title: Rethinking information delivery: using a natural language processing application for point-of-care data discovery.
abstract: OBJECTIVE
  This paper examines the use of Semantic MEDLINE, a natural language processing application enhanced with a statistical algorithm known as Combo, as a potential decision support tool for clinicians. Semantic MEDLINE summarizes text in PubMed citations, transforming it into compact declarations that are filtered according to a user's information need that can be displayed in a graphic interface. Integration of the Combo algorithm enables Semantic MEDLINE to deliver information salient to many diverse needs.
  
  
  METHODS
  The authors selected three disease topics and crafted PubMed search queries to retrieve citations addressing the prevention of these diseases. They then processed the citations with Semantic MEDLINE, with the Combo algorithm enhancement. To evaluate the results, they constructed a reference standard for each disease topic consisting of preventive interventions recommended by a commercial decision support tool.
  
  
  RESULTS
  Semantic MEDLINE with Combo produced an average recall of 79% in primary and secondary analyses, an average precision of 45%, and a final average F-score of 0.57.
  
  
  CONCLUSIONS
  This new approach to point-of-care information delivery holds promise as a decision support tool for clinicians. Health sciences libraries could implement such technologies to deliver tailored information to their users.
authors.affiliation: Postdoctoral Research Associate, Department of Biomedical Informatics, University of Utah, Salt Lake City, UT 84112, USA. Liz@yahoo.com
authors.forename: T Elizabeth
authors.initials: TE
authors.lastname: Workman
authors.forename: Joan M
authors.initials: JM
authors.lastname: Stoddart
mesh_terms: D000465:Algorithms; D003324:Coronary Artery Disease / Q000517:prevention & control; D003626:Data Display; D003661:Decision Support Techniques; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D016247:Information Storage and Retrieval / Q000379:methods*; D016239:MEDLINE / Q000458:organization & administration*; D008288:Malaria / Q000517:prevention & control; D009317:National Library of Medicine (U.S.); D009323:Natural Language Processing; D010195:Pancreatitis / Q000517:prevention & control; D010865:Pilot Projects; D019095:Point-of-Care Systems; D014481:United States; D014584:User-Computer Interface