An evaluation of information-seeking behaviors of general pediatricians.

Abstract:

OBJECTIVE:Usage of computer resources at the point of care has a positive effect on physician decision making. Pediatricians' information-seeking behaviors are not well characterized. The goal of this study was to characterize quantitatively the information-seeking behaviors of general pediatricians and specifically compare their use of computers, including digital libraries, before and after an educational intervention. METHODS:General pediatric residents and faculty at a US Midwest children's hospital participated. A control (year 1) versus intervention group (year 2) research design was implemented. Eligible pediatrician pools overlapped, such that some participated first in the control group and later as part of the intervention. The intervention group received a 10-minute individual training session and handout on how to use a pediatric digital library to answer professional questions. A general medical digital library was also available. Pediatricians in both the control and the intervention groups were surveyed using the critical incident technique during 2 6-month time periods. Both groups were telephoned for 1- to 2-minute interviews and were asked, "What pediatric question(s) did you have that you needed additional information to answer?" The main outcome measures were the differences between the proportion of pediatricians who use computers and digital libraries and a comparison of the number of times that pediatricians use these resources before and after intervention. RESULTS:A total of 58 pediatricians were eligible, and 52 participated (89.6%). Participant demographics between control (N = 41; 89.1%) and intervention (N = 31; 70.4%) were not statistically different. Twenty pediatricians were in both groups. Pediatricians were slightly less likely to pursue answers after the intervention (94.7% vs 89.2%); the primary reason cited for both groups was a lack of time. The pediatricians were as successful in finding answers in each group (95.7% vs 92.7%), but the intervention group took significantly less time (8.3 minutes vs 19.6 minutes). After the intervention, pediatricians used computers and digital libraries more to answer their questions and spent less time using them. CONCLUSION:This study showed higher rates of physician questions pursued and answered and higher rates of computer use at baseline and after intervention compared with previous studies. Pediatricians who seek answers at the point of care therefore should begin to shift their information-seeking behaviors toward computer resources, as they are as effective but more time-efficient.

journal_name

Pediatrics

journal_title

Pediatrics

authors

D'Alessandro DM,Kreiter CD,Peterson MW

doi

10.1542/peds.113.1.64

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

64-9

issue

1 Pt 1

eissn

0031-4005

issn

1098-4275

journal_volume

113

pub_type

临床试验,杂志文章
  • Verbal autopsy methods to ascertain birth asphyxia deaths in a community-based setting in southern Nepal.

    abstract:OBJECTIVES:The goals of this study were to (1) develop an approach to ascertain birth asphyxia deaths by using verbal autopsy data from a community-based setting in Nepal, and (2) explore variations in birth asphyxia mortality fractions by using different birth asphyxia case definitions and hierarchical classifications...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-2644

    authors: Lee AC,Mullany LC,Tielsch JM,Katz J,Khatry SK,LeClerq SC,Adhikari RK,Shrestha SR,Darmstadt GL

    更新日期:2008-05-01 00:00:00

  • Diagnosis Codes and Case Definitions for Neonatal Abstinence Syndrome.

    abstract:BACKGROUND AND OBJECTIVES:The increase in neonatal abstinence syndrome (NAS) has underscored the need for NAS surveillance programs, but many rely on passive surveillance using unverified diagnosis codes. Few studies have evaluated the validity of these codes, and no study has assessed the recently proposed Council of ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2020-0567

    authors: Elmore AL,Tanner JP,Lowry J,Lake-Burger H,Kirby RS,Hudak ML,Sappenfield WM,Salemi JL

    更新日期:2020-09-01 00:00:00

  • Effect of storage processes on the bacterial growth-inhibiting activity of human breast milk.

    abstract::Human breast milk samples were collected from lactating mothers, and aliquots were maintained at room temperature, frozen, and pasteurized. Samples were inoculated with 10 to 50 colony-forming units per milliliter (cfu/ml) of Escherichia coli or group B streptococcus, and incubated at 37 C. Quantitative growth was mea...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Hernandez J,Lemons P,Lemons J,Todd J

    更新日期:1979-04-01 00:00:00

  • Prepregnant overweight and obesity diminish the prolactin response to suckling in the first week postpartum.

    abstract:OBJECTIVE:The population subgroups with the highest proportion of overweight and obese women often are characterized by the lowest rates of initiation and shortest durations of breastfeeding. We previously documented that these 2 population-level trends may be related. In a population of white women who lived in a rura...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.5.e465

    authors: Rasmussen KM,Kjolhede CL

    更新日期:2004-05-01 00:00:00

  • The well-being of the health care environment for CSHCN and their families: a latent variable approach.

