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the evaluation of an evidence-based clinical answer format for pediatricians以证据为基础的评估临床儿科医生回答格式
Seto et al. BMC Pediatrics 2012, 12:34
/1471-2431/12/34
RESEARCH ARTICLE Open Access
The evaluation of an evidence-based clinical
answer format for pediatricians
1* 1 2 3 4
Iva Seto , Michelle Foisy , Brad Arkison , Terry Klassen and Katrina Williams
Abstract
Background: Clinicians are increasingly using electronic sources of evidence to support clinical decision-making;
however, there are multiple demands on clinician time, and summarised and synthesised evidence is needed.
Clinical Answers (CA) have been developed to address this need; the CA is a synthesised evidence-based summary
that supports point-of-care clinical decision-making. The aim of this paper is to report on a survey used to test and
improve the CA format.
Methods: An online survey was sent to pediatricians via e-mail and posted on a child health clinical standards
website. Quantitative data analysis consisted primarily of descriptive statistics; qualitative data analysis consisted of
content analysis.
Results: Eighty-three pediatricians responded to the survey. Most respondents found the CA useful or very useful
(93%) and agreed or strongly agreed that the layout was effective and allowed them to quickly locate critical
information (82%). Quantitative and qualitative data suggested that respondents thought there should be less
detail in the linked figures and tables (p = 0.0002), but overall respondents seemed to think there was an
appropriate level of detail in most sections of the CA.
Conclusions: Based on the quantitative and qualitative survey responses, major and minor modifications to the CA
format were implemented, such as removing forest plots, adding links in each addendum to bring the user back
to the front page, and adding an ‘Imp
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