Evidence Based Medicine (EBM) and Evidence Based Practice (EBP)
in CSD
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Evidence Based Medicine Refers to using the best evidence in
making decisions about patients. EBM is the conscientious,
explicit, and judicious use of current best evidence in making
decisions about the care of individual patients (Sackett et al.,
1996).
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Scientific Evidence Scientific research results are usually
based on double-blinded, randomized controlled clinical trials.
However, these trials often do not include a wide variety of people
(women and minorities are not well-represented). Also, statistics
gathered from trials are based on averages which may not generalize
to a particular person.
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The other parts of the picture: The patient and the
practitioner The very best patient care occurs when scientific
evidence blends with clinical expertise and consideration of
patients as real people. The American Academy of Audiology (AAA)
and the American Speech-Language-Hearing Association (ASHA) have
established best practices regarding patient care.
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Best practices in CSD Positions statements Clinical practice
guidelines Preferred practice guidelines
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Position Statements The official position of the professional
organization on a timely topic related to professional issues or
clinical practice.
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Clinical practice guidelines Recommendations developed by
groups of experts to help clinicians and patients make clinical
decisions.
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Preferred practice patterns Includes accepted definitions,
professional roles, expected outcomes, clinical indications,
clinical processes, equipment specifications, and
documentation.
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What is Evidence Based Practice (EBP) in CSD? When high-quality
research evidence is integrated with practitioner expertise,
patient preferences, and patient values when making clinical
decisions.
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Skills needed to use EBP You will need an understanding of the
cultural aspects of the populations you will serve. You will need
to continue learning through reading and evaluating research in
your field. You will need to develop strong evaluation and
critiquing skills when reviewing the literature and research
available.