Trial reportJournal of the American Medical Informatics Association : JAMIA
A randomized effectiveness trial of a clinical informatics consult service: impact on evidence-based decision-making and knowledge implementation.
Trial report 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. It is linked to trial NCT00226291 (The Clinical Informationist), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
The Clinical Informationist: Does the Model Work
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Effects of librarian-provided services in healthcare settings: a systematic review.Journal of the American Medical Informatics Association : JAMIAPooled it
- Standards for reporting randomized controlled trials in medical informatics: a systematic review of CONSORT adherence in RCTs on clinical decision support.Journal of the American Medical Informatics Association : JAMIAPooled it
- Testing a videogame intervention to recalibrate physician heuristics in trauma triage: study protocol for a randomized controlled trial.BMC emergency medicine · 2016Trial
- Evaluating a large language model's ability to answer clinicians' requests for evidence summaries.Journal of the Medical Library Association : JMLA · 2025Article
- CHLA Standards for Library and Information Services in Canadian Health & Social Services Institutions 2020.The journal of the Canadian Health Libraries Association · 2021Article
- Exploring interprofessional collaboration and attitudes of health sciences librarians.Journal of the Medical Library Association : JMLA · 2020Article
- Why equating all evidence searches to systematic reviews defies their role in information seeking.Journal of the Medical Library Association : JMLA · 2019Article
- Evaluating the impact of clinical librarians on clinical questions during inpatient rounds.Journal of the Medical Library Association : JMLA · 2018Article
- Article
- Assessing the National Library of Medicine's Informationist Awards.Journal of escience librarianship · 2016Article
- Strategically aligning a mandala of competencies to advance a transformative vision.Journal of the Medical Library Association : JMLA · 2013Article
- Implementation of evidence-based practice across medical, nursing, pharmacological and allied healthcare professionals: a questionnaire survey in nationwide hospital settings.Implementation science : IS · 2013Article
- The effect of a clinical medical librarian on in-patient care outcomes.Journal of the Medical Library Association : JMLA · 2013Article
- Expert searcher, teacher, content manager, and patient advocate: an exploratory study of clinical librarian roles.Journal of the Medical Library Association : JMLA · 2013Article
- Evidence-based medicine at the intersection of research interests between academic health sciences librarians and medical educators: a review of the literature.Journal of the Medical Library Association : JMLA · 2012Review
- Can evidence-based medicine and clinical quality improvement learn from each other?BMJ quality & safety · 2011Article
- The informationist: building evidence for an emerging health profession.Journal of the Medical Library Association : JMLA · 2010Article
- Measuring the value and impact of health sciences libraries: planning an update and replication of the Rochester Study.Journal of the Medical Library Association : JMLA · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine the effectiveness of providing synthesized research evidence to inform patient care practices via an evidence based informatics program, the Clinical Informatics Consult Service (CICS).
designConsults were randomly assigned to one of two conditions: CICS Provided, in which clinicians received synthesized information from the biomedical literature addressing the consult question or No CICS Provided, in which no information was provided. MEASUREMENT: Outcomes were measured via online post-consult forms that assessed consult purpose, actual and potential impact, satisfaction, time spent searching, and other variables.
resultsTwo hundred twenty six consults were made during the 19-month study period. Clinicians primarily made requests in order to update themselves (65.0%, 147/226) and were satisfied with the service results (Mean 4.52 of possible 5.0, SD 0.94). Intention to treat (ITT) analyses showed that consults in the CICS Provided condition had a greater actual and potential impact on clinical actions and clinician satisfaction than No CICS consults. Evidence provided by the service primarily impacted the use of a new or different treatment (OR 8.19 95% CI 1.04-64.00). Reasons for no or little impact included a lack of evidence addressing the issue or that the clinician was already implementing the practices indicated by the evidence.
conclusionsClinical decision-making, particularly regarding treatment issues, was statistically significantly impacted by the service. Programs such as the CICS may provide an effective tool for facilitating the integration of research evidence into the management of complex patient care and may foster clinicians' engagement with the biomedical literature.
Indexed as
Identifiers
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.