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PAM Physician Assistant Medicine

What is the question?

Is the question QUANTITATIVE?
Is the question QUALITATIVE?

PICO Search tool

What Is PICO statement?

The PICO format is a method used for implementing evidence-based practice projects.

In the steps required to do evidence-based research, a librarian can help you identify/refine
the clinical question and collect the best and most pertinent evidence related to your topic.

      P
  Patient/Problem/Population
Sex, ethnicity, socioeconomic, etc.
      I
     Intervention
Therapeutic measure, medication, tests, etc.
      C
     Comparison
Other interventions, standard of care, Comparison may not always be there  
      
     Outcome
Should be measureable

Here is an example of a PICO statement:

Does implementation of routine depression screening among adults in a free primary care clinic with a vulnerable population increase proper identification of the appropriate mental health disorder and decrease misdiagnosis or lack of diagnosing?

Using the PICO format:

P = adults in a primary care clinic with a vulnerable population
I = routine depression screening
C = percentage distribution of patients screened for depression compared to a total number of patients. Pre and post-tests provided before and after education to test clinicians; calculation of difference in scores using paired t-test to determine significance.
O = 100% of adult patients screened for depression results in proper diagnosing and identification, providing an opportunity for intervention. Clinic staff would be educated on the importance and need to screen all patients for depression.

PICOTTS

Sometimes you may also see PICOTTS
Patients
Intervention
Comparison
Outcome
Timeframe
Type of study
Setting

Developing a good question

PICO OVID

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