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Fowler SA, Yaeger LH, Yu F, Doerhoff D, Schoening P, Kelly B. Electronic health record: integrating evidence-based information at the point of clinical decision making. J Med Libr Assoc 2014; 102:52-5. [PMID: 24415920 DOI: 10.3163/1536-5050.102.1.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
The authors created two tools to achieve the goals of providing physicians with a way to review alternative diagnoses and improving access to relevant evidence-based library resources without disrupting established workflows. The “diagnostic decision support tool” lifted terms from standard, coded fields in the electronic health record and sent them to Isabel, which produced a list of possible diagnoses. The physicians chose their diagnoses and were presented with the “knowledge page,” a collection of evidence-based library resources. Each resource was automatically populated with search results based on the chosen diagnosis. Physicians responded positively to the “knowledge page.”
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Affiliation(s)
- Susan A Fowler
- , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110
| | - Lauren H Yaeger
- , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110
| | - Feliciano Yu
- , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110
| | - Dwight Doerhoff
- , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110
| | - Paul Schoening
- , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110
| | - Betsy Kelly
- , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110
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