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MEDT 401 Chapter 1

Keywords for Evidence Based Practices for Healthcare Chapter 1

Thalidomide a sedative hypnotic drug that was originally used to treat morning sickness & help pregnant women sleep; causes phocomelia in infants (seal-limb).
Phocomelia a birth defect in which the long bones of the arms and legs don't form properly such that the hand or foot attaches to the body by a short stump resembling a flipper.
Evidence-based practice (EBP) process of combining best available research evidence with your knowledge and skill to make collaborative, patient or population-centered decisions w/in context of a given healthcare situation.
Translational critical thinking Application of critical thinking where theoretical skills & concepts of critical thinking are enacted to solve real-world, ill-structured problems; Requires self-awareness, intellectual humility, self-direction & active learning.
USPSTF (U.S. Preventive Services Task Force) agency w/in AHRQ; independent group of national experts in prevention & evidence-based medicine that work improve health of all Americans by making evidence-based recommendations about clinical preventive services (screenings, counseling, preventive).
Mortality death, or rate death associated with a given health problem or intervention
Morbidity diseased state/illness
Surrogate Outcome process of using one outcome to reflect another
Outcomes that matter clinically relevant outcomes provide direct measures of functioning or disease; includes other outcomes that patients & providers care about; (mortality, quality of life, cost, patient function).
Focused clinical questions questions formulated around a clinical information need; 3 elements: (1) specific conditioner outcome; (2) patient demographics; (3) patient risk factors
Prospective EBP Seeking information in advance, rather than only in response to patient encounters. Developing your knowledge & drawing on it in clinical situations. Making habit of searching for latest developments in your areas of interest and practice (AKA "scanning")
Concurrent EBP Looking up information in response to clinical questions & using that information to make decisions regarding an individual patient. (may occur while pt is in in clinic).
Retrospective EBP looking up information subsequent to a clinical encounter
Critical appraisal Process of evaluating trustworthiness & relevance of a resource w/in context of a given clinical situation. (Potential sources of bias, sample representation, method consistency in regards to question explored, common sense of a study.)
Secondary literature summary, interpretation, evaluation of primary literature, such as traditional literature review. Practice guidelines & position papers may also fall int his category depending on sources used.
Tertiary literature distilled collection of primary and secondary sources (textbooks, dictionaries, encyclopedias).
Etiology the science and study of causes of illness, AKA "pathogenesis"
Risk factors exposure or attribute that is associated with but not the cause of a given outcome of interest
Prognosis predicted outcome of a disease or disorder, usually expressed interns of length of time until a specific outcome, such as full-recovery, limited recovery, or mortality.
Practice guideline Document related to specific disease/disorder put together by expert working group w/recommendations for dx and treatment. Some use procedures of a systematic review & represent best available evidence. Other practice guidelines are expert opinion only.
Objective Data information you observe or measure
Subjective data patient's perceptions
Evidence pyramids visual representation & system for categorizing healthcare information according to level of evidence. Top level represents highest level of evidence, those resources considered most trustworthy.
POEMs Patient Oriented Evidence that Matters; high-level information sources, (print journals, online point-of-care resources), focused on a single clinical question & provide careful review of best available evidence to address the question.
Overweight classified by CDC inoculates as BMI of 25.0-29.9
Body Mass Index (BMI) a measure of body fat based on height & weight that applies to adult men & women
Created by: 100002485764648