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Four Elements of the Clinical Question
PICO: a mnemonic device to help formulate a clinical question and strategy by identifying key concepts
||Describe your patient or problem - be specific
||Treatment, cause, etc
||Compared to another treatment or standard of care
||Improvement or negative effects
What are their important characteristics?
- primary problem
- state of disease/condition
- socioeconomic status
ALWAYS include in your search
What do you want to do for the patient?
- Order tests/procedure
ALMOST ALWAYS include in your search
What is the alternate intervention, if any?
- Different procedure/test
- No education
- No medication
Usually not included in your search
What are you hoping to achieve, measure, or change for the patient?
- Alleviate symptoms
- Change test results
- Behavior modification
- Improve function
- Reduce adverse effects/events
SOMETIMES include in your search