Article type
Abstract
"Background: Hospital Evidence-Based Care Programs (EBCP) synthesize and disseminate evidence, addressing the needs of an organization and informing patient care.
Objective: To provide a brief overview of the activities and impact of an EBCP on professionals’ decision-making in a large hospital located in São Paulo, Brazil.
Methods: Retrospective descriptive analysis of a hospital EBCP's database (covering the period 2020-2023), involving data from the studies conducted and an online feedback survey.
Results: Since inception, the EBCP performed 95 scientific technical reports, including 55 rapid systematic reviews (RSR) and 40 literature reviews (LR). We identified 21 review topics, with the 3 most common being inpatients (n=20), oncology (n=11), and surgical procedure (n=9). The 3 most common technologies assessed were medical devices (n=28), drugs (n=27), and scale/questionnaire (n=16). The average number of deliveries was 7 reports per quarter. Studies were mainly used to update policy or procedure (n=59), to support scientific research (n=10), support clinical program development (n=8), provide clinical guidance (n=7), or as a communication tool (n=5). Among the requestors who responded to the feedback survey (75/95), 99% reported a high level of satisfaction with the opinion presented, and 100% indicated that they likely would request a review in the future and would indicate the EBCP to a coworker. Among the RSR responders (51/55), 94% agreed or strongly agreed that the EBCP work informed their project or final decision, and 32% reported that the result presented changed their perspective about the technology assessed.
Conclusion: Employing evidence-based methodology, our program provided timely and pertinent evidence for supporting local decision-making. Health professionals who utilized the EBPC expressed high satisfaction with the process and reported a positive shift in their decision-making.
Relevance: The implementation of an EBPC can facilitate the incorporation of the most reliable evidence, aiding decision-making for both management professionals and frontline health practitioners, ensuring a focus on high-quality, patient-centered care and improved outcomes"
Objective: To provide a brief overview of the activities and impact of an EBCP on professionals’ decision-making in a large hospital located in São Paulo, Brazil.
Methods: Retrospective descriptive analysis of a hospital EBCP's database (covering the period 2020-2023), involving data from the studies conducted and an online feedback survey.
Results: Since inception, the EBCP performed 95 scientific technical reports, including 55 rapid systematic reviews (RSR) and 40 literature reviews (LR). We identified 21 review topics, with the 3 most common being inpatients (n=20), oncology (n=11), and surgical procedure (n=9). The 3 most common technologies assessed were medical devices (n=28), drugs (n=27), and scale/questionnaire (n=16). The average number of deliveries was 7 reports per quarter. Studies were mainly used to update policy or procedure (n=59), to support scientific research (n=10), support clinical program development (n=8), provide clinical guidance (n=7), or as a communication tool (n=5). Among the requestors who responded to the feedback survey (75/95), 99% reported a high level of satisfaction with the opinion presented, and 100% indicated that they likely would request a review in the future and would indicate the EBCP to a coworker. Among the RSR responders (51/55), 94% agreed or strongly agreed that the EBCP work informed their project or final decision, and 32% reported that the result presented changed their perspective about the technology assessed.
Conclusion: Employing evidence-based methodology, our program provided timely and pertinent evidence for supporting local decision-making. Health professionals who utilized the EBPC expressed high satisfaction with the process and reported a positive shift in their decision-making.
Relevance: The implementation of an EBPC can facilitate the incorporation of the most reliable evidence, aiding decision-making for both management professionals and frontline health practitioners, ensuring a focus on high-quality, patient-centered care and improved outcomes"