Electronic Knowledge Resources and Point-of-Care Learning: A Scoping Review
| Autor: | Jane L. Shellum, Guilherme Del Fiol, Lauren A. Maggio, Larry J. Prokop, Laurie J. Pencille, Kristi J. Sorensen, David A. Cook, Christopher A. Aakre |
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| Rok vydání: | 2018 |
| Předmět: |
Medical education
Decision support system 020205 medical informatics Education Medical Operational definition Point-of-Care Systems MEDLINE Information quality 02 engineering and technology General Medicine PsycINFO Online Systems Education 03 medical and health sciences 0302 clinical medicine Resource (project management) Data extraction 0202 electrical engineering electronic engineering information engineering Humans Learning 030212 general & internal medicine Clinical Competence Psychology Software Qualitative research |
| Zdroj: | Academic medicine : journal of the Association of American Medical Colleges. 93(11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 57th Annual Research in Medical Education) |
| ISSN: | 1938-808X |
| Popis: | Purpose The authors sought to summarize quantitative and qualitative research addressing electronic knowledge resources and point-of-care learning in a scoping review. Method The authors searched MEDLINE, Embase, PsycINFO, and the Cochrane Database for studies addressing electronic knowledge resources and point-of-care learning. They iteratively revised inclusion criteria and operational definitions of study features and research themes of interest. Two reviewers independently performed each phase of study selection and data extraction. Results Of 10,811 studies identified, 305 were included and reviewed. Most studies (225; 74%) included physicians or medical students. The most frequently mentioned electronic resources were UpToDate (88; 29%), Micromedex (59; 19%), Epocrates (50; 16%), WebMD (46; 15%), MD Consult (32; 10%), and LexiComp (31; 10%). Eight studies (3%) evaluated electronic resources or point-of-care learning using outcomes of patient effects, and 36 studies (12%) reported objectively measured clinician behaviors. Twenty-five studies (8%) examined the clinical or educational impact of electronic knowledge resource use on patient care or clinician knowledge, 124 (41%) compared use rates of various knowledge resources, 69 (23%) examined the quality of knowledge resource content, and 115 (38%) explored the process of point-of-care learning. Two conceptual clarifications were identified, distinguishing the impact on clinical or educational outcomes versus the impact on test setting decision support, and the quality of information content versus the correctness of information obtained by a clinician-user. Conclusions Research on electronic knowledge resources is dominated by studies involving physicians and evaluating use rates. Studies involving nonphysician users, and evaluating resource impact and implementation, are needed. |
| Databáze: | OpenAIRE |
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