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Pediatric Informatics: Computer Applications in Child Health (Health ...

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13 Manag<strong>in</strong>g <strong>Pediatric</strong> Knowledge Resources <strong>in</strong> Practice 195<br />

use it to expand a query (such as patient f<strong>in</strong>d<strong>in</strong>gs) to f<strong>in</strong>d a subset of documents<br />

(Webpages) where partial answers may be found and conceptual navigation may be<br />

easier. With sufficient guidance, cl<strong>in</strong>icians can cont<strong>in</strong>ue their <strong>in</strong>formation seek<strong>in</strong>g.<br />

The <strong>in</strong>clusion of l<strong>in</strong>ks to medical journal citations (from PubMed and from journal<br />

Websites) via Google Scholar may lead cl<strong>in</strong>icians to orig<strong>in</strong>al articles, may provide<br />

<strong>in</strong>sights <strong>in</strong>to patient perceptions and problems with specific disease processes 15<br />

and <strong>in</strong>formation about specific providers. Interest<strong>in</strong>gly, <strong>in</strong> a recent <strong>in</strong>formal, but<br />

published experiment, Google returned correct diagnoses <strong>in</strong> response to 15 of 26<br />

queries, 16, 17 however, this use is fraught with bias that is strongly dependent on the<br />

use of language, term<strong>in</strong>ology and topic of search. An even more <strong>in</strong>terest<strong>in</strong>g use of<br />

the WWW uses its characteristic as an open system (one <strong>in</strong> which new <strong>in</strong>formation<br />

is constantly enter<strong>in</strong>g) as a surveillance tool for global disease alerts 18 us<strong>in</strong>g news<br />

reports and a query<strong>in</strong>g/filter<strong>in</strong>g/visualization tool for onl<strong>in</strong>e display. 19<br />

References<br />

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Johns RJ, McKusick VA, Owens AH, Ross RS, eds. The Pr<strong>in</strong>ciples and Practice of Medic<strong>in</strong>e.<br />

22nd ed. Norwalk, CT: Appleton & Lange; 1998:1–4.<br />

2. Forsythe DE, Buchanan BG, Osheroff JA, Miller RA. Expand<strong>in</strong>g the concept of medical<br />

<strong>in</strong>formation: an observational study of physicians’ <strong>in</strong>formation needs. Comput Biomed Res.<br />

1992;25(2):181–200.<br />

3. Tribal knowledge. SixSigma; 2008. Available at: http://www.isixsigma.com/dictionary/<br />

Tribal_Knowledge-488.htm. Accessed December 17, 2007.<br />

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Ecology. Cambridge, MA: Addison-Wesley; 1949:8–18.<br />

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patient care. BMJ. 1999;319(7206):358–361.<br />

6. Gorman PN, Helfand M. Information seek<strong>in</strong>g <strong>in</strong> primary care: how physicians choose<br />

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care? A study of 55,000 cl<strong>in</strong>icians. J Am Med Inform Assoc. 2004;11(2):113–120.<br />

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resolv<strong>in</strong>g the unmet <strong>in</strong>formation needs of cl<strong>in</strong>ical <strong>in</strong>formation system users. Proc AMIA Symp.<br />

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9. Thompson WR, Hayek CS, Tuch<strong>in</strong>da C., Telford JK, Lombardo JS. Use of automated cardiac<br />

auscultation for detection of pathologic heart murmurs <strong>in</strong> children and young adults. Pediatr<br />

Cardiol. 2001;22:373–379.<br />

10. Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a rem<strong>in</strong>der<br />

system on the reduction of diagnostic errors: a quasi-experimental study. BMC Med Inform<br />

Decis Mak<strong>in</strong>g. 2006;6:22.<br />

11. Br<strong>in</strong> S, Page L. The anatomy of a large-scale hypertextual Web search eng<strong>in</strong>e. From<br />

Proceed<strong>in</strong>gs of the seventh <strong>in</strong>ternational conference on World Wide Web. 1998;7:107–117.<br />

12. Andrews LB et al. Assess<strong>in</strong>g Genetic Risks: Implications for <strong>Health</strong> and Social Policy.<br />

Institute of Medic<strong>in</strong>e. Wash<strong>in</strong>gton, DC: National Academy Press; 1994.<br />

13. Knollmann BC, Smyth BJ, Garnett CE, et al. Personal digital assistant-based drug reference<br />

software as tools to improve rational prescrib<strong>in</strong>g: benchmark criteria and performance. Cl<strong>in</strong><br />

Pharmacol Ther. 2005;78(1):7–18.

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