Principles of EBDM

Evidence-based decision-making is about solving clinical problems and involves two fundamental principles:

  1. Evidence alone is never sufficient to make a clinical decision. Initially, the focus of EBM emphasized using randomized clinical trials and other quantifiable methods. However, as EBM has evolved, so has the realisation that the evidence from clinical research is only one key component of the decision making process and does not tell a practitioner what to do.11
  2. A hierarchy of evidence exists to guide clinical decision-making.9 EBDM is a structured process which incorporates a formal set of rules for interpreting the results of clinical research and places a lower value on authority or custom. In contrast to EBDM, traditional decision-making, relies more on intuition, unsystematic clinical experience and pathophysiologic rationale.9,12
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