BibSonomy publications for /author/PiferThu Jun 16 00:00:00 CEST 2011JAMIA4411-415Randomized clinical trial of a customized electronic alert requiring an affirmative response compared to a control group receiving a commercial passive CPOE alert: NSAID-warfarin co-prescribing as a test case.172010dblp Thu Jun 16 00:00:00 CEST 2011JAMIA2164-168Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.182011dblp Mon Mar 14 00:00:00 CET 2011JAMIA4365-376AMIA Position Paper: Clinical Decision Support in Electronic Prescribing: Recommendations and an Action Plan: Report of the Joint Clinical Decision Support Workgroup.122005dblp Mon Aug 02 09:18:56 CEST 2010BMJ7339710Obstacles to Answering Doctors' Questions about Patient Care with Evidence: Qualitative Study3242002clinicalquestionsquestion\_answeringebm Objective: To describe the obstacles encountered when attempting to answer doctors' questions with evidence. Design: Qualitative study. Setting: General practices in Iowa. Participants: 9 academic generalist doctors, 14 family doctors, and 2 medical librarians. Main outcome measure: A taxonomy of obstacles encountered while searching for evidence based answers to doctors' questions. Results: 59 obstacles were encountered and organised according to the five steps in asking and answering questions: recognise a gap in knowledge, formulate a question, search for relevant information, formulate an answer, and use the answer to direct patient care. Six obstacles were considered particularly salient by the investigators and practising doctors: the excessive time required to find information; difficulty modifying the original question, which was often vague and open to interpretation; difficulty selecting an optimal strategy to search for information; failure of a seemingly appropriate resource to cover the topic; uncertainty about how to know when all the relevant evidence has been found so that the search can stop; and inadequate synthesis of multiple bits of evidence into a clinically useful statement. Conclusions: Many obstacles are encountered when asking and answering questions about how to care for patients. Addressing these obstacles could lead to better patient care by improving clinically oriented information resources.Fri Feb 01 06:26:37 CET 2008British Medical Journal7258429--432A Taxonomy of Generic Clinical Questions: Classification Study3212000biomedicalquestions Objective: To develop a taxonomy of doctors' questions about patient care that could be used to help answer such questions. Design: Use of 295 questions asked by Oregon primary care doctors to modify previously developed taxonomy of 1101 clinical questions asked by Iowa family doctors. Setting: Primary care practices in Iowa and Oregon. Participants: Random samples of 103 Iowa family doctors and 49 Oregon primary care doctors. Main outcome measures: Consensus among seven investigators on a meaningful taxonomy of generic questions; interrater reliability among 11 individuals who used the taxonomy to classify a random sample of 100 questions: 50 from Iowa and 50 from Oregon. Results: The revised taxonomy, which comprised 64 generic question types, was used to classify 1396 clinical questions. The three commonest generic types were {\grqq}What is the drug of choice for condition x???? (150 questions, 11\%); {\grqq}What is the cause of symptom x???? (115 questions, 8\%); and {\grqq}What test is indicated in situation x???? (112 questions, 8\%). The mean interrater reliability among 11 coders was moderate (??=0.53, agreement 55\%). Conclusions: Clinical questions in primary care can be categorised into a limited number of generic types. A moderate degree of interrater reliability was achieved with the taxonomy developed in this study. The taxonomy may enhance our understanding of doctors' information needs and improve our ability to meet those needs.Mon Feb 12 12:29:07 CET 2007Clinical Decision Support in Electronic Prescribing: Recommendations and an Action Plan. Report of the Joint Clinical Decision Support Workgroup2005decision prescribing clinical support Thu Jul 22 00:00:00 CEST 2004CBMSconf/cbms/2001498-502The Common Data Element Dictionary-A Standard Nomenclature for the Reporting of Phase 3 Cancer Clinical Trial Data.2001dblp