ArticleJournal of the American Medical Informatics Association : JAMIA
Do clinicians use online evidence to support patient care? A study of 55,000 clinicians.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
What it found
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Who cites it
39 citing papers in PubMed.
- Clinical decision velocity is increased when meta-search filters enhance an evidence retrieval system.Journal of the American Medical Informatics Association : JAMIATrial
- Impact of Guidelines on the Diffusion of Medical Technology: A Case Study of Cardiac Resynchronization Therapy in the UK.Applied health economics and health policy · 2021Article
- The Impact and Perception of Cell Phone Usage in a Teaching Hospital Setting.Journal of patient experience · 2020Article
- Internet access, usage and trust among medical professionals in China: A web-based survey.International journal of nursing sciences · 2020Article
- Characterizing physicians' information needs related to a gap in knowledge unmet by current evidence.JAMIA open · 2020Article
- Use of an online medical database for clinical decision-making processes: assessment of knowledge, attitude, and practice of oral health care providers.Advances in medical education and practice · 2019Article
- Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study.Journal of the Medical Library Association : JMLA · 2017Article
- Evaluation of the informatician perspective: determining types of research papers preferred by clinicians.BMC medical informatics and decision making · 2017Article
- Automated identification of molecular effects of drugs (AIMED).Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Electronic Information Sources Access and Use for Healthcare Services in Governmental and Non-Governmental Hospitals of Western Oromia, Ethiopia: A Cross Sectional Study.Ethiopian journal of health sciences · 2016Article
- How do junior medical officers use online information resources? A survey.BMC medical education · 2016Article
- Formative evaluation of a patient-specific clinical knowledge summarization tool.International journal of medical informatics · 2016Article
- Evaluating a federated medical search engine: tailoring the methodology and reporting the evaluation outcomes.Applied clinical informatics · 2014Article
- Uptake of a web-based oncology protocol system: how do cancer clinicians use eviQ cancer treatments online?BMC cancer · 2013Article
- Practical choices for infobutton customization: experience from four sites.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- A comparison of clinicians' access to online knowledge resources using two types of information retrieval applications in an academic hospital setting.Journal of the Medical Library Association : JMLA · 2013Article
- The quality of web-based oncology guidelines and protocols: how do international sites stack up?British journal of cancer · 2011Article
- Automatically extracting information needs from complex clinical questions.Journal of biomedical informatics · 2010Article
- How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study.BMC medical informatics and decision making · 2010Article
- Delivering an evidence-based outdoor journey intervention to people with stroke: barriers and enablers experienced by community rehabilitation teams.BMC health services research · 2010Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine clinicians' (doctors', nurses', and allied health professionals') "actual" and "reported" use of a point-of-care online information retrieval system; and to make an assessment of the extent to which use is related to direct patient care by testing two hypotheses: hypothesis 1: clinicians use online evidence primarily to support clinical decisions relating to direct patient care; and hypothesis 2: clinicians use online evidence predominantly for research and continuing education.
designWeb-log analysis of the Clinical Information Access Program (CIAP), an online, 24-hour, point-of-care information retrieval system available to 55,000 clinicians in public hospitals in New South Wales, Australia. A statewide mail survey of 5,511 clinicians. MEASUREMENTS: Rates of online evidence searching per 100 clinicians for the state and for the 81 individual hospitals studied; reported use of CIAP by clinicians through a self-administered questionnaire; and correlations between evidence searches and patient admissions.
resultsMonthly rates of 48.5 "search sessions" per 100 clinicians and 231.6 text hits to single-source databases per 100 clinicians (n = 619,545); 63% of clinicians reported that they were aware of CIAP and 75% of those had used it. Eighty-eight percent of users reported CIAP had the potential to improve patient care and 41% reported direct experience of this. Clinicians' use of CIAP on each day of the week was highly positively correlated with patient admissions (r = 0.99, p < 0.001). This was also true for all ten randomly selected hospitals.
conclusionClinicians' online evidence use increases with patient admissions, supporting the hypothesis that clinicians' use of evidence is related to direct patient care. Patterns of evidence use and clinicians' self-reports also support this hypothesis.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.