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Retrieving Rare Cases: A Protocol for Searching Complex Medical Cases.

Elahe Zare-Farashbandi1, Peyman Adibi2, Firoozeh Zare-Farashbandi3

  • 1Clinical Informationist Research Group, Health Information Technology Research Center, Isfahan University of Medical Sciences, Iran.

Medical Reference Services Quarterly
|January 18, 2024
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Summary
This summary is machine-generated.

This study introduces a new protocol for searching complex medical cases during grand rounds. It helps clinicians find evidence for rare diseases and other resources, improving decision-making.

Keywords:
Concept formationgrand roundsinformation retrievalrare diseasesteaching rounds

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Area of Science:

  • Medical Informatics
  • Clinical Decision Support

Background:

  • Grand rounds are crucial for medical education and patient care.
  • Searching complex medical cases efficiently is challenging.
  • Existing search methods may not adequately address rare diseases or diverse information sources.

Purpose of the Study:

  • To develop and present a novel protocol for searching complex medical cases during gastroenterology grand rounds.
  • To enhance evidence-based decision-making by providing summarized patient information.
  • To integrate a clinical informationist into the grand rounds setting.

Main Methods:

  • Embedding a clinical informationist within gastroenterology grand rounds.
  • Utilizing comprehensive search strategies.
  • Employing concept mapping to summarize patient information.
  • Classifying the search protocol into general strategies, rare disease evidence searching, and identification of non-routine resources.

Main Results:

  • A structured three-category protocol for complex case searching was developed.
  • The protocol facilitates the identification of evidence for rare diseases.
  • Concept mapping aids in simplifying and summarizing complex patient data.
  • This method extends beyond traditional ward round searches.

Conclusions:

  • The proposed protocol offers a novel approach to information retrieval for complex medical cases.
  • Integrating clinical informationists can significantly improve the efficiency of evidence searching in grand rounds.
  • This facilitates better-informed, evidence-based clinical decision-making for challenging patient cases.