Literature DB >> 11079947

Electronic information access in support of clinical decision making: a comparative study of the impact on rural health care outcomes.

J J McGowan1, M Richwine.   

Abstract

UNLABELLED: The purpose of this project was to test whether physician access to electronic information resources in support of clinical decision making in a designated rural and medically underserved area would result in a comparable change in health care outcomes as demonstrated by access to mediated information services.
METHOD: Current information habits were assessed; A tailored information intervention was provided; Use of resources against outcomes defined by previous studies was evaluated.
FINDINGS: The information intervention had a significant impact on reduction of adverse events and physicians' decision patterns.
CONCLUSION: Provision of information tools in support of clinical decision making at the point of care, and training in their use, can have as positive an impact on physician decision making and potential for reduction of adverse events in rural health care as access to mediated information services.

Mesh:

Year:  2000        PMID: 11079947      PMCID: PMC2243746     

Source DB:  PubMed          Journal:  Proc AMIA Symp        ISSN: 1531-605X


  10 in total

1.  A core electronic medical library in a rural setting. Part II: The on-line system.

Authors:  S Satya-Murti
Journal:  Kans Med       Date:  1992-11

2.  Expanding the concept of medical information: an observational study of physicians' information needs.

Authors:  D E Forsythe; B G Buchanan; J A Osheroff; R A Miller
Journal:  Comput Biomed Res       Date:  1992-04

3.  A core electronic medical library in a rural setting: update.

Authors:  S Satya-Murti
Journal:  Kans Med       Date:  1993-10

4.  Information needs of the rural physician: a descriptive study.

Authors:  C Dee; R Blazek
Journal:  Bull Med Libr Assoc       Date:  1993-07

5.  The impact of the hospital library on clinical decision making: the Rochester study.

Authors:  J G Marshall
Journal:  Bull Med Libr Assoc       Date:  1992-04

6.  The information needs of family physicians: case-specific clinical questions.

Authors:  J W Ely; R J Burch; D C Vinson
Journal:  J Fam Pract       Date:  1992-09       Impact factor: 0.493

7.  Can primary care physicians' questions be answered using the medical journal literature?

Authors:  P N Gorman; J Ash; L Wykoff
Journal:  Bull Med Libr Assoc       Date:  1994-04

8.  Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered.

Authors:  P N Gorman; M Helfand
Journal:  Med Decis Making       Date:  1995 Apr-Jun       Impact factor: 2.583

9.  Use of MEDLINE by physicians for clinical problem solving.

Authors:  D A Lindberg; E R Siegel; B A Rapp; K T Wallingford; S R Wilson
Journal:  JAMA       Date:  1993 Jun 23-30       Impact factor: 56.272

10.  Effect of online literature searching on length of stay and patient care costs.

Authors:  M S Klein; F V Ross; D L Adams; C M Gilbert
Journal:  Acad Med       Date:  1994-06       Impact factor: 6.893

  10 in total
  8 in total

1.  Is there a digital divide among physicians? A geographic analysis of information technology in Southern California physician offices.

Authors:  Douglas S Bell; Dianna M Daly; Paul Robinson
Journal:  J Am Med Inform Assoc       Date:  2003-06-04       Impact factor: 4.497

2.  A mixed-methods analysis of a library-based hand-held intervention with rural clinicians.

Authors:  Richard L Wallace; Nakia J Woodward; Travis S Clamon
Journal:  Health Info Libr J       Date:  2014-09

3.  Evolution of a mature clinical informationist model.

Authors:  Nunzia B Giuse; Taneya Y Koonce; Rebecca N Jerome; Molynda Cahall; Nila A Sathe; Annette Williams
Journal:  J Am Med Inform Assoc       Date:  2005-01-31       Impact factor: 4.497

4.  Are there differences in online resources for answering primary care questions?

Authors:  Susan H Fenton; Robert Badgett
Journal:  AMIA Annu Symp Proc       Date:  2005

5.  A comparison of primary care information content in UpToDate and the National Guideline Clearinghouse.

Authors:  Susan H Fenton; Robert G Badgett
Journal:  J Med Libr Assoc       Date:  2007-07

6.  Exploring clinician adoption of a novel evidence request feature in an electronic medical record system.

Authors:  Rebecca N Jerome; Nunzia Bettinsoli Giuse; S Trent Rosenbloom; Patrick G Arbogast
Journal:  J Med Libr Assoc       Date:  2008-01

7.  Improving on-line skills and knowledge. A randomized trial of teaching rural physicians to use on-line medical information.

Authors:  Jonathan Kronick; Catherine Blake; Eeva Munoz; Lila Heilbrunn; Lynn Dunikowski; William Kenneth Milne
Journal:  Can Fam Physician       Date:  2003-03       Impact factor: 3.275

8.  A clinical decision support needs assessment of community-based physicians.

Authors:  Joshua E Richardson; Joan S Ash
Journal:  J Am Med Inform Assoc       Date:  2011-09-02       Impact factor: 4.497

  8 in total

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