    abstract:OBJECTIVE:Using structural equation modeling, we sought to assess the system of services for children with special health care needs (CSHCN) and their families by using 14 key indicators of functional abilities of CSHCN, health insurance coverage, access to care, and the impact of their conditions on their families. M...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1255F

    authors: Blumberg SJ,Carle AC

    更新日期:2009-12-01 00:00:00

  • Intractable diarrhea from cytomegalovirus enterocolitis in an immunocompetent infant.

    abstract::Infection with cytomegalovirus (CMV) in infants can be congenital or perinatal. Infected infants may be asymptomatic or present with pneumonia, rash, hepatosplenomegaly, or encephalitis.1 In the presence of an immunodeficiency, severe and sometimes fatal disease may occur. To our knowledge, CMV has not been identified...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.103.1.e10

    authors: Fox LM,Gerber MA,Penix L,Ricci A Jr,Hyams JS

    更新日期:1999-01-01 00:00:00

  • Growth patterns of large for gestational age children up to age 4 years.

    abstract:OBJECTIVE:To determine how growth of large for gestational age (LGA) preterm (PT) children was affected by their PT birth and their LGA status. METHODS:This is a community-based cohort study of 1302 PT and 489 full-term (FT) children, born 2002 and 2003. RESULTS:We found that growth in height, weight, and head circum...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0985

    authors: Bocca-Tjeertes IF,Kerstjens JM,Reijneveld SA,Veldman K,Bos AF,de Winter AF

    更新日期:2014-03-01 00:00:00

  • A successful city-wide smoke detector giveaway program.

    abstract::Each year, 5,000 Americans die and 300,000 are hospitalized as a result of 2.8 million residential fires. Almost all house fires allow time for safe exit if an early warning is given. Smoke detectors are an effective, reliable, and inexpensive method of providing such warning. After an upsurge of deaths related to fir...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Gorman RL,Charney E,Holtzman NA,Roberts KB

    更新日期:1985-01-01 00:00:00

  • Metabolic correction induced by leptin replacement treatment in young children with Berardinelli-Seip congenital lipoatrophy.

    abstract:OBJECTIVE:Berardinelli-Seip syndrome is a rare congenital lipoatrophy with a severe prognosis and no efficient therapy. Children present with low leptin levels and severe metabolic complications (insulin resistance, elevated triglyceride levels, and hepatic steatosis). The objective of this study was to test safety and...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2006-3165

    authors: Beltrand J,Beregszaszi M,Chevenne D,Sebag G,De Kerdanet M,Huet F,Polak M,Tubiana-Rufi N,Lacombe D,De Paoli AM,Levy-Marchal C

    更新日期:2007-08-01 00:00:00

  • Recommendations for Prevention and Control of Influenza in Children, 2016-2017.

    abstract::The purpose of this statement is to update recommendations for the routine use of seasonal influenza vaccine and antiviral medications for the prevention and treatment of influenza in children. The AAP recommends annual seasonal influenza immunization for everyone 6 months and older, including children and adolescents...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2016-2527

    authors: COMMITTEE ON INFECTIOUS DISEASES.

    更新日期:2016-10-01 00:00:00

  • Ten-year follow-up of children born at

    abstract:BACKGROUND:Thyroid hormones are essential for brain development. We conducted a randomized, controlled trial with thyroxine (T4) supplementation in infants <30 weeks' gestation and with the last neurodevelopmental follow-up moment at the age of 5.5 years. T4 supplementation was associated with improved outcome of infan...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2005-0876

    authors: van Wassenaer AG,Westera J,Houtzager BA,Kok JH

    更新日期:2005-11-01 00:00:00

  • General pediatric attending physicians' and residents' knowledge of inpatient hospital finances.

    abstract:BACKGROUND AND OBJECTIVE:There is evidence suggesting that physicians have a limited foundation of knowledge on health care finances and limited awareness of hospital costs and charges. The objective was to analyze general pediatric attending physicians' and residents' knowledge of costs, charges, and reimbursements fo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1753

    authors: Rock TA,Xiao R,Fieldston E

    更新日期:2013-06-01 00:00:00

  • Breastfeeding and infant eczema in the first year of life in the KOALA birth cohort study: a risk period-specific analysis.

    abstract:OBJECTIVE:We studied the association between breastfeeding and eczema, taking into account the possible influence of reverse causation, with risk period-specific analyses. METHODS:Information on breastfeeding, determinants, and outcomes at 1 year of age was collected with repeated questionnaires for 2405 mother-infant...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-0772

    authors: Snijders BE,Thijs C,Kummeling I,Penders J,van den Brandt PA

    更新日期:2007-01-01 00:00:00

  • Disabling conditions and registration for child abuse and neglect: a population-based study.

