"Primary text for the law school Evidence course for law school students"--

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Over the past two decades, there has been a major increase in research into the effects of the arts on health and well-being, alongside developments in practice and policy activities in different countries across the WHO European Region and further afield. This report synthesizes the global evidence on the role of the arts in improving health and well-being, with a specific focus on the WHO European Region. Results from over 3000 studies identified a major role for the arts in the prevention of ill health, promotion of health, and management and treatment of illness across the lifespan. The reviewed evidence included study designs such as uncontrolled pilot studies, case studies, small-scale cross-sectional surveys, nationally representative longitudinal cohort studies, community-wide ethnographies and randomized controlled trials from diverse disciplines. The beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration.

This book explains the correct logical approach to analysis of forensic scientific evidence. The focus is on general methods of analysis applicable to all forms of evidence. It starts by explaining the general principles and then applies them to issues in DNA and other important forms of scientific evidence as examples. Like the first edition, the book analyses real legal cases and judgments rather than hypothetical examples and shows how the problems perceived in those cases would have been solved by a correct logical approach. The book is written to be understood both by forensic scientists preparing their evidence and by lawyers and judges who have to deal with it. The analysis is tied back both to basic scientific principles and to the principles of the law of evidence. This book will also be essential reading for law students taking evidence or forensic science papers and science students studying the application of their scientific specialisation to forensic questions.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

New thinking is needed on the age-old conundrum of how to connect research and policymaking. Why does a disconnect exist between the research community, which is producing thousands of studies relevant to public policy, and the policy community, which is making thousands of decisions that would benefit from research evidence? The second edition updates community dissonance theory and provides an even stronger, more substantiated story of why research is underutilized in policymaking, and what it will take to connect researchers and policymakers. This book offers a fresh look into what policymakers and the policy process are like, as told by policymakers themselves and the researchers who study and work with them. New to the second edition: • The point of view of policymakers is infused throughout this book based on a remarkable new study of 225 state legislators with an extraordinarily high response rate in this hard-to-access population. • A new theory holds promise for guiding the study and practice of evidence-based policy by building on how policymakers say research contributes to policymaking. • A new chapter features pioneering researchers who have effectively influenced public policy by engaging policymakers in ways rewarding to both. • A new chapter proposes how an engaged university could provide culturally competent training to create a new type of scholar and scholarship. This review of state-of-the-art research on evidence-based policy is a benefit to readers who find it hard to keep abreast of a field that spans the disciplines of business, economics, education, family sciences, health services, political science, psychology, public administration, social work, sociology, and so forth. For those who study evidence-based policy, the book provides the basics of producing policy relevant research by introducing researchers to policymakers and the policy process. Strategies are provided for identifying research questions that are relevant to the societal problems that confront and confound policymakers. Researchers will have at their fingertips a breath-taking overview of classic and cutting-edge studies on the multi-disciplinary field of evidence-based policy. For instructors, the book is written in a language and style that students find engaging. A topic that many students find mundane becomes germane when they read stories of what policymakers are like, and when they learn of researcher’s tribulations and triumphs as they work to build evidence-based policy. To point students to the most important ideas, the key concepts are highlighted in text boxes. For those who desire to engage policymakers, a new chapter summarizes the breakthroughs of several researchers who have been successful at driving policy change. The book provides 12 innovative best practices drawn from the science and practice of engaging policymakers, including insights from some of the best and brightest researchers and science communicators. The book also takes on the daunting task of evaluating the effectiveness of efforts to engage policymakers around research. A theory of change identifies seven key elements that are fundamental to increasing policymaker’s use of research along with evaluation protocols and preliminary evidence on each element.