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The Institute of Medicine report, Health Professions Education (2003), called for all health professional educational programs to include competency in five areas: patient-centered care, quality improvement, interprofessional collaborative practice, health information technology, and emphasizing EBP. This quality strategy began with three aims—better care, healthy people/healthy communities, and affordable care—for quality improvement. The Iowa model of evidence-based practice to promote quality care. It has developed into a roadmap for quality with a consensus-based set of core principles to guide the quality strategy and all efforts to improve health and health care delivery. Critical Care Nursing Clinics of North America, 13(4), 497–509. The implementation of EBP in health care has moved us from a “do something …anything” framework of patient care to “Why do we do these things when we don’t really know what works?
In the midst of ever-increasing health care choices, clinicians want to know what works to increase the quality of care delivered, including the best practices to improve and optimize patient outcomes, the satisfaction with care to optimize the patient experience throughout the continuum of care, and implementation of safer systems of care to protect patients from medical error.
The second factor is the tremendous growth of new knowledge available to today’s health care clinician.
As of December 2015, there are 5,635 journals that are indexed in MEDLINE, including 5,141 journals that are indexed as Index Medicus, as well as 494 other non-Index Medicus journals.
The fourth factor is a result of the growth of new knowledge and the delays in implementing that new knowledge, a resultant decline in best care knowledge for patient care.
There is so much information available to the clinician and limited time to read and evaluate it for use in practice.