Evidence Based Clinical Practice: EBCP Basics & PICO
Defining Evidence Based Clinical Practice
Evidence-Based Clinical Practice (EBCP): Evidence-based practice is the judicious use of the best research evidence (found in health sciences literature), clinical expertise (what the health care provider knows) and patient values (what the patient wants and believes) to create a plan of action regarding patient care. Evidence-based practice is an umbrella term that covers evidence-based medicine, evidence-based dentistry, evidence-based public health, evidence-based nursing and etc.
Using PICO to Formulate Clinical Questions
PICO is a mnemonic used to describe the four elements of a good clinical question. It stands for:
P - Patient Problem (or Population)
I - Intervention (or Prognostic Factor or Exposure)
C - Comparison (if there is one)
O - Outcome
For diagnosis questions, PICO can be translated this way: P (patient), I (test), C (gold standard test), and O (presence or absence of condition).
For prognosis questions, a variation of PICO works: P (patient), F (factors), O (outcome--eg., mortality).
Here are links for more information.
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Developing a Well Built Clinical QuestionFrom the University of Washington Health Sciences Library
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Formulating Answerable Clinical QuestionsFrom the Evidence Based Medicine Toolbox, Knowledge Translation Program
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The Well-Built Clinical Question: A Key to Evidence Based DecisionsACP J Club. 1995 Nov-Dec;123(3):A12-3.
EBCP Tutorial
Introduction to Evidence-Based Practice
This tutorial was developed by staff at the Duke University Medical Center Library and the Health Sciences Library at the University of North Carolina at Chapel Hill.