PICO Framework. Choose one or several that interest you. PICO (alternately known as PICOT) is a mnemonic used to describe the four elements of a good clinical question. I = Intervention - What main intervention, prognostic factor or exposure am I considering?. Outcome - earlier improvement in clinical symptoms. Information about the patient e.g. Although many questions are treatment questions, PICO questions can be constructed for diagnosis and other types of questions too. • Little attention paid to it in Canada, and elsewhere until the late 1990s or early 2000s. research (Norwood, 2010; Polit & Beck, 2008, 2010). Intervention Treatment, exposure, diagnostic test. Intervention is the focus of the PICO question. Treatment, exposure, diagnostic test, Comparison treatment, exposure, diagnostic test (usually gold standard). Scenario: Your patient has a history of blood clots and after they came in to your clinic with right calf discomfort and tightness, you're concerned about DVT.You remember reading about the limitations of duplex ultrasound and calfveins, and are wondering if a d-dimer assay can help you rule out DVT more accurately. P atient or problem. ... PICO; Four Elements of the Clinical Question PICO: A mnemonic device to help formulate a clinical question and search strategy by identifying key concepts. If you continue with this browser, you may see unexpected results. •5 Qualitative Studies •1 Meta Synthesis References 1. Use this worksheet from Sonoma State University to help you structure your PICO question. The PICO question has 4 parts. Example of a completed PICO worksheet If you continue with this browser, you may see unexpected results. Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. It has ... Impact of Emergency Department Sepsis Policy He says he has heard something about vasectomy causing an increase in testicular cancer later in life. PICO is a format that helps construct an answerable questions and devise a strategy for searching for evidence. Treatment, exposure, diagnostic test, Comparison treatment, exposure, diagnostic test (usually gold standard). Clinical Question (PICO) Among hospitalized pediatric patients with asthma (P) does a formalized asthma educational program for patients and their parents by a certified asthma nurse educator (I) compared to traditional hospital discharge education (C) result in: Increased knowledge of asthma and its triggers Increased adherence to daily medication management PICO is a format that helps construct an answerable questions and devise a strategy for searching for evidence. Patient Information about the patient e.g. Although many questions are treatment questions, PICO questions can be constructed for diagnosis and other types of questions too. You can see from the example below that a well-formed PICO will make constructing a Clinical Question very easy. Evidence, in this definition, has traditionally been referred to research evidence. The PICO Framework should also be used to develop the search terms that are informed by the PICO question, Medical Subject Headings (MeSH) and any other terms deemed to be relevant. Example Nursing Picot Questions. PICOT is an acronym to help you formulate a clinical question and guide your search for evidence. C = Comparison - Is there an alternative to compare with the intervention? PICO Question Template Examples It can be helpful to classify your question based on the clinical domain(s) it falls under. Baily, C., Murphy, R., & Porock , D. (2011). Do adults with acute bronchitis who are treated with antibiotics have improved clinical symptoms earlier compared to those who are given inhaled albuterol? It looks like you're using Internet Explorer 11 or older. Using PICO to Formulate Clinical Questions . Comparison Patient Information about the patient e.g. Your clinical question is the logical construction of your PICO into sentence structure. Anatomy of a good clinical question. (Word doc), https://libraryguides.missouri.edu/ebmemergencymedicine, Evidence Based Medicine: Emergency Medicine. Emergency Medicine Clerkship Resource Guide: PICO. PICO is a format that helps construct an answerable questions and devise a strategy for searching for evidence. Practitioners of Evidence-Based Practice (EBP) often use a specialized framework, called PICO, to form the question and facilitate the literature search. 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