How doctors make use of online, point-of-care clinical decision support systems: A case study of UpToDate©

Health Information and Libraries Journal

Volumn 30, Issue 1, 2013, Pages 13-22

  Addison, John ^a   Whitcombe, Jo ^a   William Glover, Steven ^b  

^a PENNINE ACUTE HOSPITALS NHS TRUST   (United Kingdom)

^b CHRISTIE HOSPITAL   (United Kingdom)

Author keywords

Education; Evidence based medicine; Information seeking behaviours; Information storage and retrieval; Point of care systems; Textbooks as topic

Indexed keywords

CLINICAL PRACTICE; DECISION SUPPORT SYSTEM; HEALTH CARE QUALITY; HOSPITAL INFORMATION SYSTEM; HUMAN; INFORMATION PROCESSING; INFORMATION SEEKING; UNITED KINGDOM;

DATA COLLECTION; DECISION SUPPORT SYSTEMS, CLINICAL; ENGLAND; HUMANS; INFORMATION SEEKING BEHAVIOR; PHYSICIAN'S PRACTICE PATTERNS; POINT-OF-CARE SYSTEMS; QUALITY OF HEALTH CARE;

EID: 84874014420     PISSN: 14711834     EISSN: 14711842     Source Type: Journal    
DOI: 10.1111/hir.12002     Document Type: Article

References (26)

1. Morgan, P. S. The impact of the acquisition of electronic medical texts on the usage of equivalent print books in an academic medical library. Evidence Based Library and Information Practice, 2010, 5, 5-19.
2. Alper, B. S., White, D. S. & Ge, B. Physicians answer more clinical questions and change clinical decisions more often with synthesized evidence: a randomized trial in primary care. Annals of Family Medicine 2005, 3, 507-13.
3. UpToDate. (2010). Editorial policy. Accessible at: http://www.uptodate.com/home/about/policies/editorial_policy.html. Last accessed 11th April 2012.
4. GRADE Working Group. Grading quality of evidence on the strength of recommendations. British Medical Journal 2004, 328, 1490-94.
5. Graber, M. A., Randles, B. D., Ely, J. W. & Monnahan, J. Answering clinical questions in the ED. American Journal of Emergency Medicine 2008, 26, 144-7.
6. Bennett, N. L., Casebeer, L. L., Kristofsco, R. E. & Strasser, S. M. Physicians' Internet information-seeking behaviours. The Journal of Continuing Education in the Health Professions 2008, 24, 31-8.
7. Younger, P. Internet-based information-seeking behaviour amongst doctors and nurses: a short review of the literature. Health Information and Libraries Journal 2010, 27, 2-10.
8. Schilling, L. M., Steiner, J. F., Lundahl, K. & Anderson, R. J. Residents' patient-specific clinical questions: opportunities for evidence-based learning. Academic Medicine 2005, 80, 51-6.
9. Smith, R. What clinical information do doctors need? British Medical Journal 1996, 313, 1062-8.
10. Bryant, S. L. The information needs and information seeking behaviour of family doctors. Health Information and Libraries Journal 2004, 21, 74-93.
11. Pyne, T., Newman, K., Leigh, S., Cowling, A. & Rounce, K. Meeting the information needs of clinicians for the practice of evidence-based healthcare. Health Libraries Review 1999, 16, 3-14.
12. Bonis, P. A., Pickes, G. T., Rind, D. M. & Foster, D. A. Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. International Journal of Medical Informatics 2008, 77, 745-53.
13. Publicover, M., Giles, G., Bolton, B., Shemilt, C. & Urquhart, C. Listening to our clinical colleagues: how are they finding their evidence to support Trust clinical governance? Health Information and Libraries Journal 2006, 23, Suppl 1 57-61.
14. Thiele, R. H., Poiro, N. C., Scalzo, D. C. & Nemergut, E. C. Speed, accuracy, and confidence in Google, Ovid, PubMed, and UpToDate: results of a randomised trial. Postgraduate Medical Journal 2010, 86, 459-65.
15. Devitt, N. & Murphy, J. A survey of the information management and technology training needs of doctors in an acute NHS trust in the United Kingdom. Health Information and Libraries Journal 2004, 21, 164-72.
16. Ely, J. W., Osheroff, J. A., Ebell, M. H., Chambliss, M. L., Vinson, D. C., Stevermer, J. J. & Pifer, E. A. Obstacles to answering doctors' questions about patient care with evidence: qualitative study. British Medical Journal 2002, 324, 710.
17. Ebell, M. H. How to find answers to clinical questions. American Family Physician 2009, 79, 293-96.
18. Green, M. L. & Ruff, T. R. Why do residents fail to answer their clinical questions? A qualitative study of barriers to practicing evidence-based medicine. Academic Medicine 2005, 80, 176-182.
19. Ely, J. W., Osheroff, J. A., Ebell, M. H., Bergus, G. R., Levy, B. T., Chambliss, M. L. & Evans, E. R. Analysis of questions asked by family doctors regarding patient care. British Medical Journal 1999, 319, 358-61.
20. Chan, R. & Stieda, V. Evaluation of three point-of-care healthcare databases: BMJ Point-of-Care, Clin-eguide and Nursing Reference Centre. Health Information and Libraries Journal 2011, 28, 50-58.
21. Goodyear-Smith, F., Kerse, N., Warren, J. & Arroll, B. Evaluation of e-textbooks. DynaMed, MD Consult and UpToDate. Australian Family Physician 2008, 37, 878-82.
22. Ketchum, A. M., Saleh, A. A. & Jeong, K. Type of evidence behind point-of-care clinical information products: a bibliometric analysis. Journal of Medical Internet Research 2011, 13, e21.
23. Fenton, S. H. & Badgett, R. G. A comparison of primary care information content in UpToDate and the National Guideline Clearinghouse. Journal of the Medical Library Association 2007, 95, 255-59.
24. Campbell, R. & Ash, J. An evaluation of five bedside information products using a user-centered, task-oriented approach. Journal of the Medical Library Association 2006, 94, 435-41.
25. Shurtz, S. & Foster, M. J. Developing and using a rubric for evaluating evidence-based medicine point-of care tools. Journal of the Medical Library Association 2011, 99, 247-54.
26. Timmins, N. Health Economics. Where do the cuts leave the NHS? British Medical Journal 2010, 341, c6024.