EBM and critical path

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  • ＥＢＭとクリティカルパス
  • EBM ト クリティカルパス

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Evidence-based medicine (EBM) has been advocated since 1990' to obtain best outcome in clinical practice based on the results of previous works. Since the purpose of EBM is similar to that of critical paths, the best places to do EBM are the critical paths. The practice of EBM consists of 5 steps, including finding the best evidences and critically appraising the evidence found. It is important to judge the levels of evidence obtained. To judge the levels of evidence, the classification made by Oxford-centre for evidence-based medicine is clear and convenient. EBM can be designated as a medicine based on the highest levels of evidence currently avail able. To be sure, physicians should be aware of the variability of patient's population and respect their sense of values as much as possible. EBM is not a “cookbook” medicine. Physicians should always consider whether or not the evidence obtained can be applied to their patients after analyzing the characteristics of them. Therefore, it is also important to change the orders of critical paths without hesitation, when physicians thought them inappropriate for their patients. In this manuscript, we describe the concept, components and efficacy of EBM based on our experiences.

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