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Related Experiment Videos

PIER- evidence-base medicine from ACP.

Patricia Tomasulo1

  • 1Ehrman Medical Library, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA. tomasulo@library.med.nyu.edu

Medical Reference Services Quarterly
|September 15, 2004
PubMed
Summary

PIER is a specialized tool for internists that helps them access evidence-based medical guidelines in a structured way. It is designed to align with how physicians work through patient cases, moving from diagnosis to treatment. The system is now available to libraries through the STAT!Ref platform, expanding its reach beyond individual physicians. PIER contains clinical guidelines and recommendations that are based on current evidence. It is not intended for general physicians but for those in internal medicine. The tool supports clinical decision-making by offering a uniform search structure that mirrors real-world workflows.

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Area of Science:

  • Evidence-based medicine
  • Clinical decision support systems
  • Medical informatics

Background:

Current medical practice increasingly relies on evidence-based tools to guide clinical decisions. While many resources exist, few are tailored specifically to internists. Prior research has shown that physicians often struggle with accessing timely, structured evidence during patient care. That uncertainty drove the development of tools like PIER, which aims to bridge this gap. No prior work had resolved the challenge of providing structured evidence aligned with clinical workflows. Existing systems often lack the specificity needed for internists. This gap motivated the creation of a resource that integrates clinical guidelines with physician decision-making patterns. The need for a streamlined, diagnosis-to-treatment search structure remains unmet. PIER addresses this by offering a unique approach to evidence retrieval.

Purpose Of The Study:

The purpose of this work is to introduce PIER as a specialized evidence-based resource for internists. It aims to provide a search structure that mirrors clinical workflows. The goal is to make evidence-based guidelines more accessible during routine medical decision-making. The tool is designed to align with how physicians process patient cases. It is not intended for general physicians but for those in internal medicine. The focus is on bridging the gap between clinical guidelines and daily practice. The system is built to support diagnosis followed by treatment options. It offers a structured approach to evidence-based medicine for internists.

Keywords:
evidence-based medicineclinical guidelinesinternal medicinemedical decision support

Frequently Asked Questions

PIER is an evidence-based resource for internists, offering a diagnosis-to-treatment search structure.

PIER is available directly to physicians and now accessible to libraries via the STAT!Ref platform.

PIER includes clinical practice guidelines and recommendations based on evidence from trusted sources.

The structure aligns with how internists process patient cases, guiding them from diagnosis to treatment options.

PIER is specifically designed for internists, not for general physicians.

Related Experiment Videos

Main Methods:

PIER is delivered through the STAT!Ref platform, expanding access beyond individual physicians to libraries. The system is structured around clinical workflows, guiding users from diagnosis to treatment. It integrates clinical practice guidelines and recommendations from trusted sources. The content is evidence-based, ensuring alignment with current medical standards. The search interface is designed for internists, reflecting their case-solving patterns. No new data collection was performed; the focus is on existing guidelines and recommendations. The system is not a research study but a resource implementation. It is available via direct physician access and library subscriptions.

Main Results:

PIER is now accessible to libraries through the STAT!Ref platform. The system is tailored for internists, offering a diagnosis-to-treatment search structure. It contains evidence-based clinical guidelines and recommendations. The resource is designed to support clinical workflows in internal medicine. No new evidence was generated; the focus is on existing, structured guidelines. The availability of PIER via libraries expands its reach beyond individual physicians. The system is intended to streamline evidence-based decision-making for internists. It offers a uniform structure for accessing clinical recommendations.

Conclusions:

The authors state that PIER provides a structured approach to evidence-based medicine for internists. It is designed to align with clinical workflows, supporting diagnosis followed by treatment. The system is now available to libraries through STAT!Ref. The content is based on clinical guidelines and recommendations. The tool is not intended for general physicians but for those in internal medicine. It offers a unique search structure that mirrors how physicians work through cases. The availability of PIER via libraries expands its accessibility. The system is a resource for evidence-based clinical decision-making.

PIER streamlines evidence-based decision-making by integrating guidelines with clinical workflows.