Quality and Highly Reliable Medical Care in the Conditions of Clinical Organizations


The introduction of quality and highly reliable medical care in the conditions of clinical organizations is of primary importance. However, there is a range of views that express not only the belief that evidence-based policy has several advantages, but also fears about whether the use of practice will be justified. Addressing evidence-based practice (EBP) is the starting point in achieving The Quadruple Aim to meet the interests of patients, the nation, and medical staff, as well as to reduce service costs.

Patient’s Personal Experience

The patient is interested in receiving quality health services that do not lead to unwanted consequences or side effects. The introduction of EBP in the daily practice of the organization will stimulate the creation of an environment in which a scientifically based approach to medication intake, care, and counseling is natural. This idea was further developed in Drisko (2017), where the author of the study demonstrated a close link between the use of the communicative part of EBP and decision-making, which ultimately had a positive impact on patients’ personal experiences.

Population Health

In comparison to an individual patient, the population of a city, state, or planet can be considered as the general group to which the results of a single sample apply. In other words, the application of EBP principles in clinical practice helps to develop a sense of responsibility and a desire to use scientific evidence and facts. This phenomenon, in turn, will create a situation in which the use of inadequate, unreliable, or unscientific medical services is reduced, with the potential to have a positive impact on the health of the nation.

Economic Effect

There are several points of view on the issue of reducing financial costs in the implementation of EBP, which can be summarized as three decisive effects: reducing the number of unnecessary medical procedures, the targeted choice of drugs without going through the various forms, and the lack of combating the effects. More specifically, due to the nature of EBP, leaders of clinical organizations will be able to come to an environment where each patient will be served in a personalized way, with a unique approach. This means that the patient’s painful condition will be identified analytically precisely for subsequent elimination, which will significantly reduce the number of methods used. In addition, the EBP will create rules under which antimicrobial agents undergo preliminary susceptibility tests, which will reduce the number of drugs taken. Ultimately, this will result in the clinical organization saving on additional drugs used to neutralize possible side effects.

Influence on Medical Personnel

Of particular importance in the light of EBP is the discussion of the extent to which practices impact health professionals, including doctors, nurses, administrators, and support staff. The undoubted importance of such an analysis is that it reveals a correlation between job satisfaction and EBP implementation in clinical settings (Sikka et al., 2015). As Sikka et al. have shown (2015), implementing EBP practices can help reduce physical and psychological trauma among medical staff, which will have a positive impact not only on performance but also on job satisfaction. Additionally, Crabtree et al. have studied the relationship between EBP and medical staff. (2016), who statistically demonstrated that training nurses in practices create a culture of acceptance of science, fact, and objectivity. Finally, it is worth noting that quantitative measurements by Kim et al. (2016) shed light on the correlation between EBP implementation, satisfaction, and beliefs, showing that there is a direct link between the elements described. The above studies, despite the different approaches, show the positive impact of EBP implementation on health care workers.


As a result of the consideration of the relationship between the implementation of EBP and the achievement of The Quadruple Aim, it can be said that the implementation of evidentiary practice will contribute to the satisfaction of four elements. In particular, the EBP will significantly improve patient health indicators, create a culture of science in the community, reduce the economic costs of taking medicines, and improve job satisfaction among medical staff.


Drisko, J. (2017). Active collaboration with clients: an underemphasized but vital part of evidence-based practice. Social Work, 62(2), 114-121.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence‐based practice. Worldviews on Evidence‐Based Nursing, 13(2), 172-175.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A. M., & Davidson, J. E. (2016). Predictors of evidence‐based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence‐Based Nursing, 13(5), 340-348.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work [PDF document].