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Practice-based evidence for clinical practice improvement: an alternative study design for evidence-based medicine
Susan D Horn1, Julie Gassaway, Leah Pentz
1International Severity Information Systems, Inc, Institute for Clinical Outcomes Research, Salt Lake City, UT 84102, USA. shorn@isisicor.com
Studies in Health Technology and Informatics
|April 22, 2010
Summary
This chapter explores evidence-based practice limitations and study designs. It highlights the benefits of PBE-CPI studies for establishing best practices and their link to CIS.
Area of Science:
- Health Sciences
- Clinical Research Methodology
- Evidence-Based Practice
Background:
- Discusses the inherent limitations of current evidence-based practice (EBP) models.
- Evaluates the comparative strengths and weaknesses of Randomized Controlled Trials (RCTs) and observational study designs in clinical research.
Purpose of the Study:
- To provide an educational overview of key concepts in clinical research.
- To introduce the Patient-Based Evidence-Clinical Practice Integration (PBE-CPI) study design.
- To elucidate the advantages of PBE-CPI studies in advancing best practice standards.
Main Methods:
- Educational overview and critical analysis of existing research methodologies.
- Explanation of the PBE-CPI study design framework.
- Exploration of the relationship between Clinical Information Systems (CIS) and PBE-CPI studies.
Main Results:
- Identifies critical limitations within traditional evidence-based practice.
- Compares the utility and drawbacks of RCTs versus observational studies.
- Details the structure and advantages of the PBE-CPI study design.
Conclusions:
- PBE-CPI studies offer a promising approach to enhance the discovery and establishment of best practices.
- Understanding the interplay between CIS and PBE-CPI is crucial for effective implementation.
- Further research into PBE-CPI methodologies can refine clinical practice standards.
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