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The persistence of clinical questions across shifts on an intensive care unit: an observational pilot study. | LitMetric

The persistence of clinical questions across shifts on an intensive care unit: an observational pilot study.

J Med Libr Assoc

, Associate Director, Clinical Informationist Services, Welch Medical Library, Johns Hopkins University, 2024 East Monument Street, Suite 1-212, Baltimore, MD 21287; , Associate Director for Digital Collections, Welch Medical Library, Johns Hopkins University, 5801 Smith Avenue, Suite 305, Baltimore, MD 21209; , Associate Director, Public Health and Basic Sciences Informationist Services, Welch Medical Library, Johns Hopkins University, 2024 East Monument Street, Suite 1-213, Baltimore, MD 21287; , Professor Emerita, Division of Health Sciences Informatics, Johns Hopkins University, 2024 East Monument Street, Suite 1-200, Baltimore, MD 21287.

Published: July 2014

AI Article Synopsis

Article Abstract

How do clinical questions emerge and move toward resolution in the intensive care setting over the course of 24 hours? In a 20-bed surgical intensive care unit in a large, tertiary-care teaching hospital, informationists shadowed clinicians for 2 48-hour periods to record questions, noting when they were asked and whether they were answered. Thirty-eight percent of 112 recorded questions remained unanswered. Some unanswered questions persisted across shifts, and clinicians' information-seeking behaviors changed over time. Clinical information services can be improved and integrated more fully into clinical workflows based on a fuller understanding of the life cycle of clinical inquiry.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4076130PMC
http://dx.doi.org/10.3163/1536-5050.102.3.011DOI Listing

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