Evidence Synthesis Activities of a Hospital Evidence-Based Practice Center and Impact on Hospital Decision Making

In the Journal of Hospital Medicine, Kishore Jayakumar and colleagues, including Jalpa Doshi and Craig Umscheid, assess whether the evidence synthesized and locally disseminated by a hospital evidence-based practice center (EPC) impacts institutional decision-making. Looking at a large academic health care system, the authors examined the EPC’s database of systemic reviews and a survey on the EPC’s reports, which assessed them for their usability, impact and satisfaction. Of the 249 reviews completed by the EPC since its inception, the most common requests came from clinical departments, chief medical officers and purchasing committees. Overall, requestors were satisfied with the review, agreed it was delivered promptly and reported that it informed their final decision. The authors suggest that hospital EPCs can efficiently provide evidence-based support for diverse stakeholders and can influence institutional decision-making.