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Physicians managing delirium in older adults face significant information gaps and uncertainty. Developing effective electronic clinical decision support requires understanding these physician information needs to improve patient care.

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Area of Science:

  • Geriatrics
  • Medical Informatics
  • Cognitive Science

Background:

  • Delirium is a common complication in hospitalized adults over 65.
  • Effective management of delirium is crucial for patient outcomes.

Purpose of the Study:

  • To identify physician information needs for developing electronic clinical decision support tools.
  • To improve the management of delirium in hospitalized older adults.

Main Methods:

  • Conducted critical incident interviews with 9 physicians (8 internal medicine, 1 cardiologist).
  • Performed thematic analysis on interview data to identify key themes related to information needs and challenges.

Main Results:

  • Physicians reported an impoverished information field for mental status assessment.
  • Uncertainty, extensive information foraging, goal conflict, diffusion of responsibility, and minimal use of structured resources were identified.
  • Specific information needs and recommendations for improving information access were elicited.

Conclusions:

  • Physician information needs are critical for designing effective delirium clinical decision support.
  • Addressing these needs can support physician cognition and enhance delirium management.
  • Improved decision support can mitigate challenges like missed diagnoses and delayed treatment.