    abstract:OBJECTIVE:To study the relationship between disabling conditions and registration for child abuse and neglect in a 19-year whole-population birth cohort. SETTING:West Sussex area of the United Kingdom. STUDY DESIGN:Retrospective whole-population cohort. MAIN OUTCOMES:Child-protection registration, physical abuse, se...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1882

    authors: Spencer N,Devereux E,Wallace A,Sundrum R,Shenoy M,Bacchus C,Logan S

    更新日期:2005-09-01 00:00:00

  • A note on interdisciplinary research in developmental/behavioral pediatrics/psychology.

    abstract::In sum, we have offered a few observations about the practice of interdisciplinary research. Now, in addition to our rather specific suggestions, we want to add a few general comments about the interactions of professionals who are actually involved in interdisciplinary research. Collaboration between physicians and p...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ellison PH,Kopp CB

    更新日期:1985-05-01 00:00:00

  • Long-term effectiveness of varicella vaccine: a 14-Year, prospective cohort study.

    abstract:BACKGROUND:Varicella vaccine was licensed in the United States in 1995 for individuals ≥12 months of age. A second dose was recommended in the United States in June 2006. Varicella incidence and vaccine effectiveness were assessed in a 14-year prospective study conducted at Kaiser Permanente Northern California. METHO...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2012-3303

    authors: Baxter R,Ray P,Tran TN,Black S,Shinefield HR,Coplan PM,Lewis E,Fireman B,Saddier P

    更新日期:2013-05-01 00:00:00

  • Dobutamine pharmacokinetics and cardiovascular responses in critically ill neonates.

    abstract::The pharmacokinetics and pharmacodynamics of dobutamine were studied in 13 critically ill neonates requiring inotropic support. Dobutamine was administered as a constant infusion in increasing doses of 2.5, 5, and 7.5 micrograms/kg per minute. During dobutamine infusions, there were significant increases in cardiac ou...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Martinez AM,Padbury JF,Thio S

    更新日期:1992-01-01 00:00:00

  • Safety of Quadrivalent Meningococcal Conjugate Vaccine in 11- to 21-Year-Olds.

    abstract:BACKGROUND:Meningococcal conjugate vaccination is recommended in the United States. This study evaluates the safety of quadrivalent meningococcal conjugate vaccine in a cohort aged 11 to 21 years. METHODS:This cohort study with self-controlled case-series analysis was conducted at Kaiser Permanente Southern California...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-2084

    authors: Tseng HF,Sy LS,Ackerson BK,Hechter RC,Tartof SY,Haag M,Slezak JM,Luo Y,Fischetti CA,Takhar HS,Miao Y,Cunnington M,Solano Z,Jacobsen SJ

    更新日期:2017-01-01 00:00:00

  • Relationship of serum S100B levels and intracranial injury in children with closed head trauma.

    abstract:OBJECTIVE:To determine if serum levels of S100B are higher in children with CHT and ICI as detected by cranial CT and if long bone fractures affect the level of S100B in children with CHT and skeletal injury. METHODS:Children <18 years of age who presented to an urban pediatric emergency department or were transferred...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-1493

    authors: Bechtel K,Frasure S,Marshall C,Dziura J,Simpson C

    更新日期:2009-10-01 00:00:00

  • Interventions To Prevent Retinopathy of Prematurity: A Meta-analysis.

    abstract:CONTEXT:The effectiveness of many interventions aimed at reducing the risk of retinopathy has not been well established. OBJECTIVE:To estimate the effectiveness of nutritional interventions, oxygen saturation targeting, blood transfusion management, and infection prevention on the incidence of retinopathy of prematuri...

    journal_title:Pediatrics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1542/peds.2015-3387

    authors: Fang JL,Sorita A,Carey WA,Colby CE,Murad MH,Alahdab F

    更新日期:2016-04-01 00:00:00

  • Breast Milk Consumption in Preterm Neonates and Cardiac Shape in Adulthood.

    abstract:BACKGROUND AND OBJECTIVES:Preterm birth relates to long-term alterations in cardiac morphology and function. Understanding whether preterm postnatal life is a tractable period of cardiovascular development that can be positively altered by nutrition is relevant to long-term outcomes. We hypothesized that being fed huma...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2016-0050

    authors: Lewandowski AJ,Lamata P,Francis JM,Piechnik SK,Ferreira VM,Boardman H,Neubauer S,Singhal A,Leeson P,Lucas A

    更新日期:2016-07-01 00:00:00

  • Cardiovascular support for low birth weight infants and cerebral hemodynamics: a randomized, blinded, clinical trial.

