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Analysis of queries sent to PubMed at the point of care: observation of search behaviour in a medical teaching hospital.对即时医疗点发送至PubMed的查询进行分析:一家医学教学医院的搜索行为观察
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本文引用的文献

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Users' Guides to the Medical Literature: XIX. Applying clinical trial results B. Guidelines for determining whether a drug is exerting (more than) a class effect.医学文献用户指南:第十九篇。应用临床试验结果 B. 判断一种药物是否产生(超过)类效应的指南。
JAMA. 1999 Oct 13;282(14):1371-7. doi: 10.1001/jama.282.14.1371.
2
Users' guides to the medical literature: XIX. Applying clinical trial results. A. How to use an article measuring the effect of an intervention on surrogate end points. Evidence-Based Medicine Working Group.医学文献用户指南:第十九篇。应用临床试验结果。A. 如何使用一篇衡量干预对替代终点影响的文章。循证医学工作组
JAMA. 1999 Aug 25;282(8):771-8. doi: 10.1001/jama.282.8.771.
3
Do "America's Best Hospitals" perform better for acute myocardial infarction?“美国最佳医院”在急性心肌梗死治疗方面表现得更好吗?
N Engl J Med. 1999 Jan 28;340(4):286-92. doi: 10.1056/NEJM199901283400407.
4
Finding and applying evidence during clinical rounds: the "evidence cart".在临床查房过程中寻找和应用证据:“证据推车”。
JAMA. 1998 Oct 21;280(15):1336-8. doi: 10.1001/jama.280.15.1336.
5
Impact of an evidence-based medicine curriculum based on adult learning theory.基于成人学习理论的循证医学课程的影响
J Gen Intern Med. 1997 Dec;12(12):742-50. doi: 10.1046/j.1525-1497.1997.07159.x.
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Users' guides to the medical literature.医学文献用户指南
JAMA. 1993 Nov 3;270(17):2096-7.
7
Users' guides to the medical literature. I. How to get started. The Evidence-Based Medicine Working Group.医学文献用户指南。I. 如何入门。循证医学工作组。
JAMA. 1993 Nov 3;270(17):2093-5.
8
Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered.基层医疗中的信息寻求:医生如何选择哪些临床问题去探究,哪些问题留待解决。
Med Decis Making. 1995 Apr-Jun;15(2):113-9. doi: 10.1177/0272989X9501500203.
9
Inpatient general medicine is evidence based. A-Team, Nuffield Department of Clinical Medicine.住院综合内科是基于证据的。A团队,牛津大学纳菲尔德临床医学系。
Lancet. 1995 Aug 12;346(8972):407-10.
10
The well-built clinical question: a key to evidence-based decisions.构建完善的临床问题:循证决策的关键。
ACP J Club. 1995 Nov-Dec;123(3):A12-3.

住院医师对信息技术的利用。

Resident utilization of information technology.

作者信息

Cabell C H, Schardt C, Sanders L, Corey G R, Keitz S A

机构信息

Department of Medicine, Duke University School of Medicine, Durham, NC 27710, USA.

出版信息

J Gen Intern Med. 2001 Dec;16(12):838-44. doi: 10.1111/j.1525-1497.2001.10239.x.

DOI:10.1111/j.1525-1497.2001.10239.x
PMID:11903763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1495306/
Abstract

OBJECTIVE

To determine if a simple educational intervention can increase resident physician literature search activity.

DESIGN

Randomized controlled trial.

SETTING

University hospital-based internal medicine training program.

PATIENTS/PARTICIPANTS: Forty-eight medical residents rotating on the general internal medicine service.

INTERVENTIONS

One-hour didactic session, the use of well-built clinical question cards, and practical sessions in clinical question building.

MEASUREMENTS AND MAIN RESULTS

Objective data from the library information system that included the number of log-ons to medline, searching volume, abstracts viewed, full-text articles viewed, and time spent searching. Median search activity as measured per person per week (control vs intervention): number of log-ons to medline (2.1 vs 4.4, P <.001); total number of search sets (24.0 vs 74.2, P <.001); abstracts viewed (5.8 vs 17.7, P=.001); articles viewed (1.0 vs 2.6, P=.005); and hours spent searching (0.8 vs 2.4, P <.001).

CONCLUSIONS

A simple educational intervention can markedly increase resident searching activity.

摘要

目的

确定一项简单的教育干预措施能否增加住院医师的文献检索活动。

设计

随机对照试验。

地点

大学附属医院的内科培训项目。

患者/参与者:48名在内科普通病房轮转的住院医师。

干预措施

1小时的理论授课、使用精心制作的临床问题卡片以及临床问题构建实践课程。

测量指标及主要结果

来自图书馆信息系统的客观数据,包括登录Medline的次数、检索量、查看的摘要数量、查看的全文文章数量以及检索时间。按每人每周测量的检索活动中位数(对照组与干预组):登录Medline的次数(2.1对4.4,P<.001);检索集总数(24.0对74.2,P<.001);查看的摘要数量(5.8对17.7,P=.001);查看的文章数量(1.0对2.6,P=.005);以及检索时间(0.8对2.4,P<.001)。

结论

一项简单的教育干预措施可显著增加住院医师的检索活动。