Understanding the nature of information seeking behavior in critical care: implications for the design of health information technology.
Objective: Information in critical care environments is distributed across multiple sources, such as paper charts, electronic records, and support personnel. For decision-making tasks, physicians have to seek, gather, filter and organize information from various sources in a timely manner. The objec...
| Publicado en: | Artificial Intelligence in Medicine Vol. 57; no. 1; pp. 21 - 30 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Jan2013
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104243003&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104243003 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09333657 3HY jtl: Artificial Intelligence in Medicine issn: 09333657 maglogo: N pubinfo: dt: Jan2013 vid: 57 iid: 1 pid: 1004 pub: Elsevier B.V. artinfo: ui: 104243003 NLM23194923 2012025623 10.1016/j.artmed.2012.10.002 NLM23194923 104243003 ppf: 21 ppct: 9 formats: tig: atl: Understanding the nature of information seeking behavior in critical care: implications for the design of health information technology. aug: au: Kannampallil, Thomas G Franklin, Amy Mishra, Rashmi Almoosa, Khalid F Cohen, Trevor Patel, Vimla L affil: New York Academy of Medicine, 1216 5th Avenue, New York, NY, USA. Electronic address: tkannampallil@nyam.org. sug: subj: Attitude of Health Personnel Decision Support Systems, Clinical Decision Support Techniques Attitude to Health Information Seeking Behavior Critical Care Medical Informatics Physicians Psychosocial Factors Access to Information Clinical Competence Cognition Cooperative Behavior Electronic Health Records Human Communication Interprofessional Relations Knowledge Time Factors Systems Analysis ab: Objective: Information in critical care environments is distributed across multiple sources, such as paper charts, electronic records, and support personnel. For decision-making tasks, physicians have to seek, gather, filter and organize information from various sources in a timely manner. The objective of this research is to characterize the nature of physicians' information seeking process, and the content and structure of clinical information retrieved during this process.Method: Eight medical intensive care unit physicians provided a verbal think-aloud as they performed a clinical diagnosis task. Verbal descriptions of physicians' activities, sources of information they used, time spent on each information source, and interactions with other clinicians were captured for analysis. The data were analyzed using qualitative and quantitative approaches.Results: We found that the information seeking process was exploratory and iterative and driven by the contextual organization of information. While there was no significant differences between the overall time spent paper or electronic records, there was marginally greater relative information gain (i.e., more unique information retrieved per unit time) from electronic records (t(6)=1.89, p=0.1). Additionally, information retrieved from electronic records was at a higher level (i.e., observations and findings) in the knowledge structure than paper records, reflecting differences in the nature of knowledge utilization across resources.Conclusion: A process of local optimization drove the information seeking process: physicians utilized information that maximized their information gain even though it required significantly more cognitive effort. Implications for the design of health information technology solutions that seamlessly integrate information seeking activities within the workflow, such as enriching the clinical information space and supporting efficient clinical reasoning and decision-making, are discussed. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|