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    Am J Emerg Med. 2008 Feb;26(2):144-7.

    Answering clinical questions in the ED.

    Graber MA, Randles BD, Ely JW, Monnahan J.

    Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA. mark-graber@uiowa.edu

    Comment in:

    OBJECTIVES: The objective of the study was to determine how many patient-related questions emergency medicine physicians have and how they answer them at the point of care. METHODS: We conducted an observational study of 26 physicians at 2 institutions. All physicians were followed for at least 2 shifts. The number and type of questions were recorded. The percentage answered, resources used, and barriers to answering questions were also recorded. RESULTS: Physicians had 235 questions or approximately 5 questions per 8-hour shift . They attempted to answer 81% of them and were successful 87% of the time. The 2 most commonly used information sources were drug information resources (Personal digital assistant [PDA], pocket pharmacopeia [37% of the time]) followed by electronic resources (Google, UpToDate [29% of the time]). The most common reason for not pursuing a question was lack of time and distractions or interruptions, followed by a belief that an answer would not be found. When an answer was not found to a pursued question, non-emergency department physicians were the most common resource consulted (28%). CONCLUSIONS: Emergency department physicians in this study pursued and found answers for most questions posed at the point of care. Rapid access to electronic resources and drug-prescribing references were critical for answering questions at the point of care.

    PMID: 18272092 [PubMed - indexed for MEDLINE]

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