Speed and Accuracy of a Point of Care Web-Based Knowledge Resource for Clinicians: A Controlled Crossover Trial

Autor: Cook, David A, Enders, Felicity, Linderbaum, Jane A, Zwart, Dale, Lloyd, Farrell J
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Interactive Journal of Medical Research, Vol 3, Iss 1, p e7 (2014)
Druh dokumentu: article
ISSN: 1929-073X
DOI: 10.2196/ijmr.2811
Popis: BackgroundEffective knowledge translation at the point of care requires that clinicians quickly find correct answers to clinical questions, and that they have appropriate confidence in their answers. Web-based knowledge resources can facilitate this process. ObjectiveThe objective of our study was to evaluate a novel Web-based knowledge resource in comparison with other available Web-based resources, using outcomes of accuracy, time, and confidence. MethodsWe conducted a controlled, crossover trial involving 59 practicing clinicians. Each participant answered questions related to two clinical scenarios. For one scenario, participants used a locally developed Web-based resource, and for the second scenario, they used other self-selected Web-based resources. The local knowledge resource (“AskMayoExpert”) was designed to provide very concise evidence-based answers to commonly asked clinical questions. Outcomes included time to a correct response with at least 80% confidence (primary outcome), accuracy, time, and confidence. ResultsAnswers were more often accurate when using the local resource than when using other Web-based resources, with odds ratio 6.2 (95% CI 2.6-14.5; P
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