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Related Experiment Videos

Obtaining useful information from expert based sources

D C Slawson1, A F Shaughnessy

  • 1Department of Family Medicine, University of Virginia, Charlottesville 22908, USA. dslawson@virginia.edu

BMJ (Clinical Research Ed.)
|March 29, 1997
PubMed
Summary
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Clinicians can identify patient-centered evidence that matters (POEM) by assessing relevance, practice commonality, and feasibility. Validating this information through well-designed trials ensures improved patient outcomes and practice changes.

Area of Science:

  • Medical Informatics
  • Evidence-Based Practice

Background:

  • Clinicians utilize expert systems like colleague consultations, literature reviews, and continuing education for new information.
  • The utility of these sources hinges on information relevance, validity, and the effort required for acquisition.

Purpose of the Study:

  • To define criteria for distinguishing useful clinical information from non-useful information.
  • To introduce the concept of Patient-Oriented Evidence that Matters (POEM) as a framework for evaluating clinical information.

Main Methods:

  • Proposed a three-question framework to assess information usefulness: patient-centered outcomes, practice relevance/feasibility, and potential for practice change.
  • Emphasized the importance of well-designed clinical trials for information validity over anecdotal experience.

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Main Results:

  • Information is considered a common POEM if it addresses patient-centered outcomes, is relevant and feasible for practice, and necessitates a practice change.
  • Conclusions derived from robust clinical trials are deemed more valid than those based on clinical experience alone.

Conclusions:

  • Clinicians should adopt the POEM framework to filter and prioritize clinically relevant and actionable information.
  • Both clinicians and experts share responsibility in ensuring the validity and application of evidence in practice.