en
Scientific article
Open access
English

Knowledge crystallization and clinical priorities: evaluating how physicians collect and synthesize patient-related data

Published inAMIA Annual Symposium proceedings, vol. 2014, p. 1874-1883
Publication date2014
First online date2014-11-14
Abstract

Information seeking and synthesis are time consuming processes for physicians. Although systems have the potential to simplify these tasks, future improvements must be based on an understanding of how physicians perform these tasks during clinical prioritization. We enrolled 23 physicians in semi-structured focus groups discussing simulated inpatient populations. Participants documented and discussed their data gathering and prioritization processes. Transcripts were coded to identify themes and generalized process flows. Results indicate that data are collected to categorize and prioritize patients according to expected clinical course. When data do not support these expectations, or when categorization indicates potential for morbidity, physicians increase efforts to act or recategorize patients. Unexpected clinical changes have a significant impact on the decision-making and prioritization by clinicians. A modified version of the Knowledge Crystallization Framework helps to frame this work laying a foundation to advance information displays and facilitate information processing by physicians in clinical care environments.

eng
Keywords
  • Adult
  • Female
  • Focus Groups
  • Humans
  • Information Seeking Behavior
  • Information Storage and Retrieval
  • Male
  • Medical Informatics / methods
  • Middle Aged
  • Models, Theoretical
  • Physicians / psychology
Funding
  • NIDDK NIH HHS - [T32 DK007662]
Citation (ISO format)
POLLACK, Ari H et al. Knowledge crystallization and clinical priorities: evaluating how physicians collect and synthesize patient-related data. In: AMIA Annual Symposium proceedings, 2014, vol. 2014, p. 1874–1883.
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Article (Published version)
Identifiers
ISSN of the journal1559-4076
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