Discuss how evidence-based practice (EBP) assists hospitals and healthcare systems achieve the quadruple aim.

Making the Case for LEvidence-Based Practice and Cultivating a Spirit of Inquiry

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Believe you can and you’re half-way there Theodore Roosevelt
EBP Terms to Learn Critical appraisal EBP competencies Evidence-based practice (EBP) Evidence-based qua!it.,- improvement Evidence-based qUalite improvement projects Evidence-based theories External evidence Internal evidence Meta-analyses Outcome management Predictive studies

Quadruple aim in healthcare Quality improvement (01) Randomized controlled trials (RCTs) Randomly assigned
Rapid critical appraisal Research Research utilization “so-what” outcomes
IIICEMPIr

Spirit of inquiry Synthesis Systematic reviews Translational research

Learning Objectives After studying this chapter, learners will be able to:

Discuss how evidence-based practice (EBP) assists hospitals and healthcare systems achieve the quadruple aim.

Describe the differences among EBP, research, and quality improvement. identify the seven steps of EBP. Discuss barriers to EBP and key elements of cultures that support the implementation of EBP.

The evidence is irrefutable. Evidence-based practice (EBP) enhances healthcare quality, improves patient outcomes, reduces costs, and empowers clinicians; this is known as the quadruple aim in healthcare (Bodenheimer & Sinsky, 2014; Melnyk & Fineout-Overholt, ow 2015; Tucker, 2014). Hospitals and healthcare systems across the United States are continu-ally striving to reach the quadruple aim and improve the safety of care. However, problems with quality persist; for example, preventable medical errors are the third leading cause of death in the United States, and clinician burnout is a public health epidemic (Johnson et al., • 2017; Makary & Daniel, 2016; Melnyk, 2016a; Shanafelt et al., 2015). Although EBP is a key strategy for reaching the quadruple aim, it is not the standard of care in many healthcare systems because practices steeped in tradition and organizations that foster a culture of Imo “this is the way we do it here” continue to thrive across the United States and the world. Recently, there has been an explosion of scientific evidence available to guide health pro-fessionals in their clinical decision making. Even though this evidence is readily available, the 0. implementation of evidence-based care is still not the norm in many healthcare systems across the United States and the globe because clinicians across the United States lack competency
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