OBJECTIVE To examine the reasons and search strategies related to physicians' search for evidence and to compare clinician and physician manager approaches. DESIGN Qualitative analysis of verbatim transcripts of four focus groups in 2002. Study setting. Clinicians and managers in community practices in Southern California. PARTICIPANTS Pediatricians, family practitioners, and general intern...

BACKGROUND Advanced laboratory investigations at reference laboratories play a key role in the diagnosis of the disease, but misuse of this precious and expensive tool may misguide the physician in patient management. This study was carried out as an audit of investigations performed at a reference laboratory, in order to assess their cost effectiveness, to identify various errors, the degree o...

Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as whether they continue to take a prescribed medication. Medication non adherence is a growing concern to clinicians, healthcare systems, and other stakeholders (eg, payers) because of mounting evidence that it is prevalent and associated with adverse outcomes and higher cost...

BACKGROUND Current practices of reporting critical laboratory values make it challenging to measure and assess the timeliness of receipt by the treating physician as required by The Joint Commission's 2008 National Patient Safety Goals. METHODS A multidisciplinary team of laboratorians, clinicians, and information technology experts developed an electronic ALERTS system that reports critical ...

CONTEXT Complex coagulation test panels ordered by clinicians are typically reported to clinicians without a patient-specific interpretive paragraph. OBJECTIVES To survey clinicians regarding pathologist-generated interpretations of complex laboratory testing panels and to assess the ability of the interpretations to educate test orderers. DESIGN Surveys were conducted of physicians orderin...

The effectiveness of electronic health record (EHR)-based clinical decision support is limited when clinicians do not interact with the EHR during patient visits. To assess EHR use during ambulatory visits and determine barriers to such use, we performed a cross-sectional survey of 501 primary care clinicians. Of 225 respondents, 53 (24%) never or only sometimes used any EHR functionality durin...

Transgenerational trauma is a potential barrier to achieving healthy and holistic patient-physician relationship, particularly for Black Americans. Examination of deeply rooted historical injustices that patients suffer in health care how they undermine trust can help clarify connections between trauma, distrust, outcomes. Furthering clinicians' understanding daily practice respond patients' ex...

BACKGROUND Despite the increasing interest in using non-physician clinicians in many low-income countries, little is known about the roles they play in typical health system settings. Prior research has concentrated on evaluating their technical competencies compared to those of doctors. This work explored perceptions of the roles of Kenyan non-physician clinicians (Clinical Officers (COs). M...