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The informationist: a prospective uncontrolled study.

Ruth M Sladek1, Carole Pinnock, Paddy A Phillips

  • 1Medical Library, Repatriation General Hospital, Daw Park, South Australia. Ruth.Sladek@fmc.sa.gov.au

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|November 24, 2004
PubMed
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Doctors readily utilized an informationist service in a hospital pilot study, significantly improving clinical decision-making, patient care, and professional development. This medical information service demonstrated substantial benefits for healthcare professionals.

Area of Science:

  • Medical Informatics
  • Clinical Decision Support
  • Evidence-Based Medicine

Background:

  • Informationist services can bridge the gap between medical knowledge and clinical practice.
  • Assessing the utility and impact of such services is crucial for healthcare quality improvement.

Purpose of the Study:

  • To evaluate the adoption of an informationist service by physicians in an Australian tertiary hospital.
  • To determine the influence of this service on patient care and clinical decision-making.

Main Methods:

  • A prospective, uncontrolled pilot study was conducted over 23 weeks (July 2002-January 2003) in a South Australian teaching hospital.
  • An informationist actively participated in ward rounds and clinical meetings within Respiratory Medicine, Sleep Disorders, and Rheumatology units.

Related Experiment Videos

  • Clinician self-assessed impacts on decision-making, education, and adverse event avoidance were measured.

    • Main Results:

    • Nine out of 14 eligible doctors generated 52 questions, with 92% feedback completion.
    • The service provided new and immediately applicable information in 52% and 50% of cases, respectively.
    • Key contributions included revising treatment plans (44%), confirming therapies (38%), avoiding adverse events (27%), and preventing unnecessary tests (21%).

    Conclusions:

    • Medical staff demonstrated willingness to use an informationist service.
    • The service significantly contributed to improved medical decision-making, clinician education, and overall clinical outcomes.