Currie Leanne M, Graham Mark, Allen Mureen, Bakken Suzanne, Patel Vimla, Cimino James J
Department of Biomedical Informatics, Columbia University, New York, NY, USA.
AMIA Annu Symp Proc. 2003;2003:190-4.
The development of tools to meet the information needs of clinicians requires an understanding of the clinician and the context in which clinical decisions are being made.
We conducted an observational study of clinicians' information needs via think-aloud protocols during which we observed physicians and nurses as they used the clinical information system. Protocol analysis was then used to identify the information needs events, the types of questions that were asked, the method of meeting that need, the success or failure of meeting the specific information need, and the context in which it arose.
Results indicated that a) unmet information needs occur frequently and that b) the predominant feature of these unmet needs is that they are patient-related or domain-specific. Two categories of context: laboratory and medical communication accounted for more than half of the events.
开发满足临床医生信息需求的工具需要了解临床医生以及做出临床决策的背景。
我们通过出声思考协议对临床医生的信息需求进行了一项观察性研究，在此期间，我们观察医生和护士使用临床信息系统的情况。然后使用协议分析来确定信息需求事件、所提问题的类型、满足需求的方法、满足特定信息需求的成功或失败情况以及需求产生的背景。
结果表明，a）未满足的信息需求频繁出现，且b）这些未满足需求的主要特征是与患者相关或特定领域的。两类背景：实验室和医疗沟通占事件的一半以上。
