INTRODUCTION: Information needs are prevalent in clinical practice. They represent a potential source of medical errors. This study seeks to empirically determine the information needs of clinicians while using a clinical information system (CIS), and characterize those needs. In addition this paper will provide the framework necessary for the development of the solutions to these information needs. METHODS: Clinicians were observed while using a CIS. They were recorded on audiotape and the computer screen recorded on videotape. The types of question during these interactions were recorded. A classification of the questions provided the conceptual and architectural basis for the development of context-sensitive links to information resources, called infobuttons. RESULTS: There were 154 information needs. The questions were grouped into seven categories. Within these categories we were able to identify eleven specific repeated question patterns, accounting for 72 or 47% of users' questions. DISCUSSION: These findings are applicable to a number of settings and can be generalized to other institutions. The proposed infobuttons based on six categories, will be navigational ('how-to.' links), cross-reference ('what is the em leader ' links), domain knowledge buttons in the areas of laboratory, pharmacy, diagnosis, and definitions/general information. Using these groups we were able to identity eleven patterns of questions.
INTRODUCTION: Information needs are prevalent in clinical practice. They represent a potential source of medical errors. This study seeks to empirically determine the information needs of clinicians while using a clinical information system (CIS), and characterize those needs. In addition this paper will provide the framework necessary for the development of the solutions to these information needs. METHODS: Clinicians were observed while using a CIS. They were recorded on audiotape and the computer screen recorded on videotape. The types of question during these interactions were recorded. A classification of the questions provided the conceptual and architectural basis for the development of context-sensitive links to information resources, called infobuttons. RESULTS: There were 154 information needs. The questions were grouped into seven categories. Within these categories we were able to identify eleven specific repeated question patterns, accounting for 72 or 47% of users' questions. DISCUSSION: These findings are applicable to a number of settings and can be generalized to other institutions. The proposed infobuttons based on six categories, will be navigational ('how-to.' links), cross-reference ('what is the em leader ' links), domain knowledge buttons in the areas of laboratory, pharmacy, diagnosis, and definitions/general information. Using these groups we were able to identity eleven patterns of questions.
Authors: J A Osheroff; D E Forsythe; B G Buchanan; R A Bankowitz; B H Blumenfeld; R A Miller Journal: Ann Intern Med Date: 1991-04-01 Impact factor: 25.391
Authors: John W Ely; Jerome A Osheroff; M Lee Chambliss; Mark H Ebell; Marcy E Rosenbaum Journal: J Am Med Inform Assoc Date: 2004-11-23 Impact factor: 4.497
Authors: Suzanne Bakken; Leanne M Currie; Nam-Ju Lee; W Dan Roberts; Sarah A Collins; James J Cimino Journal: Int J Med Inform Date: 2007-09-29 Impact factor: 4.046
Authors: Guilherme Del Fiol; Peter J Haug; James J Cimino; Scott P Narus; Chuck Norlin; Joyce A Mitchell Journal: J Am Med Inform Assoc Date: 2008-08-28 Impact factor: 4.497