TRUST UPON EVIDENCE
DR.SYED ZIYAD FURQAN
MBBS,BSMS,MSPH,CHPE

WHAT Is trust based on evidence?
Trust is built when there is consistent evidence
supporting mutual values and/or goals.
What constitutes valid reliable relevant evidence?
Those who publish and edit research-based
evidence should focus on the “3 Rs” of evidence-
based communication: reliability, relevance and
readability. Evidence is reliable if it can be shown to
be highly valid.

Why is the trustworthiness of research critical to evidence
based practice?
The foundation of good research and of good decision making
in evidence- based practice (EBP) is the trustworthiness of
the data used to make decisions. When data cannot be
trusted, an informed decision cannot be made.
Trustworthiness of the data can only be as good as the
instruments or tests used to collect the data

How can you tell if evidence is valid?
The criteria are:
1.Currency: Timeliness of the information.
2.Relevance: Importance of the information
for your needs.
3.Authority: Source of the information.
4.Accuracy: Truthfulness and correctness of
the information.
5.Purpose: Reason the information exists.

How can you ensure a diagnosis is accurate?
Ten tips for making a successful clinical
diagnosis
1.Listen to the presenting complaint. ...
2.Listen to the past medical history. ...
3.Listen to the drug history. ...
4.Listen to the careers. ...
5.Listen to the health care professionals. ...
6.Listen to what is not said. ...
7.Listen to your intuition. ...
8.Listen to your teachers

What are the 3 components of evidence based medicine?
Similar to baking cookies, the concept of EBM is only as good
as the quality of its three ingredients, or components:
expertise, research, and patient values. Add a dash of
expertise, a smidge of research, and some patient values
and presto! You have evidence-based medicine!

How do you justify a diagnosis?
1.WHAT IS THE DIAGNOSTIC JUSTIFICATION FOR? ...
2.MAP FOR YOUR JUSTIFICATION. ...
3.VINDICATE – MNEMONIC FOR DIFFERENTIALS. ...
4.WHAT HISTORY QUESTIONS WOULD YOU ASK? ...
5.BASED ON HISTORY, WHAT HYPOTHESES ARE MORE
LIKELY? ...
6.WHAT PHYSICAL EXAM NEEDS TO BE DONE? ...
7.NEXT STEPS. ...
8.WHAT LAB TESTS AND IMAGING DO YOU WANT TO ORDER?

Why is diagnosis important in the assessment process?
Today, a diagnosis is viewed as one aspect of
holistically understanding the client. Along with
testing, interviews, and other measures, it can be
used to help conceptualize client problems and assist
in the accurate development of treatment plans.

Why is it important to establish an accurate
diagnosis?
Your diagnosis is the basis for any treatment you
may receive, from drugs to surgery. An accurate
diagnosis is critical to prevent wasting precious
time on the wrong course of treatment. The
patient plays a crucial role in helping determine
the correct diagnosis

What are evidence-based practice
guidelines?
Evidence-based guidelines are designed to
summarize the evidence and address a
specific question regarding a medical
condition. Defining the question is a critical
first step, and involves clearly defining the
patient population, intervention, comparison
and outcome.

What is a prognostic systematic review?
A review of prognostic factor studies falls within the
second objective of the PROGRESS framework2
because it aims to summaries the prognostic value
of a particular factor (or each of multiple factors) for
relevant health outcomes and time points in people
with a specific health condition (eg, disease)

Is a systematic review good evidence?
Systematic reviews are an important type of
evidence for public health practice as they
synthesise all available primary research
studies to provide a more reliable estimate of
intervention effectiveness , or a reliable
overview of findings on issues such as disease
prevalence and risk factors

What is a prognosis statement?
Prognostic statements are announcements
containing prognostic information. Prognostic
factors are pieces of information associated
with a specific outcome of disease, which can
be utilized in the formulation of the prognosis

Does a systematic review need IRB approval?
Review articles do not require Institutional Review Board
(IRB) approval if the data reviewed are public (including
private and government databases) and if the articles
reviewed have received IRB approval previously.

THANKS !
GOOD LUCK!
THAT’S ALL FLOKS!