Use of Online Resources While Using a Clinical Information System

BACKGROUND Clinical information system (CIS) use is likely to evoke information needs, yet information resources use during CIS use has not been studied. METHODS We used CIS log files and a survey to characterize clinicians' use of resources and infobuttons (context-sensitive links from a CIS to specific resources) while using a CIS. RESULTS We examined 38,763 uses of resources and infobuttons by 2,607 users to identify specific sources and contexts (CIS functions) in which they used them. Laboratory results review was the most frequent context and Micromedex was the most popular resource. Differences in resource use were related to context and user type. The survey confirmed that resources and infobuttons were perceived as useful for patient-specific questions while using a CIS. CONCLUSIONS Understanding context- and user-type-specific information needs can guide the development of infobuttons for use in a CIS.

[1]  Vimla L. Patel,et al.  Clinical Information Needs in Context: An Observational Study of Clinicians While Using a Clinical Information System , 2003, AMIA.

[2]  George Hripcsak,et al.  WebCIS: large scale deployment of a Web-based clinical information system , 1999, AMIA.

[3]  Vimla L. Patel,et al.  The Classification of Clinicians' Information Needs While Using a Clinical Information System , 2003, AMIA.

[4]  G F Cooper,et al.  CHARTLINE: providing bibliographic references relevant to patient charts using the UMLS Metathesaurus Knowledge Sources. , 1992, Proceedings. Symposium on Computer Applications in Medical Care.

[5]  Richard Smith.  What clinical information do doctors need? , 1996, BMJ.

[6]  William R. Hersh,et al.  SmartQuery: context-sensitive links to medical knowledge sources from the electronic patient record , 2002, AMIA.

[7]  James J. Cimino,et al.  Supporting infobuttons with terminological knowledge , 1997, AMIA.

[8]  J. D. Haug,et al.  Physicians' preferences for information sources: a meta-analytic study. , 1997, Bulletin of the Medical Library Association.

[9]  Vimla L. Patel,et al.  Characterizing Information Needs and Cognitive Processes During CIS Use , 2003, AMIA.

[10]  Paul D. Clayton,et al.  Using LOINC to link an EMR to the pertinent paragraph in a structured reference knowledge base , 2002, AMIA.

[11]  Jianhua Li,et al.  Theoretical, empirical and practical approaches to resolving the unmet information needs of clinical information system users , 2002, AMIA.

[12]  J J Cimino,et al.  The MEDLINE Button. , 1992, Proceedings. Symposium on Computer Applications in Medical Care.