Answering physicians' clinical questions: Obstacles and potential solutions

Journal of the American Medical Informatics Association

Volumn 12, Issue 2, 2005, Pages 217-224

  Ely, John W ^a   Osheroff, Jerome A ^b   Chambliss, M Lee ^c   Ebell, Mark H ^d   Rosenbaum, Marcy E ^a  

^a UNIVERSITY OF IOWA   (United States)

^b Thomson MICROMEDEX   (United States)

^c MOSES H CONE MEMORIAL HOSPITAL   (United States)

^d MICHIGAN STATE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALGORITHM; ARTICLE; CLINICAL PRACTICE; CONSULTATION; DOCTOR PATIENT RELATION; INTERVIEW; MEDICAL INFORMATION; PATIENT CARE; PHYSICIAN;

EID: 14544302678     PISSN: 10675027     EISSN: None     Source Type: Journal    
DOI: 10.1197/jamia.M1608     Document Type: Article

References (46)

1. L.M. Currie, M. Graham, M. Allen, S. Bakken, V. Patel, and J.J. Cimino Clinical information needs in context: an observational study of clinicians while using a clinical information system Proc AMIA Symp 2003 190 194
2. M. Allen, L.M. Currie, M. Graham, S. Bakken, V.L. Patel, and J.J. Cimino The classification of clinicians' information needs while using a clinical information system Proc AMIA Symp 2003 26 30
3. J.W. Ely, J.A. Osheroff, and M.H. Ebell Obstacles to answering doctors' questions about patient care with evidence: qualitative study BMJ 324 2002 710 713
4. P.N. Gorman, and M. Helfand Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered Med Decis Making 15 1995 113 119
5. M. Ebell Information at the point of care: answering clinical questions J Am Board Fam Pract 12 1999 225 235
6. D.G. Covell, G.C. Uman, and P.R. Manning Information needs in office practice: are they being met? Ann Intern Med 103 1985 596 599
7. R. Schneeweiss Morning rounds and the search for evidence-based answers to clinical questions J Am Board Fam Pract 10 1997 298 300
8. D.P. Connelly, E.C. Rich, S.P. Curley, and J.T. Kelly Knowledge resource preferences of family physicians J Fam Pract 30 1990 353 359
9. A.R. Feinstein, and R.I. Horwitz Problems in the "evidence" of "evidence-based medicine" Am J Med 103 1997 529 535
10. G.R. Bergus, C.S. Randall, S.D. Sinift, and D.M. Rosenthal Does the structure of clinical questions affect the outcome of curbside consultations with specialty colleagues? Arch Fam Med 9 2000 541 547
11. D.L. Sackett, W.S. Richardson, W. Rosenberg, and R.B. Hayes Evidence-Based Medicine. How to Practice and Teach EBM 1997 Churchill Livingstone New York
12. K. Fozi, C.L. Teng, R. Krishnan, and Y. Shajahan A study of clinical questions in primary care Med J Malaysia 55 2000 486 492
13. M.L. Chambliss, and J. Conley Answering clinical questions J Fam Pract 43 1996 140 144
14. D.M. D'Alessandro, C.D. Kreiter, and M.W. Peterson An evaluation of information seeking behaviors of general pediatricians Pediatrics 113 2004 64 69
15. D.S. Bell, D.M. Daly, and P. Robinson Is there a digital divide among physicians? A geographic analysis of information technology in Southern California physician offices J Am Med Inform Assoc 10 2003 484 493
16. J. Wyatt Use and sources of medical knowledge Lancet 338 1991 1368 1373
17. J.J. Cimino Linking patient information systems to bibliographic resources Methods Inf Med 35 1996 122 126
18. J.J. Cimino, and J. Li Sharing infobuttons to resolve clinicians' information needs Proc AMIA Symp 2003 815
19. A.L. Greer The two cultures of biomedicine: can there be a consensus? JAMA 258 1987 2739 2740
20. P. Gorman Does the medical literature contain the evidence to answer the questions of primary care physicians? Preliminary findings of a study Proc Annu Symp Comput Appl Med Care 1993 571 575
