title: Electronic health record: integrating evidence-based information at the point of clinical decision making.
abstract: The authors created two tools to achieve the goals of providing physicians with a way to review alternative diagnoses and improving access to relevant evidence-based library resources without disrupting established workflows. The “diagnostic decision support tool” lifted terms from standard, coded fields in the electronic health record and sent them to Isabel, which produced a list of possible diagnoses. The physicians chose their diagnoses and were presented with the “knowledge page,” a collection of evidence-based library resources. Each resource was automatically populated with search results based on the chosen diagnosis. Physicians responded positively to the “knowledge page.”
authors.affiliation: fowler@wustl.edu , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; yaegerl@wustl.edu , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; yu_f@wustl.edu , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; dwight.doerhoff@bjc.org , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; kellyb@wustl.edu , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110.
authors.forename: Susan A
authors.initials: SA
authors.lastname: Fowler
authors.affiliation: fowler@wustl.edu , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; yaegerl@wustl.edu , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; yu_f@wustl.edu , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; dwight.doerhoff@bjc.org , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; kellyb@wustl.edu , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110.
authors.forename: Lauren H
authors.initials: LH
authors.lastname: Yaeger
authors.affiliation: fowler@wustl.edu , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; yaegerl@wustl.edu , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; yu_f@wustl.edu , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; dwight.doerhoff@bjc.org , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; kellyb@wustl.edu , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110.
authors.forename: Feliciano
authors.initials: F
authors.lastname: Yu
authors.affiliation: fowler@wustl.edu , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; yaegerl@wustl.edu , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; yu_f@wustl.edu , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; dwight.doerhoff@bjc.org , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; kellyb@wustl.edu , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110.
authors.forename: Dwight
authors.initials: D
authors.lastname: Doerhoff
authors.affiliation: fowler@wustl.edu , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; yaegerl@wustl.edu , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; yu_f@wustl.edu , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; dwight.doerhoff@bjc.org , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; kellyb@wustl.edu , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110.
authors.forename: Paul
authors.initials: P
authors.lastname: Schoening
authors.affiliation: fowler@wustl.edu , Medical Librarian, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; yaegerl@wustl.edu , Medical Librarian, St. Louis Children's Medical Library, Washington University in St. Louis in Partnership with St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; yu_f@wustl.edu , Associate Professor of Pediatrics, Pediatrics Hospitalist Medicine, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; dwight.doerhoff@bjc.org , Information Systems Coordinator, Emergency Services, St. Louis Children's Hospital, One Children's Place, St. Louis, MO 63110; paul.schoening@wustl .edu , Associate Dean and Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110; kellyb@wustl.edu , Associate Director, Bernard Becker Medical Library, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110.
authors.forename: Betsy
authors.initials: B
authors.lastname: Kelly
mesh_terms: D001291:Attitude of Health Personnel; D003657:Decision Making; D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D004636:Emergency Service, Hospital; D019317:Evidence-Based Medicine; D006776:Hospitals, Pediatric; D006784:Hospitals, Teaching; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods*; D016245:Librarians; D010865:Pilot Projects; D012984:Software