Users' Guides to the Medical Literature
Guyatt G, Rennie D, Meade MO, Cook DJ
Part G Moving from Evidence to Action
Chapter 22.7. Changing Behavior to Apply Best Evidence in Practice
Deborah J. Cook, Richard J. Wall, Robbie Foy, Elie A. Akl, Gordon Guyatt, Holger J. Schünemann, Lee Green, J. Randall Curtis
Clinical Scenario
Topics Discussed:
clinician behavior, evidence-based medicine, evidence-based practice, heparin, teaching issues, thromboprophylaxis, venous thromboembolism
Excerpt:
"Hospital accreditation looms ahead, and at your monthly general
internal medicine divisional meeting, your chief reports a request
from the chair of medicine. Each division is asked to define one "best
practice strategy," document the extent to which practice
is consistent with this strategy, and demonstrate improvement in
the next year. Your division chief asks for ideas, and a number
of suggestions follow. You propose to evaluate whether your division
is using heparin to prevent venous thromboembolism (VTE)
on the surgical wards as part of your perioperative service and
outline the rationale for your proposal, as well as how you will
achieve this goal...."
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