Viewing Study NCT00226291



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Last Modification Date: 2024-10-26 @ 9:19 AM
Study NCT ID: NCT00226291
Status: COMPLETED
Last Update Posted: 2014-05-28
First Post: 2005-09-22

Brief Title: The Clinical Informationist Does the Model Work
Sponsor: Vanderbilt University
Organization: Vanderbilt University

Study Overview

Official Title: The Clinical Informationist Does the Model Work
Status: COMPLETED
Status Verified Date: 2014-05
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: This study is investigating the effects of an established clinical informationist program evidence-based practice support service in which information professionals with significant clinical knowledge bases and advanced information seeking and appraisal skills on clinical decision making at selected critical care units at Vanderbilt University Medical Center
Detailed Description: Background To evaluate the role of the Clinical Informatics Consult ServiceCICS an informationist service at the Eskind Biomedical Library EBL at Vanderbilt University Medical Center VUMC in clinical decision-making the EBL has been awarded a 3-year grant from the National Library of Medicine 5 R01 LM07849-02 The CICS is a well-established program that facilitates evidence-based practice by delivering targeted information in answer to complex patient-specific questions The CICS places librarians with specialized training in medical subject areas and in information retrieval clinical informationists on clinical teams in intensive care settings Acting as expert consultants they analyze the biomedical literature to identify filter and present the best examples of each clinical viewpoint expressed about key problems

Evaluation Project Working in cooperation with the Center for Evaluation and Program Improvement CEPI at Peabody College of Vanderbilt the investigators will evaluate formally the role of CICS in clinical decision-making and evidence-seeking behavior While past studies have evaluated clinical medical librarians roles few if any studies have examined the effectiveness and utility of the new clinical informationist approach in sites where informationists are well-established

The project will also create reusable evaluation tools transferable across environments Through a combination of observation and interviews investigators will examine librarian involvement in three existing Vanderbilt CICS intensive care units The project will collect detailed information about the ways in which clinicians incorporate CICS-provided information into their workflows Next investigators will conduct a randomized trial to evaluate the effect of CICS on decision-making Investigators will compare clinicians intended course of care vs actual care when CICS results are provided and when clinicians seek information themselves

Finally virtual cases developed from actual patient CICS-related scenarios in each clinical unit will be incorporated into training tools that can be used to export elements of the CICS model to other locations Demonstration of the utility of the clinical informationist approach can foster widespread adoption nationally and increase the degree to which clinical practice becomes evidence-based

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
5R01LM007849 NIH None httpsreporternihgovquickSearch5R01LM007849