A Study of MEDLINE in Clinical Settings: Design and Preliminary Results.
A Study of MEDLINE in Clinical Settings: Design and Preliminary Results.
复制标题
MEDLINE 在临床环境中的研究：设计和初步结果。
DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
R. Haynes
中科院分区：
文献类型：
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作者：
K. McKibbon;C. Walker;N. C. Ryan;D. Fitzgerald;R. Haynes
摘要
我们将微型计算机在线访问医学文献数据库(MEDLINE通过Grateful MED和同事通过Mirror)引入到一家急性护理教学医院的选定临床环境中，以评估不同培训和实践水平的临床医生使用的频率、模式、目的和成功。
研究中途的结果显示，接受3小时培训的人中有83%的人接受了培训，接受培训的主治医生和宿舍工作人员中有72%的人继续自己搜索。在那些进行搜索的人中，在五个月的观察期间，照看工作人员的平均搜索次数为每人每月1.4次，管家工作人员的平均搜索次数为每人每月2.3次，这两组人的搜索范围都很广。新手(N)搜索的随机样本由图书馆员(L)和有一定搜索经验的内容专家临床医生(E)独立复制。结果令人惊讶。所有搜索者都检索了一些相关文章，但所有三个搜索组只检索了585篇文章中的9篇(1.2%)。N、L、E检索的相关文章分别为92篇、88篇、14 1篇(N-E、L-E对p<；0.0005，N-L对p=0.8)，相关百分比分别为41%、54%、47%(p<；0.05)。
Abstract
We have introduced microcomputer online access to medical literature database (MEDLINE through GRATEFUL MED, and Colleague through Mirror) into selected clinical settings in an acute care teaching hospital to assess the frequency, patterns, purposes, and success of use by clinicians at different levels of training and practice.
Results at the half-way point of the study indicate that 83% of those offered a 3 hour training program accepted it and that 64% of the attending staff and 72% of the house staff who underwent training went on to do searches on their own. Among those who do search, the average number of searches during five months of observation for the attending staff has been 1.4 per person per month and for the house staff, 2.3 per person per month, with broad ranges for both groups. A random sample of the novice (N) searches were duplicated independently by both librarians (L) and content expert clinicians with some search experience (E). The results were surprising. All searchers retrieved some relevant articles but only 9 of the 585 total articles (1.2%) were retrieved by all three search groups. The number of relevant articles retrieved by N, L and E respectively were 92, 88 and 141 (p<0.0005 for N-E and L-E pairs and p=0.8 for N-L pair), and the percentages relevant were 41%, 54%, and 47% (p<0.05).