Previously submitted to: Journal of Medical Internet Research (no longer under consideration since Aug 03, 2023)
Date Submitted: Jul 22, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Retrieving rare cases: a protocol for searching complex medical cases
ABSTRACT
Background:
Finding information about complex medical cases is challenging for clinicians. Due to rapidly growing of medical information in the current era and busy schedule of physicians, educating them to retrieve their required information and also summarizing patients' history could be effective to enhance medical decision making.
Objective:
This study sought to provide a protocol for searching complex medical cases.
Methods:
In existing models of grand rounds, physicians are overwhelmed with a large number of patients’ clinical data which makes it difficult to reach a clinical decision. We conducted an interdisciplinary action research embedding a clinical informationist in gastroenterology grand round to address this issue using comprehensive search strategies and summarizing patients’ information through concept mapping.
Results:
Other than creating diseases concept map, our proposed protocol classifies into three categories: 1) The general search strategy, 2) The protocol for searching for evidence about rare diseases, and 3) Identifying other resources more than routine medical databases.
Conclusions:
Our approach represents a novel method beyond previous studies which were focused on usual ward rounds. The protocol derived from this study facilitates evidence-based decision-making by providing a comprehensive capsulate view of a complex medical case.
Citation
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Copyright
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