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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.
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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.

MGH CONCEPTUAL MODEL FOR EBP

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.

MGH EBP RESOURCES

 

 

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)?


EBP Education Series and Curriculum

Below are the slides used in the educational session, "Advancing Evidence-Based Practice," which is held 2-3 times per year. This four-hour training session has trained on average 50 inter-professional participants per session. Program faculty included Tam Nguyen, RN, PhD, MSN/MPH, and Lisa Liang Philpotts, RN, BSN, MLS, Knowledge Specialist for Research & Instruction, Treadwell Virtual Library.

Curriculum for EBP Course

Continuing education credits are offered to participants.


MGH EBP Toolkit

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

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.

MGH CONTACTS FOR MORE INFORMATION
EBP IN THE NEWS

Co-Leads:

Other Contacts:

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

EBP INITIATIVES: PICO QUESTIONS

2018 (in progress)

Bigelow 11 General Medicine
Are manual or automated blood pressure measurements more accurate in adult patients?

White 7 General Surgery
As compared to standard care, does the timing of the first vancomycin trough level and administration of the next dose of vancomycin before or after the trough level is available affect the incidence of complications (e.g., antibiotic resistance infections and nephrotoxicity) in adult patients?

Ellison 8 Cardiac Surgery
Are primary negative pressure wound therapy dressings more effective at prevention of incisional dehiscence and deep sternal wound infections than dry sterile dressings in cardiac surgical patients?

Bigelow 13 Respiratory Acute Care Unit
As compared to standard care, does acupuncture improve symptom management (e.g. anxiety, insomnia) in patients who are mechanically ventilated?


2017

Ellison 4 Surgical Intensive Care Unit
Is in-situ simulation training (ISST) more effective than other training methods at improving teamwork and communication during bedside resuscitation of critical care patients? view poster

Bigelow 6 Pediatric Intensive Care Unit
What are the most effective treatments to prevent central venous catheter thrombosis in pediatric patients? view poster

2016

Blake 10 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, do Smith & Nephew Allevyn foam dressings [prevent or] reduce the incidence of hospital-acquired pressure ulcers on the sacrum / coccyx of critically ill patients? view poster

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

Lunder 6 Neuroscience Intensive Care Unit
In orally intubated patients, do taping or commercially available tube holders minimize skin breakdown? view poster

Lunder 9 Oncology
Does the use of the distress screening tool identify the levels and domains of distress of patients on an inpatient oncology unit? view poster

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 gwpeirce@partners.org.

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updated 8/1/18

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