International Healthcare Research Journal 2021;5(7):RV1-RV4.
INTRODUCTION
“Human history is mostly the story of error and
accident.”
-Michael A. Ledeen
In today’s advanced era, many of the decisions are
based upon gut feeling, intuition, or instinct rather
than relied on actual scientific data and facts. Though
presence of facts and figures is already available but
due to the lack of an individual’s interest and
resistance towards information it results in errors and
problems. Everyone, be it a person, a society or an
establishment has made errors in the form of
imprecise beliefs or decisions. In earlier times, errors
and mistakes in evidence-based decision making
must have been greater than that in the recent times.
Before, the research and the findings were far lesser
than that which we can find today.
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Written material
is widely accepted and is like the Holy Grail for
evidence-based decision making. It gets updated and
new research findings are added so that errors can be
decreased giving us better results. Errors can occur
anywhere in the process of decision making. It can be
on an individual level by considering beliefs and
interpretation of information on their own and can
result in inaccurate application of the process.
Disposition and aversion to information can also
result in errors while making decisions. Our main aim
is to identify and reduce these errors so that the
quality and quantity of the result is not hampered.
The categories which can be included for
improvement are basically reduction in time, cost,
effort, dispute, disease and many other possibilities.
2
We know that eliminating all the errors in one go is
not possible. But the severity and the frequency can
be reduced and should be considered our main goal.
Some of the prerequisites which should be followed
at an individual level include accepting the fact that
there may be errors in any evidence; the individual
should be willing to identify the errors and lastly they
have to accept that research attempts to obtain
justifiable facts and evidence.
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Thus, it’s important and essential to do the needful
based on facts and not feelings for the best possible
outcomes. Evidence-based decision making (EBDM)
is an ideal model which we can use to ensure that you
are considering relevant facts and not something that
is not proven. Evidence based decision making is a
process that helps in making decisions about a
program, practice, or policy that is grounded in the
best available research evidence and informed by
experiential evidence from the field and relevant
contextual evidence. All the information present in
scientific research with good outcome should always
considered while taking a decision. Three categories
which are mainly the part of this framework are
contextual evidence, best available research evidence
and experiential evidence.
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Evidence Based Decision Making: A Review
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ISSN: 2456-8090 (online)
DOI: https://doi.org/10.26440/IHRJ/0507.10468
TWESHA HUIDROM*
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, RAVNEET MALHI
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In today’s era, many of the decisions are based upon gut feeling, intuition, or instinct rather than relied on actual scientific data and
facts. It’s important and essential to do the needful based on facts and not feelings for the best possible outcomes. Evidenc e based
decision making in the field of healthcare describes the integration of basic rules of evidence as they evolve into implementation in
daily practices. In dentistry, the principles of evidence-based decision making as well as a very common clinical dilemma to make a
decision on whether to save and preserve the natural tooth or to extract and replace it with an implant or any sort of prosthesis is
often experienced by a clinician easily. The need of evidence plays a very important role in making decisions. It helps provide a
better outcome which will result in fewer casualties.
KEYWORDS: Evidence-Based, Medicine, Dentistry, Decision, Error
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© Twesha Huidron et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY-NC 4.0, which
permits unrestricted use, distribution and reproduction in any medium, provided the use is not commercial and the original author(s) and source are cited.
Submitted on: 14-Jul-2021; Accepted on: 11-Oct-2021
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