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What are the five essential steps used in evidence-based medicine?
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Surgeons performing a laparoscopy.
The practice of evidence-based medicine is defined by five essential steps designed to integrate scientific research with clinical practice:
- Identify the question: The clinician formulates a clear clinical question based on the management of an individual patient, creating a specific need for information.
- Find the evidence: The best available evidence to address the identified need is located.
- Appraise the evidence: The gathered information is critically evaluated for its validity and its applicability to the patient's specific situation.
- Integrate the evidence: The findings are combined with the clinician’s personal expertise and the patient’s own values and preferences to determine the most appropriate intervention.
- Evaluate outcomes: The clinician assesses the results of the intervention on the patient to determine its effectiveness.1