes: awareness, acceptance, applicability, availability and ability, remembering at the appropriate time, getting patient agreement, and finally adherence to agreed treatments. At each step there is some "leakage". Addressing these leakages to navigating and using best (evidence-based) practice needs a multifaceted "solution". This will require sophisticated computerised evidence delivery systems at the point of care. However, to fuel these systems we need better (and continually updated) guidelines, syntheses, and systematic reviews of evidence. The "not doing" gap arise because of the limits of human memory, which we need to acknowledge.
Subjects 080702 Health Informatics
080706 Librarianship
080704 Information Retrieval and Web Search
1103 Clinical Sciences
Keyword Evidence Based Medicine
EBP
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Conference Paper
Sub-type: Fully Published Paper
Collection: International Congress on Medical Librarianship (ICML) 2009
 
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Created: Fri, 02 Oct 2009, 15:51:10 EST by Lisa Kruesi on behalf of Herston Health Sciences Library