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Related Experiment Videos

Use of a multi-application computer workstation in a clinical setting

W Hersh1, D Hickam

  • 1Department of Medicine, Oregon Health Sciences University, Portland 97201.

Bulletin of the Medical Library Association
|October 1, 1994
PubMed
Summary

Physicians frequently used a new computer workstation for literature searches, finding it more useful than expected. However, novice searchers retrieved more irrelevant results, questioning traditional search methods.

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Area of Science:

  • Medical Informatics
  • Clinical Decision Support
  • Information Retrieval

Background:

  • General medicine clinics increasingly adopt technology for patient care.
  • Assessing the utility of multi-application computer workstations is crucial for optimizing clinical workflows.
  • Physicians' information-seeking behaviors often favor non-journal sources.

Purpose of the Study:

  • To evaluate the usage, user satisfaction, and literature search quality of a multi-application computer workstation in a general medicine clinic.
  • To compare the effectiveness of novice versus experienced searchers and different search strategies (full MEDLINE vs. text-word-only).

Main Methods:

  • A computer workstation offering literature, textbook, and decision-support searching was deployed in a clinic for ten months.

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  • Usage data and user satisfaction were collected.
  • Literature searches were replicated by novice, experienced clinician, and librarian searchers using full MEDLINE and text-word-only methods.

    • Main Results:

    • Over 75% of participants used the workstation, with usage increasing with medical training level.
    • Literature searching was the most frequent application, followed by textbooks and decision support.
    • Novice searchers retrieved more relevant references but also more nonrelevant ones compared to experienced searchers.
    • Full MEDLINE features offered minimal advantage over text-word-only searching for experienced searchers.

    Conclusions:

    • Multi-application workstations can be valuable tools in general medicine clinics, particularly for literature searching.
    • Novice searchers may benefit from training to improve search efficiency and reduce irrelevant results.
    • Traditional, complex search methods may not be superior to simpler text-word searches for retrieving relevant medical literature.