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Record W2142345804 · doi:10.1136/ebn.12.2.35

The emerging role of PDAs in information use and clinical decision making

2009· article· en· W2142345804 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueEvidence-Based Nursing · 2009
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsContext (archaeology)Knowledge managementHealth informaticsQuality (philosophy)Health careDimension (graph theory)Information technologyInformation qualityInformaticsComputer scienceInformation systemPolitical science

Abstract

fetched live from OpenAlex

One of the great challenges facing healthcare professionals today is the effective and efficient management of an ever-increasing amount of clinically related health information. An important dimension of this challenge is the accessibility of information at times of decision making. Mobile information terminals, such as personal digital assistants (PDAs), have the potential to address this challenge by bringing the most relevant information directly to the point of care. Providing information through convenient electronic sources may address some of the barriers that inhibit access and clinical use of new and relevant research by nurses. The purpose of this Notebook is to explore the use of PDAs to increase nurses’ access to and use of evidence-based resources in practice. It will explore how information and communication technologies, such as PDAs, can support evidence-based practice and will examine the role of information and communication technologies within the context of established knowledge-translation approaches. Recognising that information technologies alone will not change evidence-based practice, the limitations of current technologies will be discussed, drawing on research evidence to argue the importance of considering technological innovation within the context of other knowledge-translation strategies. New or enhanced competencies that will be needed to ensure quality health care were outlined in the publication Crossing the quality chasm .1 They included expertise in evidence-based practice, quality improvement, informatics, and patient-centred care. Each of the skills identified represents a key component of evidence-informed decision making, and they all come together where nurses and patients meet—at the point of care. Nurses must be engaged in continuous learning to acquire patient-centred and treatment-focused information in new and more rewarding ways. Our team has been studying the effectiveness of PDAs and mobile tablet personal computers (tablet PCs) for improving nurses’ access to evidence-based resources at the point of care. Point of care in …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.005
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.798
Threshold uncertainty score0.622

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.005
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.100
GPT teacher head0.507
Teacher spread0.407 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it