21. W.R. Hersh, M.K. Crabtree, and D.H. Hickam Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions J Am Med Inform Assoc 9 2002 283 293
22. J. Lei, E.S. Chen, P.D. Stetson, L.K. McKnight, E.A. Mendonca, and J.J. Cimino Development of infobuttons in a wireless environment Proc AMIA Symp 2003 906
23. D.L. Sackett, and S.E. Straus Finding and applying evidence during clinical rounds: The "evidence cart." JAMA 280 1998 1336 1338
24. M.H. Ebell, and H.C. Barry InfoRetriever: rapid access to evidence-based information on a handheld computer MD Comput 15 1998 289 297
25. M.H. Ebell, D. Slawson, A. Shaughnessy, and H. Barry Update on InfoRetriever software J Med Libr Assoc 90 2002 343
26. J.J. Cimino, J. Li, and M. Graham Use of online resources while using a clinical information system Proc AMIA Symp 2003 175 179
27. V. Florance Clinical extracts of biomedical literature for patient-centered problem solving Bull Med Libr Assoc 84 1996 375 385
28. F. Davidoff, and V. Florance The informationist: a new health profession? Ann Intern Med 132 2000 996 998
29. T. Greenhalgh, J. Hughes, C. Humphrey, S. Rogers, D. Swinglehurst, and P. Martin A comparative case study of two models of a clinical informaticist service BMJ 324 2002 524 529
30. R. Smith What clinical information do doctors need? BMJ 313 1996 1062 1068
31. J.W. Ely, J.A. Osheroff, and M.H. Ebell Analysis of questions asked by family doctors regarding patient care BMJ 319 1999 358 361
32. Y. Lincoln, and E. Guba Naturalistic Inquiry 1985 Sage Publications Beverly Hills, CA
33. B.F. Crabtree, and W.L. Miller Doing Qualitative Research 2nd ed. 1999 Sage Publications Thousand Oaks, CA
34. M. Fonteyn, B. Kuipers, and S. Grobe A description of think aloud method and protocol analysis Qualitative Health Res 3 1993 430 441
35. K.A. Ericsson, and H. Simon Protocol Analysis. Verbal Reports on Data 1993 MIT Press Cambridge, MA
36. B.G. Glaser, and A.L. Strauss The Discovery of Grounded Theory: Strategies for Qualitative Research 1967 A. de Gruyter New York
37. M.P. D'Alessandro, B.C. Nguyen, and D.M. D'Alessandro Information needs and information-seeking behaviors of on-call radiology residents Acad Radiol 6 1999 16 21
38. M.L. Green, M.A. Ciampi, and P.J. Ellis Residents' medical information needs in clinic: are they being met? Am J Med 109 2000 218 223
39. K.W. Cogdill, C.P. Friedman, C.G. Jenkins, B.E. Mays, and M.C. Sharp Information needs and information seeking in community medical education Acad Med 75 2000 484 486
40. P.N. Gorman Information needs in primary care: a survey of rural and nonrural primary care physicians Medinfo 10 2001 338 342
41. S.P. Curley, D.P. Connelly, and E.C. Rich Physicians' use of medical knowledge resources: preliminary theoretical framework and findings Med Decis Making 10 1990 231 241
42. J.W. Ely, J.A. Osheroff, and P.N. Gorman A taxonomy of generic clinical questions: classification study BMJ 321 2000 429 432
43. E. Mayo The Human Problems of an Industrial Civilization 1933 MacMillan New York
44. G. Wickstrom, and T. Bendix The "Hawthorne effect" - what did the original Hawthorne studies actually show? Scand J Work Environ Health 26 2000 363 367
45. P.N. Gorman Information needs of physicians J Am Soc Inf Sci 46 1995 729 736
46. J.W. Ely, J.A. Osheroff, K.J. Ferguson, M.L. Chambliss, D.C. Vinson, and J.L. Moore Lifelong self-directed learning using a computer database of clinical questions J Fam Pract 45 1997 382 388