Evidence-based vs. the “gold standard”

With regard to standard of care, which holds more weight in a legal setting: evidence-based practice or the “gold standard?” — JEANENE KENNETT, MSN, RN, FNP-BC, Springfield, Mo.

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Hopefully, the gold standard is evidence-based! Having said that, only 30% of standardized care has solid research driving the practice guidelines. The National Guideline Clearinghouse is an excellent resource for evidence-based guidelines. An available guideline trumps common practices that are not evidence-based, and controlled clinical trials always trump expert opinion.  — Rebecca H. Bryan, APRN, CNP (153-09)