    abstract:BACKGROUND:Maintaining adequate organ blood flow is the target of vasopressor treatment, but the impact of these measures on cerebral perfusion has not yet been evaluated systematically in a randomized, blinded, clinical trial. OBJECTIVES:To explore the effects on brain hemodynamics of 2 different inotropic agents use...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.2004-1396

    authors: Pellicer A,Valverde E,Elorza MD,Madero R,Gayá F,Quero J,Cabañas F

    更新日期:2005-06-01 00:00:00

  • Pharyngitis in low-resources settings: a pragmatic clinical approach to reduce unnecessary antibiotic use.

    abstract:OBJECTIVE:Existing scoring systems for the diagnosis of group A streptococcus pharyngitis are insensitive or inapplicable in low-resources settings. Bacterial cultures and rapid tests can allow for antibiotic prescription abstention in high-income regions. These techniques are not feasible in many low-resources setting...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2006-1025

    authors: Smeesters PR,Campos D Jr,Van Melderen L,de Aguiar E,Vanderpas J,Vergison A

    更新日期:2006-12-01 00:00:00

  • Montelukast, compared with fluticasone, for control of asthma among 6- to 14-year-old patients with mild asthma: the MOSAIC study.

    abstract:BACKGROUND:Guidelines recommend daily controller therapy for mild persistent asthma. Montelukast has demonstrated consistent benefit in controlling symptoms of asthma and may be an alternative, orally administered, nonsteroidal agent for treating mild asthma. METHODS:The Montelukast Study of Asthma in Children (MOSAIC...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2004-1172

    authors: Garcia Garcia ML,Wahn U,Gilles L,Swern A,Tozzi CA,Polos P

    更新日期:2005-08-01 00:00:00

  • Marriage and the well-being of children.

    abstract::Children's well-being has become the focal consideration in legal and public policy debates regarding same-sex marriage. In this article, we critically examine and rebut the central moral argument made by opponents of same-sex marriage: that the state should not license any domestic arrangement other than "traditional...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2012-2665

    authors: Garrett JR,Lantos JD

    更新日期:2013-03-01 00:00:00

  • Neurobehavioral Outcomes 11 Years After Neonatal Caffeine Therapy for Apnea of Prematurity.

    abstract:BACKGROUND AND OBJECTIVES:Caffeine is effective in the treatment of apnea of prematurity. Although caffeine therapy has a benefit on gross motor skills in school-aged children, effects on neurobehavioral outcomes are not fully understood. We aimed to investigate effects of neonatal caffeine therapy in very low birth we...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2017-4047

    authors: Mürner-Lavanchy IM,Doyle LW,Schmidt B,Roberts RS,Asztalos EV,Costantini L,Davis PG,Dewey D,D'Ilario J,Grunau RE,Moddemann D,Nelson H,Ohlsson A,Solimano A,Tin W,Anderson PJ,Caffeine for Apnea of Prematurity (CAP) Trial Gro

    更新日期:2018-05-01 00:00:00

  • Epidemiologic aspects of Kawasaki disease in a Manhattan hospital.

    abstract::Epidemiologic and clinical features of Kawasaki disease in 106 patients seen between 1980 and 1986 at The New York Hospital in midtown Manhattan were compared with those in large series from the United States, Canada, and Japan. Dissimilarities in our Kawasaki disease experience included ethnic heterogeneity of our pa...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ichida F,Fatica NS,O'Loughlin JE,Klein AA,Snyder MS,Levin AR,Ehlers KH,Lesser ML,Engle MA

    更新日期:1989-08-01 00:00:00

  • Day-by-day postnatal survival in very low birth weight infants.

    abstract:OBJECTIVES:Postnatal survival rates of very low birth weight (VLBW) infants are well established for each birth weight or gestational age category. These figures do not differentiate viable infants who survive the first few days of life from extremely immature ones who die shortly after birth. This study aimed to devel...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-2810

    authors: Mohamed MA,Nada A,Aly H

    更新日期:2010-08-01 00:00:00

  • Evaluation of airway complications in high-risk preterm infants: application of flexible fiberoptic airway endoscopy.

    abstract:OBJECTIVES:We sought to determine factors that would predict the development of subglottic stenosis (SGS) and tracheomalacia (TM) in preterm infants. The utility of a semiquantitative measurement of airway dimensions was assessed in relation to signs of airway complications. We also sought to determine from a high-risk...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Downing GJ,Kilbride HW

    更新日期:1995-04-01 00:00:00

  • Children, adolescents, obesity, and the media.

    abstract::Obesity has become a worldwide public health problem. Considerable research has shown that the media contribute to the development of child and adolescent obesity, although the exact mechanism remains unclear. Screen time may displace more active pursuits, advertising of junk food and fast food increases children's re...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-1066

    authors: Council on Communications and Media.,Strasburger VC

    更新日期:2011-07-01 00:00:00