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H. Strasberg, R. Hubbs, T. Rindfleisch, K. Melmon (1999)
Analysis of information needs of users of the Stanford Health Information Network for EducationProceedings. AMIA Symposium
J. Cimino, Gai Elhanan, Q. Zeng-Treitler (1997)
Supporting infobuttons with terminological knowledgeProceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium
James Cimino, Stephen Johnson, Anthony Aguirre, Nancy Roderer, Paul Clayton (1992)
The MEDLINE Button.Proceedings. Symposium on Computer Applications in Medical Care
J. Osheroff, D. Forsythe, B. Buchanan, R. Bankowitz, B. Blumenfeld, R. Miller (1991)
Physicians' information needs: analysis of questions posed during clinical teaching.Annals of internal medicine, 114 7
J. Reichert, Matt Glasgow, S. Narus, P. Clayton (2002)
Using LOINC to link an EMR to the pertinent paragraph in a structured reference knowledge baseProceedings. AMIA Symposium
(1992)
Proc Annu Symp Comput Appl Med Care
P. Gorman (2001)
Information Needs in Primary Care: A Survey of Rural and Nonrural Primary Care PhysiciansStudies in health technology and informatics, 84 Pt 1
J. Cimino, Jianhua Li, M. Graham, L. Currie, Mureen Allen, S. Bakken, V. Patel (2003)
Use of Online Resources While Using a Clinical Information SystemAMIA ... Annual Symposium proceedings. AMIA Symposium
J. Ely, J. Osheroff, M. Ebell, G. Bergus, B. Levy, M. Chambliss, E. Evans (1999)
Analysis of questions asked by family doctors regarding patient careBMJ, 319
L. Leape, D. Bates, D. Cullen, J. Cooper, H. Demonaco, T. Gallivan, R. Hallisey, J. Ives, N. Laird, G. Laffel (1995)
Systems analysis of adverse drug events. ADE Prevention Study Group.JAMA, 274 1
Merry (1997)
Slow to learnHealth Serv J, 107
S. Maviglia, H. Strasberg, D. Bates, G. Kuperman (2003)
KnowledgeLink Update: Just-in-time Context-sensitive Information RetrievalAMIA ... Annual Symposium proceedings. AMIA Symposium
S. Powsner, P. Miller (1992)
Automated Online Transition from the Medical Record to the Psychiatric LiteratureMethods of Information in Medicine, 31
Susan Price, W. Hersh, Daniel Olson, P. Embí (2002)
SmartQuery: context-sensitive links to medical knowledge sources from the electronic patient recordProceedings. AMIA Symposium
K. Ramos, Robin Linscheid, S. Schafer (2003)
Real-time information-seeking behavior of residency physicians.Family medicine, 35 4
P. Merry (1997)
Healthcare information. Slow to learn.The Health service journal, 107 5563
J. Hayward, S. Wearne, D. Weller, P. Middleton, C. Silagy, J. Doust (1999)
Providing evidence‐based answers to clinical questions A pilot information service for general practitionersMedical Journal of Australia, 171
D. Covell, G. Uman, P. Manning (1985)
Information needs in office practice: are they being met?Annals of internal medicine, 103 4
J. Cimino, Jianhua Li, S. Bakken, V. Patel (2002)
Theoretical, empirical and practical approaches to resolving the unmet information needs of clinical information system usersProceedings. AMIA Symposium
M. Abate, J. Shumway, A. Jacknowitz (1992)
Use of two online services as drug information sources for health professionals.Methods of information in medicine, 31 2
S. Powsner, C. Riely, K. Barwick, J. Morrow, P. Miller (1989)
Automated bibliographic retrieval based on current topics in hepatology: hepatopix.Computers and biomedical research, an international journal, 22 6
J. Osheroff, R. Bankowitz (1993)
Physicians' use of computer software in answering clinical questions.Bulletin of the Medical Library Association, 81 1
N. Dickey, M. Hatlie (1996)
Systems analysis of adverse drug events.JAMA, 275 1
AbstractObjective: Infobuttons are message-based content search and retrieval functions embedded within other applications that dynamically return information relevant to the clinical task at hand. The objective of this study was to determine whether infobuttons effectively answer providers' questions about medications or affect patient care decisions.Design: The authors implemented and evaluated a medication infobutton application called KnowledgeLink. Health care providers at 18 outpatient clinics were randomized to one of two versions of KnowledgeLink, one that linked to information from Micromedex (Thomson Micromedex, Greenwood Village, Co) and the other to material from SkolarMD (Wolters Kluwer Health, Palo Alto, CA).Measurements: Data were collected about the frequency of use and demographics of users, patients, and drugs that were queried. Users were periodically surveyed with short questionnaires and then with a more extensive survey at the end of one year.Results: During the first year, KnowledgeLink was used 7,972 times by 359 users to look up information about 1,723 medications for 4,961 patients. Clinicians used KnowledgeLink twice a month on average, and during an average of 1.2% of patient encounters. KnowledgeLink was used by a wide variety of medical staff, not just physicians and nurse practitioners. The frequency of usage and the questions asked varied with user role (primary care physician, specialist physician, nurse practitioner). Although the median KnowledgeLink session was brief (21 seconds), KnowledgeLink answered users' queries 84% of the time, and altered patient care decisions 15% of the time. Users rated KnowledgeLink favorably on multiple scales, recommended extending KnowledgeLink to other content domains, and suggested enhancing the interface to allow refinement of the query and selection of the target resource.Conclusion: An infobutton can satisfy information needs about medications. Although used infrequently and for brief sessions, KnowledgeLink was positively received, answered most users' questions, and had a significant impact on medical decision making. The next steps would be to broaden the domains that KnowledgeLink covers to more specifically tailor results to the user type, to provide options when queries are not immediately answered, and to implement KnowledgeLink within other electronic clinical applications.
Journal of the American Medical Informatics Association – Oxford University Press
Published: Jan 1, 2006
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