Jon wrote:
>>>>>>>>>>>>>>
I think one of the most significant issues that stands in the way of EBM is the powerful factor 'human nature'.
There is a significant amount of literature on how people make decisions (as mentioned in the previous e-mail). One of the clearest lessons is that in times of uncertainty people turn to their colleagues for advice - not abstracts things such as Medline, Cochrane etc. This point was beautifully illustrated in Gabbay's recent paper in the BMJ (http://bmj.bmjjournals.com/cgi/content/full/329/7473/1013).
Invariably anecdote (from a trusted source) takes precedent over evidence.
<<<<<<<<<<<<
Indeed!
I still think the best way of summarising this and making it work for real is Dave Slawsons and Allen Shaughnessy's work on information mastery and decision making at the 'point of care'
Their website is superb and gives access to lots of their presentations:
http://www.healthsystem.virginia.edu/internet/familymed/docs/info_mastery.cfm
Remember, they are also coming to the UK next year to run two of their conferences
;-)
Cheers (8(|)
Jonathan
---------------------------------------------------------------------
Jonathan Underhill MRPharmS
Assistant Director, Education and Development
National Prescribing Centre
The Infirmary
70 Pembroke Place
Liverpool
L69 3GF
Tel: 0151-794-8143
Fax: 0151-794-8067
Mobile: 07968 851325
email: [log in to unmask]
website: www.npc.co.uk
----------------------------------------------------------------------------
DISCLAIMER: This e-mail may contain confidential and/or proprietary information some or all of which may be legally privileged. It is for the intended recipient only. If any addressing or transmission error has misdirected this e-mail, please notify the author by replying to this e-mail and destroy any copies. If you are not the intended recipient you must not use, disclose, distribute, copy, print, or rely on this e-mail.
|