Evidence-Based Decision Making: Introduction
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Questions and Answers

Evidence-based decision making is a new term for an old concept. Is this true?

False (B)

What are the two fundamental principles of evidence-based decision making? Select all that apply

  • Traditional decision-making relies on intuition, unsystematic clinical experience, and pathophysiologic rationale
  • A hierarchy of evidence exists to guide clinical decision-making (correct)
  • A hierarchy of evidence does not exist to guide treatment decisions
  • Evidence alone can be sufficient to make clinical decisions
  • Evidence alone is never sufficient to make a clinical decision (correct)

The need for Evidence-based Decision Making (EBDM) has been brought about by variations in dental practice, slow translation and assimilation of scientific evidence, information overload and changing educational competencies. Is this true?

True (A)

Match the following levels of evidence with their respective types of study:

<p>Clinical Practice Guidelines = Secondary, pre-appraised, or filtered Studies Meta-Analysis and Systematic Reviews = Primary Studies Randomized Controlled Trials = Primary Studies Cohort Studies = Prospective - cohort has been exposed to a risk. Observe for outcome of interest Case-Control Studies = Retrospective - subjects have the outcome of interest; looking for risk factor Case Report or Case Series = No design Narrative Reviews, Expert Opinions, Editorials = Not involved w/ humans Animal and Laboratory Studies = Not involved w/ humans</p> Signup and view all the answers

Which of the following is the most appropriate type of study for questions related to therapy and prevention?

<p>Meta-analysis or Systematic Reviews of Randomized Controlled Trials (C)</p> Signup and view all the answers

What is the first step in the Evidence-Based Decision Making (EBDM) process?

<p>Converting information needs/problems into clinical questions so that they can be answered (A)</p> Signup and view all the answers

The Comparison component of the PICO question is always essential.

<p>False (B)</p> Signup and view all the answers

The Outcome component of the PICO question should be measurable and directly solve the problem.

<p>True (A)</p> Signup and view all the answers

Evidence-based decision making is about knowing all the answers.

<p>False (B)</p> Signup and view all the answers

What are the benefits of the EBDM process? (Select all that apply)

<p>It ensures that your practice is continuously informed and strengthened by current research findings (A), It provides a strategy for improving the efficiency of integrating new evidence into patient care (B), It can help close the gap between what is known (research evidence) and what is practiced (C), It assists in developing treatment plans and providing treatment and advice that are scientifically defensible (D), It helps you manage an increasing amount of information (E)</p> Signup and view all the answers

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Study Notes

Evidence-Based Decision Making: Introduction

  • This course aims to increase knowledge of evidence-based concepts, principles, and skills, and how to formulate good clinical questions to find relevant evidence.
  • Course authors include Jane L. Forrest, EdD, BSDH, and Lesley McGovern Kupiec, RDH, MSDH.
  • The course is 2 hours in duration.
  • Intended audience includes dentists, dental hygienists, dental students, and dental hygiene students.
  • Course last revised 02/01/2018, with expiration 01/31/2021.
  • Course offered online at dentalcare.com
  • Participants should be aware of risks associated with applying new techniques or procedures without sufficient evidence-based knowledge.

Conflict of Interest

  • Jane Forrest has done consulting for Procter & Gamble (P&G).
  • Lesley Kupiec works part-time as a dental hygiene educator for P&G.

ADA CERP

  • Procter & Gamble Company is an ADA CERP Recognized Provider.
  • ADA CERP is a service of the American Dental Association that assists dental professionals in identifying quality continuing education providers.
  • It does not endorse individual courses or instructors.

Evidence-Based Decision Making (EBDM)

  • EBDM is a mechanism to stay current in practice by addressing knowledge gaps.
  • It includes understanding new concepts and skills, specifically how to formulate answerable clinical questions.
  • It uses evidence from research studies, clinical experience, patient preferences, and clinical circumstances.
  • Evidence-Based Medicine (EBM) integrates the best research evidence with clinical expertise and patient values.

Levels of Evidence

  • Clinical practice guidelines, systematic reviews with meta-analyses, systematic reviews, randomized controlled trials, and well-designed non-randomized control studies are considered strong evidence.
  • The hierarchy of evidence, for treatment questions, is based on causation and bias control.
  • Higher levels of evidence are associated with fewer studies but higher relevance.

EBDM Skills and 5-Step Process

  • The processes include converting information needs into clinical questions using the PICO process (Population, Intervention, Comparison, and Outcome), conducting a comprehensive computerized literature search, critically appraising the evidence, applying the results in practice, and assessing performance.
  • The PICO question is essential in EBDM for focusing on important problems in order to find relevant and valid information.
  • The course emphasizes the importance of incorporating online searching skills and understanding research methods.

Course Test Preview

  • The course test focuses on key EBDM concepts, definitions, and principles.
  • Questions assess understanding of clinical expertise, patient values, research, and application of knowledge in practice.

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Description

This quiz explores the fundamentals of evidence-based decision making in the dental field. Participants will learn to formulate clinical questions and identify relevant evidence for practice. The course is designed for dental professionals and students looking to enhance their decision-making skills with a focus on evidence-based principles.

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