Written by: Claire Knaplund, RN, BSN

In a sea of healthcare products and processes, a structured approach to selection and implementation is necessary. This cannot be done without a literature review of the available evidence. During the review, products that have not been rigorously evaluated may be identified and flagged as exclusionary from consideration. Clinical practices evolve as new research emerges and demand up-to-date attention to ensure safety for patients and healthcare providers.

Real-world practice and preferences provide valuable insights into clinical realities but may not reflect best practices or current guidelines.

Examples:

• A wound care formulary that may be outdated or redundant
• A gloving practice that is not rooted in evidence

These practices can be firmly embedded in an organization's culture, but they should be reviewed routinely to ensure alignment with current clinical evidence. Establish a balance of practical and validated findings to ensure the feasibility and adoption of high-quality products and processes. 

Quick Reference for Evidence Appraisal

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