Collins Sarah A, Currie Leanne M, Bakken Suzanne, Cimino James J
Columbia University School of Nursing, 630 West 168th Street, Mailbox 6, New York, NY 10032, USA.
J Am Med Inform Assoc. 2009 Jan-Feb;16(1):140-2. doi: 10.1197/jamia.M2746. Epub 2008 Oct 24.
To effectively meet clinician information needs at the point of care, we must understand how their needs are dependent on both context and clinician type. The Infobutton Manager (IM), accessed through a clinical information system, anticipates the clinician's questions and provides links to pertinent electronic resources. We conducted an observational usefulness case study of medical residents (MDs), nurse practitioners (NPs), registered nurses (RNs), and a physician assistant (PA), using the IM in a laboratory setting. Generic question types and success rates for each clinician's information needs were characterized. Question type frequency differed by clinician type. All clinician types asked for institution-specific protocols. The MDs asked about unfamiliar domains, RNs asked about physician order rationales, and NPs asked questions similar to both MDs and RNs. Observational data suggest that IM success rates may be improved by tailoring anticipated questions to clinician type. Clinicians reported that a more visible Infobutton may increase use.
为了在医疗现场有效满足临床医生的信息需求，我们必须了解他们的需求如何依赖于情境和临床医生类型。通过临床信息系统访问的信息按钮管理器（IM）能够预测临床医生的问题，并提供指向相关电子资源的链接。我们在实验室环境中使用IM对医学住院医师（MD）、执业护士（NP）、注册护士（RN）和医师助理（PA）进行了一项观察性实用性案例研究。对每种临床医生信息需求的通用问题类型和成功率进行了描述。问题类型的频率因临床医生类型而异。所有临床医生类型都询问了特定机构的规程。医学住院医师询问不熟悉的领域，注册护士询问医生医嘱的理由，执业护士询问的问题与医学住院医师和注册护士的问题都相似。观察数据表明，通过根据临床医生类型调整预期问题，可能会提高IM的成功率。临床医生报告称，更显眼的信息按钮可能会增加其使用频率。
