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Evidence‐based decision making in transfusion medicine
Author(s) -
Heddle N. M.
Publication year - 2006
Publication title -
vox sanguinis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.68
H-Index - 83
eISSN - 1423-0410
pISSN - 0042-9007
DOI - 10.1111/j.1423-0410.2006.00793.x
Subject(s) - clinical decision making , process (computing) , transfusion medicine , scientific evidence , evidence based medicine , quality (philosophy) , medicine , critical appraisal , medline , clinical practice , management science , psychology , intensive care medicine , alternative medicine , blood transfusion , computer science , family medicine , epistemology , pathology , political science , immunology , engineering , philosophy , law , operating system
Some of the basic principles behind evidence‐based medicine have been known for many years; however, the concept and approach to integrating evidenced‐based decision making into clinical practice on a day‐to‐day basis has only evolved over the past 15 years. This paper focuses on five important steps in evidence‐based decision making: (1) the importance of a well‐defined question; (2) ways to effectively search the scientific literature; (3) the process of critical appraisal for an article about therapy; (4) the role of clinical expertise, patient values, clinical circumstances and society's expectations in the decision‐making process; and (5) continuous quality improvement of the process.