The Clinical Informationist: Does the Model Work

NCT00226291 | Completed

• 2 other identifiers: 0406245R01LM007849
• Study Type: interventional
• Target: 299
• Locations: 1 country
• Sites: 1

Brief Summary

This study is investigating the effects of an established clinical informationist program (evidence-based practice support service in which information professionals with significant clinical knowledge bases and advanced information seeking and appraisal skills) on clinical decision making at selected critical care units at Vanderbilt University Medical Center

Conditions

Critical Illness

Keywords

EBM; evidence based medicine; informationist; clinical medical librarian

Outcome Measures

Primary Outcomes (1)

• Immediate and potential future clinical decisions

  3 days post-consult

Secondary Outcomes (5)

• Clinical action index

  3 days post-consult

• Number of research articles read

  3 days post-consult

• Satisfaction

  3 days post-consult

• Colleague consults

  3 days post-consult

• Time spent searching the literature

  3 days post-consult

Study Arms (2)

Synthesized evidence report

EXPERIMENTAL

Each consultation response included a documented bibliographic search strategy with corresponding references, a targeted list of full-text articles, and a written synthesis and critique of the relevant research materials.

Other: Synthesized evidence report

No evidence report

NO INTERVENTION

Interventions

Synthesized evidence report OTHER

Each consultation response included a documented bibliographic search strategy with corresponding references, a targeted list of full-text articles, and a written synthesis and critique of the relevant research materials.

Also known as: Literature summary, Evidence report

Synthesized evidence report

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Evidence-based questions requested by clinician on current service as an attending, resident, fellow, or nurse practitioner on one of the units included in the study

You may not qualify if:

• All others

Sponsors & Collaborators

• Vanderbilt University: lead

Study Sites (1)

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Related Publications (9)

• Giuse NB, Koonce TY, Jerome RN, Cahall M, Sathe NA, Williams A. Evolution of a mature clinical informationist model. J Am Med Inform Assoc. 2005 May-Jun;12(3):249-55. doi: 10.1197/jamia.M1726. Epub 2005 Jan 31.

  PMID: 15684125 BACKGROUND

• Rosenbloom ST, Giuse NB, Jerome RN, Blackford JU. Providing evidence-based answers to complex clinical questions: evaluating the consistency of article selection. Acad Med. 2005 Jan;80(1):109-14. doi: 10.1097/00001888-200501000-00025.

  PMID: 15618105 BACKGROUND

• Jerome RN, Giuse NB, Gish KW, Sathe NA, Dietrich MS. Information needs of clinical teams: analysis of questions received by the Clinical Informatics Consult Service. Bull Med Libr Assoc. 2001 Apr;89(2):177-84.

  PMID: 11337949 BACKGROUND

• Florance V, Giuse NB, Ketchell DS. Information in context: integrating information specialists into practice settings. J Med Libr Assoc. 2002 Jan;90(1):49-58.

  PMID: 11838460 BACKGROUND

• Giuse NB, Kafantaris SR, Miller MD, Wilder KS, Martin SL, Sathe NA, Campbell JD. Clinical medical librarianship: the Vanderbilt experience. Bull Med Libr Assoc. 1998 Jul;86(3):412-6. No abstract available.

  PMID: 9681179 BACKGROUND

• Giuse NB. Advancing the practice of clinical medical librarianship. Bull Med Libr Assoc. 1997 Oct;85(4):437-8. No abstract available.

  PMID: 9431437 BACKGROUND

• Sathe NA, Todd P, Gregg W, Clark J, Giuse NB. Virtual cases as a tool to promote the incorporation of EBM techniques into housestaff training . Medical Library Association Annual Meeting, Phoenix, AZ, May 2006. (Poster)

  BACKGROUND

• Mulvaney SA, Bickman L, Giuse NB, Lambert EW, Sathe NA, Jerome RN. A randomized effectiveness trial of a clinical informatics consult service: impact on evidence-based decision-making and knowledge implementation. J Am Med Inform Assoc. 2008 Mar-Apr;15(2):203-11. doi: 10.1197/jamia.M2461. Epub 2007 Dec 20.

  PMID: 18096918 RESULT

• Mulvaney S, Bickman L, Lambert W, Sathe N, Jerome R, Guise NB. Barriers to and facilitators of evidence based practices in physicians. Society for Behavioral Medicine 28th Annual Meeting. Washington, DC. March 2007. (Poster)

  RESULT

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Nunzia B Giuse, MD, MLS

  Vanderbilt University Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Vice Chancellor for Knowledge Management; Director, Eskind Biomedical Library; Professor, Department of Biomedical Informatics

Study Record Dates

• First Submitted: September 22, 2005
• First Posted: September 26, 2005
• Study Start: August 1, 2004
• Primary Completion: February 1, 2006
• Study Completion: May 1, 2007
• Last Updated: May 28, 2014

Record last verified: 2014-05

Locations

US (1)