Development of a clinical information tool for the electronic medical record: a case study

doi:10.3163/1536-5050.98.3.010

. 2010 Jul;98(3):223-7.

doi: 10.3163/1536-5050.98.3.010.

Development of a clinical information tool for the electronic medical record: a case study

Barbara A Epstein¹, Nancy H Tannery, Charles B Wessel, Frances Yarger, John LaDue, Anthony B Fiorillo

Affiliations

PMID: 20648256
PMCID: PMC2900999
DOI: 10.3163/1536-5050.98.3.010

Development of a clinical information tool for the electronic medical record: a case study

Barbara A Epstein et al. J Med Libr Assoc. 2010 Jul.

. 2010 Jul;98(3):223-7.

doi: 10.3163/1536-5050.98.3.010.

Authors

Barbara A Epstein¹, Nancy H Tannery, Charles B Wessel, Frances Yarger, John LaDue, Anthony B Fiorillo

Affiliation

¹ Health Sciences Library System, University of Pittsburgh, Pittsburgh, PA, USA. bepstein@pitt.edu

PMID: 20648256
PMCID: PMC2900999
DOI: 10.3163/1536-5050.98.3.010

Abstract

Question: What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?

Setting: The development took place at the University of Pittsburgh Health Sciences Library System.

Method: The clinical information tool developed is a search box with subject tabs to provide quick access to designated full-text information resources. Each subject tab offers a federated search of a different pool of resources. Search results are organized "on the fly" into meaningful categories using clustering technology and are directly accessible from the results page.

Results: After more than a year of discussion and planning, a clinical information tool was embedded in the academic medical center's electronic health record.

Conclusion: The library successfully developed a clinical information tool, called Clinical-e, for use at the point of care. Future development will refine the tool and evaluate its impact and effectiveness.

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Figures

**Figure 2**
Number of searches by subject tab for the first six months of Clinical-e

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References

1. 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):113–9. - PubMed
1. Ely J.W, Osheroff J.A, Maviglia S.M, Rosenbaum M.E. Patient-care questions that physicians are unable to answer. J Am Med Inform Assoc. 2007 Jul–Aug;14(4):407–14. - PMC - PubMed
1. Ely J.W, Osheroff J.A, Chambliss M.L, Ebell M.H, Rosenbaum M.E. Answering physicians' clinical questions: obstacles and potential solutions. J Am Med Inform Assoc. 2005 Mar–Apr;12(2):217–24. - PMC - PubMed
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1. Green M.L, Ruff T.R. Why do residents fail to answer their clinical questions? a qualitative study of barriers to practicing evidence-based medicine. Acad Med. 2005 Feb;80(2):176–82. - PubMed

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[1] 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):113–9. - PubMed

[2] 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):113–9. - PubMed

[3] Ely J.W, Osheroff J.A, Maviglia S.M, Rosenbaum M.E. Patient-care questions that physicians are unable to answer. J Am Med Inform Assoc. 2007 Jul–Aug;14(4):407–14. - PMC - PubMed

[4] Ely J.W, Osheroff J.A, Maviglia S.M, Rosenbaum M.E. Patient-care questions that physicians are unable to answer. J Am Med Inform Assoc. 2007 Jul–Aug;14(4):407–14. - PMC - PubMed

[5] Ely J.W, Osheroff J.A, Chambliss M.L, Ebell M.H, Rosenbaum M.E. Answering physicians' clinical questions: obstacles and potential solutions. J Am Med Inform Assoc. 2005 Mar–Apr;12(2):217–24. - PMC - PubMed

[6] Ely J.W, Osheroff J.A, Chambliss M.L, Ebell M.H, Rosenbaum M.E. Answering physicians' clinical questions: obstacles and potential solutions. J Am Med Inform Assoc. 2005 Mar–Apr;12(2):217–24. - PMC - PubMed

[7] Graber M.A, Randles B.D, Ely J.W, Monnahan J. Answering clinical questions in the ED. Am J Emerg Med. 2008 Feb;26(2):144–7. - PubMed

[8] Graber M.A, Randles B.D, Ely J.W, Monnahan J. Answering clinical questions in the ED. Am J Emerg Med. 2008 Feb;26(2):144–7. - PubMed

[9] Green M.L, Ruff T.R. Why do residents fail to answer their clinical questions? a qualitative study of barriers to practicing evidence-based medicine. Acad Med. 2005 Feb;80(2):176–82. - PubMed

[10] Green M.L, Ruff T.R. Why do residents fail to answer their clinical questions? a qualitative study of barriers to practicing evidence-based medicine. Acad Med. 2005 Feb;80(2):176–82. - PubMed

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Development of a clinical information tool for the electronic medical record: a case study

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Development of a clinical information tool for the electronic medical record: a case study

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