Evidence-based Laboratory Medicine: Supporting Decision-Making
نویسندگان
چکیده
منابع مشابه
Evidence-based laboratory medicine: supporting decision-making.
There is an implicit acceptance that an evidence-based culture underpins the practice of laboratory medicine, in part because it is perceived as the scientific foundation of medicine. However, several reviews of specific test procedures or technologies have shown that the evidence base is limited and in many cases flawed. One of the key deficiencies in the scientific literature on diagnostic te...
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We review two recent trends: the emergence of evidence-based medicine and the growing use of Bayesian statistics in medical applications. Evidence-based medicine requires an integrated assessment of the available evidence, and associated uncertainty, but there is also an emphasis on decision-making, for individual patients, or at other points in the health-care system. This demands consideratio...
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Most medical decision problems are exceedingly complex and contain a large number of variables. Abstraction facilitates the process of building a decision model by allowing a model builder to work at a level of detail that he is most comfortable with; it is also useful in time-critical situations or when there is insufficient data to support complete specification of probabilities of the uncert...
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Shared decision making (SDM) is the process of providing the patient with critical information that can support his or her informed participation in decision making. Shared decision making has become accepted as an important component of quality health care. Influenced by its foundations in law and ethics and by empirical work on its value as a tool to reduce variability in care, a perception h...
متن کاملClinical Governance and evidence-based laboratory medicine.
BACKGROUND Clinical Governance is described as "a framework through which the NHS organisations are accountable to continue to improve the quality of the service and safeguarding high standards of care by creating an environment in which excellence in clinical care would flourish"; it is aimed to ensure continuous improvement in the overall standard of clinical care, ensuring that clinical deci...
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ژورنال
عنوان ژورنال: Clinical Chemistry
سال: 2000
ISSN: 0009-9147,1530-8561
DOI: 10.1093/clinchem/46.8.1041