ArticleJournal of the American Medical Informatics Association : JAMIA
Patient-care questions that physicians are unable to answer.
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 25 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Automating data extraction in systematic reviews: a systematic review.Systematic reviews · 2015Pooled it
- Interventions to improve question formulation in professional practice and self-directed learning.The Cochrane database of systematic reviews · 2010Pooled it
- Pediatricians' Practice Patterns on the Revised 2022 Neonatal Hyperbilirubinemia Guidelines.Pediatric reports · 2026Article
- Modelling of physicians' clinical information-seeking behaviour in Iran: a grounded theory study.BMJ open · 2024Article
- Article
- Characterizing physicians' information needs related to a gap in knowledge unmet by current evidence.JAMIA open · 2020Article
- Evaluating the impact of clinical librarians on clinical questions during inpatient rounds.Journal of the Medical Library Association : JMLA · 2018Article
- Psychiatrists' Comfort Using Computers and Other Electronic Devices in Clinical Practice.The Psychiatric quarterly · 2016Article
- Operationalizing Semantic Medline for meeting the information needs at point of care.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2015Article
- Improving access to clinical practice guidelines with an interactive graphical interface using an iconic language.BMC medical informatics and decision making · 2014Article
- The persistence of clinical questions across shifts on an intensive care unit: an observational pilot study.Journal of the Medical Library Association : JMLA · 2014Article
- An approach to medical knowledge sharing in a hospital information system using MCLink.Journal of medical systems · 2013Article
- EBMPracticeNet: A Bilingual National Electronic Point-Of-Care Project for Retrieval of Evidence-Based Clinical Guideline Information and Decision Support.JMIR research protocols · 2013Article
- Electronic prescribing in pediatrics: toward safer and more effective medication management.Pediatrics · 2013Review
- Features of effective medical knowledge resources to support point of care learning: a focus group study.PloS one · 2013Article
- What am I giving tonight? Information needs of nurses related to patient medications administration while using a clinical information system.NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics (11th : 2012 : Montreal, Quebec) · 2012Article
- Can emergency medicine residents reliably use the internet to answer clinical questions?The western journal of emergency medicine · 2011Article
- Evaluating the impact of MEDLINE filters on evidence retrieval: study protocol.Implementation science : IS · 2010Article
- Development of a clinical information tool for the electronic medical record: a case study.Journal of the Medical Library Association : JMLA · 2010Article
- Leading a horse to water: using automated reminders to increase use of online decision support.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo describe the characteristics of unanswered clinical questions and propose interventions that could improve the chance of finding answers.
designIn a previous study, investigators observed primary care physicians in their offices and recorded questions that arose during patient care. Questions that were pursued by the physician, but remained unanswered, were grouped into generic types. In the present study, investigators attempted to answer these questions and developed recommendations aimed at improving the success rate of finding answers. MEASUREMENTS: Frequency of unanswered question types and recommendations to increase the chance of finding answers.
resultsIn an earlier study, 48 physicians asked 1062 questions during 192 half-day office observations. Physicians could not find answers to 237 (41%) of the 585 questions they pursued. The present study grouped the unanswered questions into 19 generic types. Three types accounted for 128 (54%) of the unanswered questions: (1) "Undiagnosed finding" questions asked about the management of abnormal clinical findings, such as symptoms, signs, and test results (What is the approach to finding X?); (2) "Conditional" questions contained qualifying conditions that were appended to otherwise simple questions (What is the management of X, given Y? where "given Y" is the qualifying condition that makes the question difficult.); and (3) "Compound" questions asked about the association between two highly specific elements (Can X cause Y?). The study identified strategies to improve clinical information retrieval, listed below.
conclusionTo improve the chance of finding answers, physicians should change their search strategies by rephrasing their questions and searching more clinically oriented resources. Authors of clinical information resources should anticipate questions that may arise in practice, and clinical information systems should provide clearer and more explicit answers.
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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.