Providing better clinical reference sources at the point of care

Physicians frequently need clinical reference material at the time they are taking care of patients, but despite the widespread availability of seemingly appropriate resources, physicians do not consistently avail themselves. Previous research has shown that the main obstacle to resource use is lack of time to search, followed by inability to find the information even with extended searching. Using a randomly selected sample of previously published questions (Clinical Questions Collection at the National Library of Medicine), current online electronic clinical reference resources were searched. Search times, success rates, and result quality were compared. Retrieval of drug information was dominated by navigation time, whereas searches for other materials were dominated by search time. It was rare that actually reading the material required significant time. Based on the results, an improved interface for accessing clinical reference data is proposed. Key features include a "Fast" interface that minimizes navigation time to easily found resources and a "Flex" interface that minimizes search time for more arcane material.Master of Science in Information Scienc