Abstract
The authors created two tools to achieve the goals of providing physicians with a way to review alternative diagnoses and improving access to relevant evidence-based library resources without disrupting established workflows. The “diagnostic decision support tool” lifted terms from standard, coded fields in the electronic health record and sent them to Isabel, which produced a list of possible diagnoses. The physicians chose their diagnoses and were presented with the “knowledge page,” a collection of evidence-based library resources. Each resource was automatically populated with search results based on the chosen diagnosis. Physicians responded positively to the “knowledge page.”
Highlights
Incorporating evidence-based information into patient care requires making the right information available at the right time [1]
One method to remedy this situation is to provide a clinical decision support (CDS) system with links to relevant evidence-based information resources that can be accessed directly from the electronic health record (EHR) through the use of infobuttons. ‘‘Studies on Infobuttons have shown that clinicians find them useful and that information specific to a particular patient’s situation is more useful than general information’’ [3]
The 7 physicians who attended the focus groups responded negatively to Isabel’s list of potential diagnoses but were interested in and excited about the knowledge page (KP). They strongly suggested the diagnostic decision support tool (DDST) be redesigned to incorporate the diagnosis from the EHR and send it directly to the KP, bypassing Isabel altogether
Summary
Incorporating evidence-based information into patient care requires making the right information available at the right time [1]. The right time may be during the diagnostic process, while providing care at the patient’s bedside, or at any other point on the examination and treatment continuum. Physicians who are already under pressure to see more patients in less time are less likely to search for information to inform their decisions when the search interrupts their workflow [2]. One method to remedy this situation is to provide a clinical decision support (CDS) system with links to relevant evidence-based information resources that can be accessed directly from the electronic health record (EHR) through the use of infobuttons. Integrating CDS resources into existing clinical workflows via infobuttons has the potential to reduce diagnostic or treatment errors by providing evidence-based information specific to the clinical scenario at hand
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