PowerPoint
””””
Knowledge Translation (or KT)() describes either a structured process or the activity that results in scientifically researched evidence being used to improve the outcomes of professional practice.
http://en.wikipedia.org/wiki/Knowledge_translation
Aware Accepted Applicable Able Acted on Agreed Adhered to
Modify from “Straus et al.: Evidence-based medicine, Elsevier Ltd., 2005”, Brian Haynes, R Evid Based Med 2006;11:162-164
Systems
Summaries
Synopses
Syntheses
Studies

Richard Grol; Jeremy Grimshaw. From best evidence to best practice: Effective implementation
of change in patients' care. The Lancet; Oct 11, 2003; 362,9391. pg. 1225
?

Richard Grol; Jeremy Grimshaw. From best evidence to best practice: Effective implementation
of change in patients' care. The Lancet; Oct 11, 2003; 362,9391. pg. 1225

(Burt & Hing, 2005)

When systematic reviews are not available, clinicians need efficient strategies for identifying relevant research
EBM
Steps

“Doer” or “User”
D
U
Self-evident
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Clinical bottom line
Pulmonary and peripheral artery catheters need not be routinely replaced more often than every 5–7 days
Other short-term CVCs and arterial catheters need not be routinely replaced
Safdar N, Kluger DM, Maki DG. A review of risk factors for catheter-related bloodstream infection caused by percutaneously inserted, noncuffed central venous catheters: implications for preventive strategies. Medicine (Baltimore). 2002 Nov;81(6):466-79.

Safdar N, Kluger DM, Maki DG. A review of risk factors for catheter-related bloodstream infection caused by percutaneously inserted, noncuffed central venous catheters: implications for preventive strategies. Medicine (Baltimore). 2002 Nov;81(6):466-79.
Single citation matcher (PubMed)
Dave Sackett
Questions answerable by an EBM resource
Koonce TY, Giuse NB, Todd P. Evidence-based databases versus primary medical literature: an in-house investigation on their optimal use.
J Med Libr Assoc. 2004 Oct;92(4):407-11.
519.bmp
work
SkolarMD
MDConsult
Auto alert or MyNCBI

-------Institutes of Medicine, 1990
Relies on memory
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: 2007
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--Health Professions Education: A Bridge to Quality, Institute of Medicine 2003

Goal
by the year 2020, ninety percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence.
                              

2.  Airways Group
3.  Anaesthesia Group
4.  Back Group
6.  Breast Cancer Group
7.  Childhood Cancer Group
8.  Colorectal Cancer Group
10.Cystic Fibrosis and Genetic Disorders Group
11.Dementia and Cognitive Improvement Group
12.Depression, Anxiety and Neurosis Group
13.Developmental, Psychosocial and Learning Problems Group
14.Drugs and Alcohol Group
16.Effective Practice and Organisation of Care Group
17.Epilepsy Group
29 Injuries Group
33. Methodology Review Group
34. Movement Disorders Group
35. Multiple Sclerosis Group
41. Peripheral Vascular Diseases Group
42. Pregnancy and Childbirth Group
43. Prostatic Diseases and Urologic Cancers Group
44. Renal Group
45. Schizophrenia Group
47. Skin Group
48. Stroke Group
51. Wounds Group

                                              
example of CPG development


EBPG in WHO
In 2005 the WHO asked its Advisory Committee on Health Research (ACHR) for advice on ways in which WHO can improve the use of research evidence in the development of recommendations, including guidelines and policies.
The ACHR established the Subcommittee on the Use of Research Evidence (SURE) to collect background documentation and consult widely among WHO staff, international experts and end users of WHO recommendations to inform its advice to WHO.
Ref: Andrew Oxman et al, Health Research Policy and System, 2006, 4:12



                                              
2007815
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http://www.tebma.org.tw
(:0960137058)

3.Teaching and continuing education in EBM
4.EBM/CPG & legal consideration
http://www.tebma.org.tw