From the Editor Clinicians have heard a lot about evidence-based practice recently. Evidence-based practice involves intergrating clinical expertise with the best available clinical evidence derived from systematic research (Sackett, Rosenberg, Gray, & Richardson, 1996). But, while many clinicians are familiar with the term and perhaps even its implications, many are unaware of ... Editorial
Editorial  |   August 01, 2002
From the Editor
 
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Editorial
Editorial   |   August 01, 2002
From the Editor
American Journal of Speech-Language Pathology, August 2002, Vol. 11, 210. doi:10.1044/1058-0360(2002/019)
 
American Journal of Speech-Language Pathology, August 2002, Vol. 11, 210. doi:10.1044/1058-0360(2002/019)
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Clinicians have heard a lot about evidence-based practice recently. Evidence-based practice involves intergrating clinical expertise with the best available clinical evidence derived from systematic research (Sackett, Rosenberg, Gray, & Richardson, 1996). But, while many clinicians are familiar with the term and perhaps even its implications, many are unaware of how to apply these procedures to their practice.
Strauss and Sackett (1998)  provide guidance regarding how clinicians can practice using evidence-based procedures. According to these authors, clinicians must ask clear, focused questions specifying the patient or problem being addressed, the treatment being considered, an alternative treatment for comparison, and the clinical outcomes of interest. They must then search for the best evidence to answer these questions. Because the volume of literature pertaining to any given question can be overwhelming, a number of resources have been developed that provide systematic reviews of the most methodologically rigorous and clinically useful studies concerning the effects of health care. Among the most popular of these are the Cochrane Database of Systematic Reviews, which are full text, regularly updated reviews, and the Cochrane Controlled Trials Register, which contains large numbers of bibliographic references to controlled health care trials. The Database of Abstracts of Reviews of Effectiveness is a full text database containing critical assessments of articles from a variety of medical journals that review the effectiveness of health care procedures. The ACP Journal Club identifies studies that are both methodologically sound and clinically relevant and then provides an enhanced abstract of the chosen articles and a commentary on the value of the article for clinical practice.
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