Evidence-based thinking – 2
Read our assessment of an evidence-based clinical issue.
View a list of questions to keep in mind before you start the case.
Study the case history and videos.
Make your own assessment, determinations and reflections.
Note: This is an intermediate-to-advanced activity requiring open-ended analysis and clinical judgment.
Case 8
TIPS procedure
Preview:
In Case 8, the provider had important evidence but did not seem to share it with the team.
Scroll down to view questions.
-What was the evidence?
-What was the consequence to the team’s decision-making to function without it?
-What might they have done differently with it?
-What was the consequence to the patient?
Ready? Assess the history.
Case 27
Dialysis
Preview:
In Case 27, the provider had important evidence and correctly interpreted it, but did not act on it in a timely way.
Scroll down to view questions.
-What was the evidence she had?
-What is your view of her judgment?
-What was the consequence to the patient?
Ready? Assess the history.
Case 28
Peripheral vascular disease and recent angioplasty
Preview:
In Case 28, the provider had a set of evidence. The weight of evidence did not support his conclusions. He seemed to decide the evidence had to fit his conclusions anyway.
Scroll down to view questions.
-What evidence did he have?
-What evidence did he lack?
-What was the consequence to the patient?
Ready? Assess the history.
Case 37
Alcohol use disorder and pacemaker replacement
Preview:
In Case 37, the provider had key evidence, but misinterpreted it.
Scroll down to view questions.
-What evidence did he have?
-In what way did he misinterpret it?
-What was the consequence to the patient?
Ready? Assess the history.
Case 38
Lung mass
Preview:
In Case 38, the provider sought evidence. The evidence he obtained did not support his own opinion. He seemed to override evidence-based principles in favor of his own opinion.
Scroll down to view questions.
-What evidence did he have?
-What evidence did he skip?
-What was the consequence to the patient?
Ready? Assess the history.
Case 42
Death during rehab
Preview:
In Case 42, a provider had important evidence but did not act on it.
Scroll down to view questions.
-What was the evidence?
-What action did he skip?
-What was the consequence to the patient.
Ready? Assess the history.
Case 43
Mental status change followed by hypotension
Preview:
In Case 43 a provider had evidence but dismissed it.
Scroll down to view questions.
-What evidence they dismiss?
-What was the consequence to the patient?
Ready? Assess the history.
Case 44
Longstanding urinary incontinence and frequency
Preview:
In Case 44, the providers had important evidence but incorrectly interpreted it.
Scroll down to view questions.
-What evidence did they incorrectly interpret.
-What was the consequence to the patient?
Ready? Assess the history.
Case 46
Pacemaker and chronic back pain
Preview:
In Case 46, the providers made an assumption about new evidence that was incorrect.
Scroll down to view questions.
-What was the assumption they made?
-Was it a reasonable assumption?
-What was the consequence to the patient?