Abstract
Physicians have many unmet information needs that arise in the course of patient care. Many clinical questions could potentially be answered by streamlined access to medical literature, textbooks, and clinical guidelines in the context of the electronic medical record. We designed and implemented SmartQuery, a prototype application to provide context-sensitive links from an electronic patient record to relevant medical knowledge sources, then performed a preliminary user evaluation. Our results suggest that such an application may be clinically useful, and provide some insight into problems and priorities for future development.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cimino J. J., Elhanan G., Zeng Q. Supporting infobuttons with terminological knowledge. Proc AMIA Annu Fall Symp. 1997:528–532. [PMC free article] [PubMed] [Google Scholar]
- Cimino J. J. Linking patient information systems to bibliographic resources. Methods Inf Med. 1996 Jun;35(2):122–126. [PubMed] [Google Scholar]
- Covell D. G., Uman G. C., Manning P. R. Information needs in office practice: are they being met? Ann Intern Med. 1985 Oct;103(4):596–599. doi: 10.7326/0003-4819-103-4-596. [DOI] [PubMed] [Google Scholar]
- Ely J. W., Levy B. T., Hartz A. What clinical information resources are available in family physicians' offices? J Fam Pract. 1999 Feb;48(2):135–139. [PubMed] [Google Scholar]
- Ely J. W., Osheroff J. A., Ebell M. H., Bergus G. R., Levy B. T., Chambliss M. L., Evans E. R. Analysis of questions asked by family doctors regarding patient care. BMJ. 1999 Aug 7;319(7206):358–361. doi: 10.1136/bmj.319.7206.358. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gorman P. N., Ash J., Wykoff L. Can primary care physicians' questions be answered using the medical journal literature? Bull Med Libr Assoc. 1994 Apr;82(2):140–146. [PMC free article] [PubMed] [Google Scholar]
- Gorman P. N., Helfand M. Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered. Med Decis Making. 1995 Apr-Jun;15(2):113–119. doi: 10.1177/0272989X9501500203. [DOI] [PubMed] [Google Scholar]
- Hersh W. R., Brown K. E., Donohoe L. C., Campbell E. M., Horacek A. E. CliniWeb: managing clinical information on the World Wide Web. J Am Med Inform Assoc. 1996 Jul-Aug;3(4):273–280. doi: 10.1136/jamia.1996.96413135. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hersh W. R., Donohoe L. C. SAPHIRE International: a tool for cross-language information retrieval. Proc AMIA Symp. 1998:673–677. [PMC free article] [PubMed] [Google Scholar]
- Hersh W. R., Hickam D. H. How well do physicians use electronic information retrieval systems? A framework for investigation and systematic review. JAMA. 1998 Oct 21;280(15):1347–1352. doi: 10.1001/jama.280.15.1347. [DOI] [PubMed] [Google Scholar]
- Miller R. A., Gieszczykiewicz F. M., Vries J. K., Cooper G. F. CHARTLINE: providing bibliographic references relevant to patient charts using the UMLS Metathesaurus Knowledge Sources. Proc Annu Symp Comput Appl Med Care. 1992:86–90. [PMC free article] [PubMed] [Google Scholar]
- Osheroff J. A., Bankowitz R. A. Physicians' use of computer software in answering clinical questions. Bull Med Libr Assoc. 1993 Jan;81(1):11–19. [PMC free article] [PubMed] [Google Scholar]
- Payne T. H., Murphy G. R., Salazar A. A. How well does ICD9 represent phrases used in the medical record problem list? Proc Annu Symp Comput Appl Med Care. 1992:654–657. [PMC free article] [PubMed] [Google Scholar]