Document Detail

History of evidence-based medicine. Oranges, chloride of lime and leeches: barriers to teaching old dogs new tricks.
MedLine Citation:
PMID:  16091093     Owner:  NLM     Status:  MEDLINE    
Knowledge translation is the process of taking evidence from research and applying it in clinical practice. In this article I will cite some pivotal moments in the history of medicine to highlight the difficulties and delays associated with getting evidence into practice. These historical examples have much in common with modern medical trials and quality improvement processes. I will also review the reasons why evidence is not used and consider what factors facilitate the uptake of evidence. Understanding these concepts will make it easier for individual clinicians and institutions to change clinical behaviour and provide a starting point for those looking at implementing 'new' practices, new therapies and clinical guidelines. Finally, I will offer a list of criteria that clinicians might choose to consider when deciding on whether or not to adopt a new practice, treatment or concept.
Steven Doherty
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Publication Detail:
Type:  Historical Article; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Emergency medicine Australasia : EMA     Volume:  17     ISSN:  1742-6731     ISO Abbreviation:  Emerg Med Australas     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-10     Completed Date:  2006-01-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101199824     Medline TA:  Emerg Med Australas     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  314-21     Citation Subset:  IM    
Emergency Department, Tamworth Base Hospital, Tamworth, New South Wales, Australia.
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MeSH Terms
Ascorbic Acid / history,  therapeutic use
Attitude of Health Personnel*
Bloodletting / history
Calcium Compounds / history,  therapeutic use
Citrus sinensis
Diffusion of Innovation*
Evidence-Based Medicine / history*,  methods,  standards
History, 18th Century
History, 19th Century
History, 20th Century
Naval Medicine / history
Pneumonia / history,  therapy
Practice Guidelines as Topic
Puerperal Infection / history,  prevention & control
Scurvy / diet therapy,  history
Reg. No./Substance:
0/Calcium Compounds; 50-81-7/Ascorbic Acid; 7778-54-3/calcium hypochlorite

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