Evidence-Based Medicine and Hospital Reform: Tracing Origins Back to Florence Nightingale

被引:20
作者
Aravind, Maya
Chung, Kevin C. [1 ]
机构
[1] Univ Michigan Hlth Syst, Sect Plast Surg, Taubman Ctr 2130, Dept Surg, Ann Arbor, MI 48109 USA
关键词
SURGERY; STATISTICS;
D O I
10.1097/PRS.0b013e3181c2bb89
中图分类号
R61 [外科手术学];
学科分类号
摘要
The use of reliable evidence to evaluate health care interventions has gained strong support within the medical community and in the field of plastic surgery in particular. Evidence-based medicine aims to improve health care and reduce costs through the use of sound clinical evidence in evaluating treatments, procedures, and outcomes. The field is hardly new, however, and most trace its origins back to the work of Cochrane in the 1970s and Sackett in the 1990s. Though she wouldn't know it, Florence Nightingale was applying the concepts of evidence-based reform to the medical profession more than a century before. She used medical statistics to reveal the nature of infection in hospitals and on the battlefield. Moreover, Nightingale marshaled data and evidence to establish guidelines for health care reform. Tracing the origins of evidence-based medicine back to Nightingale underscores how critical this movement is to improving the quality and effectiveness of patient care today. (Plast. Reconstr. Surg. 125: 403, 2010.)
引用
收藏
页码:403 / 409
页数:7
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