Integrating evidence based medicine into routine clinical practice: seven years' experience at the Hospital for Tropical Diseases, London.

ABSTRACT:

Problem

Introduction and evaluation of evidence based medicine (EBM) into routine hospital practice.

Strategy for change

Routine EBM meetings introduced in 1997.

Design

Review of outcomes of meetings from 1997 to 2004, focusing on their effect on clinical practice.

Setting

Referral centre for tropical and domestic infectious diseases. KEY MEASURE FOR IMPROVEMENT: Outcome of meetings, classified as resulting in a change in practice; confirmation or clarification of existing practice; identification of a need for more evidence; and outcome unclear.

Effects of change

Examples include a change from inpatient to day case treatment of New World cutaneous leishmaniasis; development of guidelines on the treatment of coinfection with visceral leishmaniasis and HI

SUBMITTER: Lockwood D 

PROVIDER: S-EPMC524557 | biostudies-literature | 2004 Oct

REPOSITORIES: biostudies-literature