Evidence-Based

Practice
By dr Ramiza Khalid
definition
 Evidence-based practice. An approach
to a profession informed by the review of
evidence gathered in systematic ways. It
uses research results, reasoning, and best
practices to inform the improvement of
whatever professional task is at hand.
RCT
 Randomized control trial. A form of clinical trial or
 scientific procedure used in the testing of the efficacy
 of medicines or medical procedures. It is widely
considered the most reliable form of scientific evidence
 because it is the best-known design for eliminating the
 variety of biases that regularly compromise the validity
 of medical research.
Work rehabilitation
 .
 Refers to rehabilitation services for providing
a transition between acute care and return to
work while addressing the issues of safety,
physical tolerances, work behaviors, and
functional abilities. It helps the client in
regaining his or her earning capacity and
employment in the open labor market
uses
 to improved clinical effectiveness
 to increased ability to provide clients
access to information about services
received, and
 increased success meeting administrators’
target costs.
EBP
 Evidence-based clinical practice (EBP) is an approach to
decision making in which clinicians use the best
evidence available, in consultation with the client, to
decide on the option that suits that client best.
 EBP incorporates not only the clinician’s knowledge of
scientific evidence and clinical judgment, but also the
values and beliefs of the client.
 EBP involves the use of the best available evidence,
preferably generated scientifically, to guide decisions on
clinical diagnosis, treatment, and intervention
Process of EBP
 EBP begins with the identification of a
problem and systematically reviews,
 analyzes, evaluates, and synthesizes
existing published and unpublished
evidence.
EBP
 Results of the review are then used to determine the most efficient
and cost-effective interventions. Various methods, such as critical
reviews, database building, and instructional workshops, are used to
disseminate the results to clinicians, researchers, managers, and
clients.

 Clinical experts use the reviewed evidence to develop practice

guidelines. Different review groups update existing systems and
establish new databases. Because results of EBP directly influence
clinicians’ decisions in practice, stringent and bias-free criteria are
used to ensure the best-quality information is gathered and
 disseminated.
EVIDENCE-BASED PRACTICE AND
CLINICAL GUIDELINES

 The development of clinical guidelines based on

 evidence is the goal of EBP. Systematic methods
 linking evidence to daily clinical practice are still in their
infancy. Formulating clinical pathways using Clinical
Pathway Constructor (CPC) computer software
demonstrates the potential of EBP.
 CPC computer software is equipped with a database
that contains a large number of review abstracts on
different clinical conditions and categories of care for
acute medical and surgical conditions, such as total hip
replacement and stroke.
Clinical guidelines
 Clinicians should review all available
evidence and determine guidelines to
 be encoded in different clinical pathways
EBP
 EBP improved the quality of clinical decision-
making, clinical practices, professional
accountability, and client choice.
 Although EBP has not been widely developed to
facilitate clinical practices in ergonomics and
work rehabilitation, the benefits and potential for
its development are well recognized.