Evidence based medicine is integration of medical experience and best research evidence into the healthcare of medical patients. There are millions of published studies, journal articles available to clinicians, therefore choosing the best resource to search is an important decision. It is essential to formulate a proper clinical question, to choose the best available keywords for a database search and analyze reliable sources only. Metaanalysis and systematic reviews are considered as highest reliability sources. Randomized controlled trials provide high level of evidence either. Cohort studies, case-control studies and case reports are the least reliable sources to choose and should be interpreted with precaution. There are numbers of foreign countries which adapted evidence based medicine principles establishing new algorithms and guides to their health care system, including health service, nursing, mental health care and politics.
Evidence based management is an explicit decision-making practice about the care of individual patients regarding to the best evidence available. This type of management is considered more difficult than traditional, due to the need of managers which are qualified and specified in health care. Evidence based management is responsible of appropriate and high quality health care service, followed by improvement in patients’ health and quality of life as well as expanded lifetime. Decisions made by depending on evidence based medicine are systemic, they have significant influence to clinical practice, health care consumption and quality.
