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Excellence Every Day represents an MGH commitment to providing the highest quality, safest care that meets or exceeds all standards set by the hospital and external organizations.
Collaborative Governance Magnet Recognition Regulatory Readiness Innovation Units

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Evidence-Based Practice (EBP)



Evidence-based practice is a clinical decision-making process that integrates the best research evidence with clinical expertise and patient values and preferences to improve care. At Mass General, we use the Johns Hopkins Model of Evidence-Based Practice (Dearholt & Dang, 2012) and utilize their EBP toolkit to guide the process.


Viva La Evidence


The conceptual model has research and discovery along with other types of evidence as its foundation. It acknowledges the links among practice, education, research, and translation and the fluidity of these relationships. All of these elements are influenced by factors that are inherent in the organization, as well as by external factors that exist at the local, state, and national levels.




The Hopkins process for EBP relies on three elements, Practice Question, Evidence, and Translation,
and is known as the PET Process.

To develop a practice question, we use the P-I-C-O method.

P = patient, population, problem

I = Intervention

C = Comparison

O = Outcome

PICO question example:

In critical care patients (P) are Allevyn foam dressings (I) more effective than Mepilex foam dressings (C)
at preventing sacral pressure ulcers (O)?

June 2016 Education Session

Below are the slides used in the June 2016 educational session, "Advancing Evidence-Based Practice," held on June 28, 2016. This was a four-hour training session for 50 inter-professional participants. Program faculty included Tam Nguyen,RN, assistant professor, Boston College, and Lisa Liang Philpotts, RN, knowledge specialist for Research & Instruction, Treadwell Virtual Library.

MGH EBP Toolkit

The MGH EBP Toolkit provides EBP teams with the necessary resources to conduct an EBP project.

Did You Know Poster: What is evidence based practice?

Hopkins Model Tools

The Hopkins Model tools are used to guide teams through project management, from PICO question development through literature critique and synthesis.

Treadwell eBooks

The Hopkins Model textbooks are available as eBooks via the Treadwell Virtual Library and are great references for EBP teams.

Munn Center

If you have an idea for an EBP project request a consultation with a nurse scientist from the Munn Center here.



Other Contacts:

Ginger Capasso, RN, clinical nurse specialist (2016). Advancing evidence-based practice: Caring Headlines


Newborn Intensive Care Units:
What is the best method to verify feeding tube placement prior to feeding a preterm infant?
What measurement method is the most precise in determining length of feeding tube for placement in the preterm infant’s stomach?

Ellison 9, Cardiac ICU/ Blake 8, Cardiac Surgical ICU:
Is moral distress influenced by nurses’ perceptions of their inclusion in the decision-making process or their understanding of the decision-making process?

Ellison 4, Surgical ICU/ Blake 12:
As compared to Mepilex foam dressings (C), do Smith & Nephew Allevyn foam dressings (I) [prevent or ]reduce the incidence of hospital-acquired pressure ulcers (O) on the sacrum / coccyx of critically ill patients (P)? View poster

White 7:
Does implementation of the nurse-driven protocol for indwelling urinary catheter removal decrease the dwell time and rate of CAUTI?\

Excellence Every Day represents an MGH commitment to providing the highest quality, safest care that meets or exceeds all standards set by the hospital and external organizations.

If you have questions or suggestions related to the EED portal, please contact Georgia Peirce at (617) 724-9865 or via email at


updated 11/21/16

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