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How to Apply EBM to Clinical Settings: Introduction

How to Apply EBM to Clinical Settings: Introduction
Hello everyone, I’m Shawn Chen from College of Pharmacy Today we would like to use less atomic to conclude this section and today’s topic is biological thinking to apply evidence-based medicine to clinical settings. And today’s outline we will start to review the systematic approach to answer questions. Also we are in clinical settings, and there are a lots of opportunities let pharmacists will be requested about some questions and there should be a protocol that we should followed about how to find answer and how to do the questions. And then we will actually go through every step about systematic approach.
Then we will focus a few important points in this approach including collecting background questions and then categorize the questions then you will be able to find a best literatures to fit the questions. Then we will need to formulate the answers. And the answer in appropriate way and then after we answer a question which will actually to follow up to know the outcomes like those healthcare provider used or your patient used and then see what happened to the patient and today we will have a short conclusion. So let’s start with the systematic approach to answer questions and there are a few steps to help you to pry that evidence-based medicine to clinical setting.
So the first of all you may actually receive some questions from health care providers or front on those patients. And when you get a question, first of all you need to have some background about the requesters and if that’s a doctor or a nurse or patient everyone actually needs different information. so that’s very important as well that you need to remember. Then you have to know the background questions for the patient Even though the questions can from a health care provider but actually, they are looking for a question for a patient. So we have to know the specific background about a patient.
Then we go to classifying a classroom and in this way that will help you to find a path literatures to fill in a question and you can find the answers in a timely manner. So that’s very important to classify the questions. Then we have to do some clarification before starting to do a literature search. To avoid that you totally misunderstood the question that the requester asks so we have to actually reverse at a question. Then you can easily to understand we said the question already neat. Then we do a systematic search. I think nowadays lots of people actually use Google and it seems like a google doctor is the best way.
But actually, you know if you check google there will be a lot of information that not actually being reviewed by good editors or good peer reviewers. So the answers that you find on google cause actually a lot of time no one can endorse for you. So if you use that information in on a patient and there may be some mistake happened and there will be some legal problem. So that need to be very careful to find a best resources and with good authority and good reviewers. So we you usually we start with tertiary reference and then we go secondary resources.
Then if we cannot find the answers from tertiary reference or secondary references,, then you actually use PudMed or some certain engine to find a primary literature’s. Then if we have no any finding from the above three resources you can actually use alternative resources such as Google. Then finally you have to formulate your answers and the response to the questions in a good manner and a good way to fit requesters need. Then finally we do follow-up for those patients outcome. Okay, so now let’s go to check a few important points. First of all when those question come to you you need to check what’s requesters background and why they need those questions.
So you may need to think about in your mind who is requesting and what kind of for background that now the requester has and where is the inquirer located? If there is some answer that later on you feel that’s not the best and you want to provide more information you have to find a way that you can quickly reach the person and then also you need to know how quickly the inquire of the information. Therefore they need the answer in right away you have to answer a question quickly and then do the searching very quickly.
And what kind of information they really need and that’s actually a lot of time I need to see what happened to the patient in clinical setting. And why is inquirer seeking the information? Is that there any background information actually needed? And also related to the patient? That would be very very important. So now are we next step we categorize the questions, because there are less for resources, let you can check for looking for the answers and so that’s important that you want to answer especially a lot of time. We have very limited time to answer questions. So we need to actually find the best resources like meet the questions.
So usually in direct information training, we actually asking students or pharmacists to learn what kind of question and was the related most important resources. So usually we divided the question into… administration of a medication or other instruct reaction or compatibility contradication, dosage drug interaction and so on. So after that, we can actually follow the those passive resources related to the question. and you can quickly find the answer.

Prof. Shawn Chen gives the outlines for this lesson and explains the systematic approach to answering questions in this video.

To begin with, when we get a question, we need to have some background about the requesters. Everyone actually needs different information, so we should notice what kind of professionals they are, such as doctors, nurses, or other healthcare professionals.

Following that, we need to classify the questions. Then, we have to do some clarification. To avoid misunderstanding the question, we have to actually reverse at a question.

The next step is to do a systematic search. Many people tend to use Google recently, but the answers can barely endorse you. Therefore, we usually start with tertiary reference and then go to secondary resources. If we cannot find the answers from tertiary reference or secondary references, then we can use PubMed or some certain engine to find primary literature. Google is the final consideration.

After completing the systematic search, we need to formulate answers and the response to the questions in a good way. Finally, we need to do a follow-up for those patients’ outcomes.

Besides, she also mentions the questions of requesters and the categorization of question. Which question is significant to you? And which categorization is common to you? Please share your opinion below.

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Evidence-Based Medicine in Clinical Pharmacy Practice

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