Just-in-Time Information Improved Decision-Making in Primary Care: A Randomized Controlled Trial
2008

Just-in-Time Information Improved Decision-Making in Primary Care

Sample size: 88 publication 10 minutes Evidence: high

Author Information

Author(s): McGowan Jessie, Hogg William, Campbell Craig, Rowan Margo

Primary Institution: Faculty of Family Medicine, University of Ottawa, Ottawa, Canada

Hypothesis

Can a librarian consultation service quickly provide information to help primary care professionals answer their clinical questions during clinic hours?

Conclusion

Providing timely information to clinical questions had a highly positive impact on decision-making and a high approval rating from participants.

Supporting Evidence

  • Participants rated 62.9% of information provided to intervention group questions as having a highly positive cognitive impact.
  • 86% of participants scored the service as having a positive impact on care.
  • 72% indicated they would use the service frequently if it were continued.

Takeaway

This study shows that having a librarian help doctors find answers to their questions quickly can make it easier for them to make good decisions for their patients.

Methodology

A randomized controlled trial was conducted where clinical questions were randomly assigned to either an intervention group (librarian information) or a control group (no librarian information).

Potential Biases

Participants were aware of whether they received a response, which could influence their survey responses.

Limitations

Participants were not followed up to determine how they used the time saved by the service.

Participant Demographics

Participants were mostly physicians (93.2%), with a similar percentage of males (51.1%) and females (48.9%).

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI, 13.38 to 13.98

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0003785

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