Evidence based medicine (EBM) is the use of the current best evidence in making decisions that are conscientious, explicit and judicious about the care of patients. It is a systematic approach and clinical problem solving method that involves the integration of clinical expertise, best research and patient values. David Eddy coined the term evidence-based in the 1980s. He was an American healthcare analyst. The term evidence-based medicine was first used in 1990 by a Canadian professor of Epidemiology known as Gordon Guyatt. EBM is now taught widely in medical schools and diverse evidence-based practice journals are now available. According to Mark H. Ebell, “Making a conscientious effort to base clinical decisions on research that is most likely to be free from bias, and using interventions most likely to improve how long or well patients live." All clinicians should be able to: 1. Find the best evidence that they need for their everyday practice. 2. Evaluate all relevant informations about therapies, clinical decisions and diagnostic tests. 3. Make their evidence to be patient oriented and access all necessary relevance before rigor. 4. Understand statistics. 5. Have real-time information. 6. Critically evaluate expert-based informations from presentations, colleagues, reviews, pharmaceutical representatives and guidelines. Evidence-based medicine is the use of clinical information about prognosis, diagnosis and therapy in patient care. Attention deficit hyperactivity disorder (ADHD) is an impairing disorder that affects persons of all ages. Evidence-based medicine approach incorporates the quality of the evidence and the effect of the treatment. I can meet ADHD doctors near me if I want to know more about the evidence-based medicine that is applicable. EBM suggests that clinicians target their medical readings to issues that are related to the problems of their patients and develop clinical questions as a productive way of treating patients. EBM converts literature, appraises literature and uses literature to benefit individual patients and expand the knowledge of the clinician at the same time. Models of evidence-based medicine involves: 1. The conversion of information into answerable questions. 2. Research of the best evidence that will lead to maximum efficiency. 3. Critical appraisal of evidence. 4. Application of the results of appraisal. 5. Evaluation of performance Evidence-based medicine has foraging tools and it is important that the foraging tools that are used employ a transparent process that: 1. Systematically surveys literature. 2. Focuses on patient oriented research 3. Appropriately assigns level of evidence. 4. Provides accurate recommendations. 5. Comprehensively reviews literature. Evidence-based medicine is the use of the best available information in clinical practice. The principles of EBM allows you to evaluate available information, access its reliability and the decision on whether to apply it to your patients. Evidence-based medicine is an interdisciplinary approach that uses techniques from science, biostatistics, epidemiology and engineering. The practice of EBM makes use of the systematic review of medical literature to assess the best evidence on clinical topics. With evidence-based medicine; patients can get optimal care and they can get an accurate perception of risks. EBM combines principles and methods. When it is put into place it ensures that the best decisions are taken. EBM draws from the benefits of information and risk evaluation. The concept of EBM started in the 1950s. Prior to that time, medical decisions were solely based on medical training, clinical experiences and the reading of journals. Studies have shown that decisions on medical treatment differ among individual healthcare professionals. EBM is a systematic method of collecting, evaluating and organizing research data. EBM is now recognized by doctors, the general public, pharmaceutical companies and regulatory authorities. ADVANTAGES OF EVIDENCE-BASED MEDICINE 1. Evidence-based medicine gives clinicians and patients the opportunity to access recent critical knowledge. 2. Evidence-based medicine can be learnt by anyone. It can be learnt by people who are from different backgrounds and persons at any stage of their careers. 3. Evidence-based medicine improves medical care through the development of common guidelines and approaches. 4. Evidence-based medicine can help providers to adequately use limited resources to evaluate treatment in a way that is cost-effective. DISADVANTAGES OF EVIDENCE-BASED MEDICINE 1. Evidence-based medicine takes time to learn and it takes time to practice. 2. Evidence-based medicine can be adversely affected by lack of evidence and publication bias. 3. The establishment of evidence-based medicine infrastructure costs money. For example the maintenance of the right computer systems. 4. Evidence-based medicine shows gaps in evidence.
