Step 4: Apply

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The page below is a sample from the LabCE course Evidence-Based Practice Applied to the Clinical Laboratory. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Evidence-Based Practice Applied to the Clinical Laboratory (online CE course)
Step 4: Apply

The evidence you compiled and analyzed is now applied to your situation (e.g., possible process change), and you are prepared to make a recommendation. The Centers for Disease Control and Prevention (CDC), through its LMBP™ initiative, lists these possible recommendation categories.1
Table 1. Recommendation Categories.
Category
Interpretation
Recommend
The practice should be identified as a best practice for implementation in your care setting. This recommendation results from consistent and high or moderate overall evidence of effectiveness strength rating of desirable impacts.
No recommendation for or against
The potentially favorable impact on care outcomes and error reduction is insufficient or not sufficiently supported by evidence to indicate that it should be identified as a best practice for implementation in your care setting. Additional studies may be warranted to strengthen the relevant evidence base. This recommendation results from insufficient evidence to determine effectiveness.
Recommend against
The practice should not be identified as a best practice for implementation because of consistent and high or moderate overall evidence of adverse effects.
1. Christenson, R. & Mass, D. (n.d.). Laboratory Medicine Best Practices: Transparent Methods for Patient-Centered, Evidence-Based Quality Improvement [PowerPoint slides]. Centers for Disease Control and Prevention. https://www.cdc.gov/cliac/docs/addenda/cliac0311/Addendum_O_MASS_CHRISTENSEN.pdf