| History of evidence-based medicine. Oranges, chloride of lime and leeches: barriers to teaching old dogs new tricks. | |
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MedLine Citation:
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PMID: 16091093 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Steven Doherty |
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Publication Detail:
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Type: Historical Article; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Emergency medicine Australasia : EMA Volume: 17 ISSN: 1742-6731 ISO Abbreviation: Emerg Med Australas Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-08-10 Completed Date: 2006-01-20 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101199824 Medline TA: Emerg Med Australas Country: Australia |
Other Details:
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Languages: eng Pagination: 314-21 Citation Subset: IM |
Affiliation:
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Emergency Department, Tamworth Base Hospital, Tamworth, New South Wales, Australia. steven.doherty@hnehealth.nsw.gov.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Ascorbic Acid / history, therapeutic use Attitude of Health Personnel* Bloodletting / history Calcium Compounds / history, therapeutic use Citrus sinensis Diffusion of Innovation* Europe Evidence-Based Medicine / history*, methods, standards Female History, 18th Century History, 19th Century History, 20th Century Humans Leeches Male Naval Medicine / history Pneumonia / history, therapy Practice Guidelines as Topic Pregnancy Puerperal Infection / history, prevention & control Scurvy / diet therapy, history |
| Chemical | |
Reg. No./Substance:
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0/Calcium Compounds; 50-81-7/Ascorbic Acid; 7778-54-3/calcium hypochlorite |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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