Evidence-Based Practice Proposal

9/24/21, 3)25 PMFraming the Clinical Question for Making Search Decisions

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Framing the Clinical Question for Making Search Decisions

Background Questions:

Background questions are formulated to look for general knowledge or 'facts' or etiology: Who, what, when, why, how

What are the differential diagnostic criteria for meningitis? What are the side effects of Morphine?

What are the risk factors for extravasation in neonates receiving peripheral IV fluids? How is HCV transmitted?

Best answers are often found in textbooks or databases like UpToDate , DynaMed.

"Patient Centered Questions"

Evidence Based Practice Asking the Relevant Clinical Question

9/24/21, 3)25 PMFraming the Clinical Question for Making Search Decisions

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Foreground Questions

Foreground questions ask for specific knowledge one can apply to a specific patient or problem.

They often compare two things: two drugs or treatments, the prognosis of two groups, two diagnostic tests, or the harms or benefits of two approaches.

They often require primary sources that synthesize a wide range of knowledge, and are more difficult to answer than background questions.To formulate a good foreground question, practitioners apply the acronym P-I-C-O-T also known as "PICOT" as a framework to outline the clinical question.

Hand washing helps to prevent the spread of nosocomial infections. Is the use of soap and water or alcohol-based rubs more effective in preventing these infections?

Hip fracture is common in elderly patients after falling. I have an elderly patient who exhibits an unsteady gait. Would a hip protector be a useful preventative measure for this patient?

The physician prescribes warfarin to control an elderly patient's atrial fibrillation. What is the major risk associated with the drug? Should dosage level be a concern in the elderly population?

In middle aged women with migraine headaches, is there any evidence that acupuncture compared to sham treatment, biofeedback, relaxation training, and cognitive-behavioral

9/24/21, 3)25 PMFraming the Clinical Question for Making Search Decisions

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therapy, reduces the frequency, intensity, and/or duration of migraines?

In children with cancer, what are the current treatments in the management of fever or infection?