Clinical information seeking behavior of physicians: A systematic review

Daei, Azra; Soleymani, Mohammad Reza; Ashrafi-rizi, Hasan; Zargham-Boroujeni, Ali; Kelishadi, Roya

doi:10.1016/j.ijmedinf.2020.104144

Cited by 71 publications

(82 citation statements)

References 73 publications

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“…Others have studied important questions about how practitioners use research in answering clinical questions at the point of patient care. 15 We asked about research reports published in journals. Further study of other dissemination strategies is needed to make research findings most accessible and useful to the variety of PC clinicians working across the spectrum of PC settings.…”

Section: Discussionmentioning

confidence: 99%

Clinician Use of Primary Care Research Reports

Phillips

Sturgiss²,

Yang

et al. 2021

J Am Board Fam Med

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Purpose: To assess how primary care practitioners use reports of general health care (GHC) and primary care (PC) research and how well reports deliver what they need to inform clinical practice.Methods: International, interprofessional online survey, 2019, of primary care clinicians who see patients at least half time. Respondents used frequency scales to report how often they access both GHC and PC research and how frequently reports meet needs. Free-text short comments recorded comments and suggestions.Results: Survey yielded 252 respondents across 29 nations, 55% (121) women, including 88% (195) physicians, nurses 5% (11), and physician assistants 3% (7). Practitioners read research reports frequently but find they usually fail to meet their needs. For PC research, 33% (77) accessed original reports in academic journals weekly or daily, and 36% found reports meet needs "frequently" or "always." They access reports of GHC research slightly more often but find them somewhat less useful.Conclusions: PC practitioners access original research in academic journals frequently but find reports meet information needs less than half the time. PC research reflects the unique PC setting and so reporting has distinct focus, needs, and challenges. Practitioners desire improved reporting of study context, interventions, relationships, generalizability, and implementation.

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Section: Discussionmentioning

confidence: 99%

Clinician Use of Primary Care Research Reports

Phillips

Sturgiss²,

Yang

et al. 2021

J Am Board Fam Med

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“…The next pain point is awareness of the information resources that their institutions license and how these resources are accessed by users [16]. Librarians could improve awareness by expanding and improving upon current methods of advertising and instruction, which could be supported by publisher-created marketing materials that allow libraries to brand resources and materials [17,18].…”

Section: Figure 1 Descriptions Of Eight Pain Points That Users Experimentioning

confidence: 99%

Why are they not accessing it? User barriers to clinical information access

Laera

Gutzman

Spencer

et al. 2021

jmla

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The Medical Library Association’s InSight Initiative provides an open and collaborative environment for library and industry partners to discuss vexing problems and find solutions to better serve their users. The initiative’s fifth summit, continuing work from the previous summit, focused on understanding how users discover and access information in the clinical environment. During the summit, participants were divided into working groups and encouraged to create a tangible product as a result of their discussions. At the end of the summit, participants established a framework for understanding users’ pain points, discussed possible solutions to those points, and received feedback on their work from an End User Advisory Board comprising physicians, clinical researchers, and clinical faculty in biomedicine. In addition to the pain point framework, participants are developing MLA InSight Initiative Learning content with modules to educate librarians and publishers about critical aspects of user behavior. The 2020 Insight Initiative Fall Forum will serve as a virtual home for constructive dialogue between health sciences librarians and publishers on improving discovery and access to information.

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“…Clinical information in EHRs is organized primarily for billing and other administrative management (Savoy et al, 2021). Reviewing patient history may involve navigating through multiple sections of the EHR (Roman et al, 2017) to find only partial answers, both increasing review time and lowering the likelihood of finding an answer (Aakre et al, 2019;Daei et al, 2020;Dwairy et al, 2011;González-González et al, 2007;Gorman, 1995;Gorman & Helfand, 1995). This increases PCPs' cognitive workload and decreases their situation awareness (SA), defined as "the perception of the elements in the environment, the comprehension of their meaning, and the projection of their status in the near future" (Beasley et al, 2011;Endsley, 1988).…”

Section: Introductionmentioning

confidence: 99%

Electronic Health Records’ Support for Primary Care Physicians’ Situation Awareness: A Metanarrative Review

et al. 2021

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Objective Situation awareness (SA) refers to people’s perception and understanding of their dynamic environment. In primary care, reduced SA among physicians increases errors in clinical decision-making and, correspondingly, patients’ risk of experiencing adverse outcomes. Our objective was to understand the extent to which electronic health records (EHRs) support primary care physicians (PCPs)’ SA during clinical decision-making. Method We conducted a metanarrative review of papers in selected academic databases, including CINAHL and MEDLINE. Eligible studies included original peer-reviewed research published between January 2012 and August 2020 on PCP–EHR interactions. We iteratively queried, screened, and summarized literature focused on EHRs supporting PCPs’ clinical decision-making and care management for adults. Then, we mapped findings to an established SA framework to classify external factors (individual, task, and system) affecting PCPs’ levels of SA (1–Perception, 2–Comprehension, and 3–Projection) and identified SA barriers. Results From 1504 articles identified, we included and synthesized 19 studies. Study designs were largely noninterventional. Studies described EHR workflow misalignments, usability issues, and communication challenges. EHR information, including lab results and care plans, was characterized as incomplete, untimely, or irrelevant. Unmet information needs made it difficult for PCPs to obtain even basic SA, Level 1 SA. Prevalent barriers to PCPs developing SA with EHRs were errant mental models, attentional tunneling, and data overload. Conclusion Based on our review, EHRs do not support the development of higher levels of SA among PCPs. Review findings suggest SA-oriented design processes for health information technology could improve PCPs’ SA, satisfaction, and decision-making.

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Clinical information seeking behavior of physicians: A systematic review

Cited by 71 publications

References 73 publications

Clinician Use of Primary Care Research Reports

Clinician Use of Primary Care Research Reports

Why are they not accessing it? User barriers to clinical information access

Electronic Health Records’ Support for Primary Care Physicians’ Situation Awareness: A Metanarrative Review

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