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J Med Libr Assoc. 2014 Jan;102(1):52-5. doi: 10.3163/1536-5050.102.1.010.

Electronic health record: integrating evidence-based information at the point of clinical decision making.

Author information

1
fowler@wustl.edu , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; yaegerl@wustl.edu , 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; yu_f@wustl.edu , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; dwight.doerhoff@bjc.org , 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; kellyb@wustl.edu , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110.

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.”

PMID:
24415920
PMCID:
PMC3878937
DOI:
10.3163/1536-5050.102.1.010
[Indexed for MEDLINE]
Free PMC Article
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