[Background Music] [An animation is shown with the state of Ohio as a background and a circle at the center labeled "QI HUB" that then has additional circles leaving the main circle and traveling across the state. Text on screen: Presents: The History of Evidence-Based Practice in Healthcare Part 1 The Ohio State University - College of Medicine The Ohio State University - Wexner Medical Center] [Text on screen: Catherine Quatman-Yates, PT, DPT, PhD Associate Professor Division of Physical Therapy] Catherine Quatman-Yates, PT, DPT, PhD: Evidence-Based Practice, or EBP, is a methodology in health-care that combines the clinician's expertise, the best available research evidence, and the patient's values and preferences to make optimal healthcare decisions. [Various clip art images of medical professionals associated with the previous statement appear on screen] [A cartoon image of health professionals is shown and different groups are highlighted as novice, competent, and expert] Its evolution has been relatively recent, with healthcare professionals being at different stages of knowledge and appreciation of EBP depending upon their journey. Even experienced providers may find it challenging to incorporate evidence directly at the point of care or at the health system level. [Text on screen: Origins & Advancements of EBP] By the end of this video, we aim to not only explain the origins and advancements of EBP in health- care, but also to inspire you to see your place in this evolution and contribute to your professional field's continuous improvement. [Cartoon drawing of a healthcare professional that is highlighted and the text "You" associated with the individual] [Text on screen: History & Advancement of EBP] Now let's delve deeper into the history and advancement of EBP. [Cartoon drawings of two individuals are shown with the following text: David Sackett Gordan Guyatt 1970s-1990s] The concept was introduced by pioneers like Sackett, Guyatt, and others from the 1970s to the 1990s. [Gordan Guyatt is shown with text bubbles stating: intuition, past experience, and pathophysiologic rationale... ...explicit and conscientious use of the best available research evidence] They shifted the emphasis from intuition, past experience, and pathophysiological rationale to explicit and conscientious use of the best available research evidence. [Drawing of the moon, the outline of a group of individuals, and a lightbulb above the people highlighted in purple] This shift did not happen overnight and it was met with some resistance in the medical field initially as it required a significant shift in how decisions were made. To understand the importance of EBP, let's consider an example. [Drawing of a doctor and a patient with a drawing of medicine popping off of the doctor's papers. The medicine has a circle drawn around it with the following text: Experience, Intuition] Imagine a case where a doctor had been using a certain drug to treat a specific condition based on his experience and intuition. [Drawing of a paper titled "Medical Research" with the surrounding text: new drug, fewer side effects, more effective] However, recent research indicated a new drug was more effective and had fewer side effects. [A declining arrow is drawn from the medicine in the previous image with the doctor and patient] Without EBP, the doctor might continue using the old drug leading to less optimal patient outcomes. [Text on screen: Importance of EBP in Healthcare Decision-making] This case shows the importance of EBP and healthcare decision-making. [Drawings of researchers are shown with arrows pointing to the text "Healthcare Decision-making"] Despite the abundance of clinical research available, incorporating it into healthcare decision-making was not commonplace at the time. [The text "Definition of EBP" is shown followed by three cartoon images of a doctor, a patient, and a researcher] The initial definition of EBP focused on three components: clinical judgment, patients' values and preferences, and relevant scientific evidence. [Text is then associated with each individual: Doctor to "clinical judgement" Patient to "patient's values and preferences" Researcher to "relevant scientific evidence" and the text "1990" is shown] This framework influenced how we perceive EBP from the 1990s, when the profession began to incorporate research-based evidence into practice. [A timeline is created with the year 2000 being associated with "Institute of Medicine (IOM)" which is then changed to "National Academy of Medicine (NAM)" and then two books titled "To Err is Human Building a Safer Health System" and "Crossing the Quality Chiasm A New Health System for the 21st Century] Around 2000, the Institute of Medicine, or IOM, now known as the National Academy of Medicine, or NAM, published two impactful reports: To Err is Human and Crossing the Quality Chasm. [Drawing of medical professionals helping a patient inside a hospital] These reports drew attention to safety and health disparities at both individual clinician and health system levels. [The hospital drawing then highlights the text "Inefficiencies" with showing cracks in the building and a patient leaving the hospital in pain] They showed the system's inefficiencies and highlighted instances in which patients would acquire infections during their hospital stays, potentially leaving the hospital in a worse condition than when they arrived. [Text bubbles with the previous drawings of a doctor, patient, and researcher are shown alongside a drawing of a medical professional thinking] These reports started discussions and encouraged people to consider solutions with EBP being a crucial part of that conversation. However, it quickly became apparent that incorporating EBP wasn't straightforward. [The text "Barriers" is shown as well as the erasing of a Medical Research paper, a lock, and a medical professional examining a patient] Barriers that were encountered included a lack of adequate evidence in some instances, difficulty accessing available evidence, or lack of knowledge on how to apply the evidence. These challenges brought forward the need for a conscious and structured process to support clinicians and health systems engagement in EBP. [Text on screen: Tools developed to overcome barriers] In the next video, we'll discuss the tools developed to overcome these barriers and the importance of continually funding and improving these resources. [Text on screen: Guidelines and standards for healthcare] We will also examine how the push for rigorous, evidence-based practices led to the development of various guidelines and standards for healthcare. Stay tuned. And remember, each of us plays a crucial role in the continuous evolution and improvement of EBP in healthcare. [The previous intro screen is shown with the following text: Thank you! Scan the QR code for references and resources] [Image of QR code] [QR code links to: https://go.osu.edu/qihub]