Definition
"The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research" David Sackett, et al. "Evidence Based Medicine: What It Is and What It Isn't," BMJ 1996; 312 (7023) 72-72.
For other definitions, see the following:
Importance to Pharmacists
Health-system pharmacists have vast opportunities to be involved in patient care. As patient advocates, pharmacists are uniquely positioned to promote use of evidence based practice guidelines and standards and improve patient outcomes. Health-system pharmacists can take an active role in educating other healthcare professionals on use and implementation of evidence based practice.
View articles on the importance of EBP
- Federal Report Lists Evidence-Based Patient Safety Practices. ASHP news article.
- Burkiewicz, JS. Zgarrick, DP. Evidence-based practice by pharmacists: Utilization and barriers. Annals of Pharmacotherapy 2005;39(7-8):1214-1219.
- Lessler and Brennan. Improving health care with evidence-based initiatives. Am J Health Syst Pharm. 2002; 59(22): 2171.
- Correa-de-Araujo, R. Besteman, J. Bosco, L. Slutsky, J. AHRQ's programs help improve pharmacy practice.International Pharmaceutical Federation World Congress 2002; 62:150.
- Bond c., et al. The feasebility of implementing an evidence-based core set of clinical pharmacy services in 2020: manpower, marketplace factors, and pharmacy leadership. Pharmacotherapy 2004;24(4):441-52
- Bond C., et al. Evidence-based core clinical pharmacy services in United States hospitals in 2020: services and staffing. Pharmacotherapy. 2004;24(4):427-40.
- Etminan M., et al. Evidence-based pharmacotherapy: review of basic concepts and applications in clinical practice. Ann Pharmacother. 1998;32(11):1193-200.
- JoLaine Reierson Draugalis and Cecilia M Plaza. Emerging Role of Epidemiologic Literacy. Ann. Pharmacother., 2006; 40: 229 - 233.
- Pray WS. Ethical, scientific, and educational concerns with unproven medications. Am J Pharm Educ. 2006;70(6):141.
History
The term "EBM" first appeared in 1992 in the article by Guyatt G, Cairns J, Churchill D, et al. "Evidence-based medicine. A new approach to teaching the practice of medicine." JAMA 1992;268:2420-5. Together with his collegue, David Sackett, from McMaster University, Guyatt led a research group that worked on the question of what is the best evidence.. However, the idea of establishing standards for evidence appeared many years earlier. Professor Archie Cochrane, from UK, in 1948 pioneered idea of randomized clinical trials and called for establishing standards and guidelines for systematic reviews of clinical trials. His work led to establishment of Cochrane Centres.
For more details on history of EBP, see the following: