Assignment 2
Asking the Clinical Question
University of South Alabama
Asking the Clinical Question Evidence-based practice helps healthcare clinicians provide quality care based on knowledge and evidence rather than because of “this is the way we have always done it,” or based on customs, colleagues, or out-dated textbooks. In response to the startling report by the Institute of Medicine in 2001 that major deficits in healthcare caused preventable harm, a proposal for healthcare redesign was introduced recommending healthcare providers to implement evidence-based practice in order to improve quality outcomes (Stevens, 2013). In order to employ evidence-based practice, development must begin with clinical inquiry and question. The purpose of this paper is to utilize PICO to identify the clinical question, describe two evidence-based practice models, identify search terms which determined the clinical question, describe the number of articles retrieved from searching, and the relationship between levels of evidence and grades of recommendations based on an evidence grading system.
PICO
Asking a focused clinical question is the first step to obtaining evidence-based answers. The PICO question is a useful model is used to formulate clinical questions. The evidence-based practice paradigm recommends that healthcare providers frame clinical questions in terms of the population, intervention, comparison, and outcome (Huang, Lin, & Fushman, 2006). Using the PICO method, the following clinical question was formulated: In emergency department patients requiring procedural conscious sedation, how does capnography monitoring compare to standard pulse oximetry in the early identification of acute respiratory depression?
Population: emergency department patients requiring procedural conscious sedation
Intervention: capnography monitoring
Compare: standard pulse oximetry
Outcome: early recognition of respiratory depression
University of South Alabama
Asking the Clinical Question Evidence-based practice helps healthcare clinicians provide quality care based on knowledge and evidence rather than because of “this is the way we have always done it,” or based on customs, colleagues, or out-dated textbooks. In response to the startling report by the Institute of Medicine in 2001 that major deficits in healthcare caused preventable harm, a proposal for healthcare redesign was introduced recommending healthcare providers to implement evidence-based practice in order to improve quality outcomes (Stevens, 2013). In order to employ evidence-based practice, development must begin with clinical inquiry and question. The purpose of this paper is to utilize PICO to identify the clinical question, describe two evidence-based practice models, identify search terms which determined the clinical question, describe the number of articles retrieved from searching, and the relationship between levels of evidence and grades of recommendations based on an evidence grading system.
PICO
Asking a focused clinical question is the first step to obtaining evidence-based answers. The PICO question is a useful model is used to formulate clinical questions. The evidence-based practice paradigm recommends that healthcare providers frame clinical questions in terms of the population, intervention, comparison, and outcome (Huang, Lin, & Fushman, 2006). Using the PICO method, the following clinical question was formulated: In emergency department patients requiring procedural conscious sedation, how does capnography monitoring compare to standard pulse oximetry in the early identification of acute respiratory depression?
Population: emergency department patients requiring procedural conscious sedation
Intervention: capnography monitoring
Compare: standard pulse oximetry
Outcome: early recognition of respiratory depression