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Proactive monitoring for newly emerging evidence: The lost step of EBP?
  1. Drew Keister,
  2. Julie Tilson

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    The 5 steps of evidence-based practice (EBP) were described in 1992.1 The steps are:

    1. Translation of uncertainty to an answerable question;

    2. Systematic retrieval of best evidence available;

    3. Critical appraisal of evidence for validity, clinical relevance, and applicability;

    4. Application of results in practice; and

    5. Evaluation of performance.

    According to the Sicily Statement on Evidence-based Practice,2 the steps describe a codified set of behaviours that form the basis for evidence-based clinical practice. The steps have also been the primary focus of teaching efforts in EBP. As …

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