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Towards evidence based medicine for paediatricians
  1. Bob Phillips
  1. Correspondence to Dr Bob Phillips, University of York, Centre for Reviews and Dissemination, York YO10 5DD, UK; bob.phillips{at}

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Quality improvement and evidence-based medicine. Fight, flight or fuddle?

Now the fashionable flurry of activity around quality improvement (QI) reports1 in the journal recently, getting across the key messages about how a QI project was undertaken, might have you thinking that the evidence-based medicine (EBM) section has three choices: fight them, fly from them, or get around a table with shared food and discuss how things can be better.i

Why fight? Well, QI reports are not trials, do not have control arms, and may suffer …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • iFuddle. Yorkshire word meaning ‘bring and share’ food-based gathering.

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