P. F. (Pat) Anderson

Course CDEN 815
Assignment 2
Patient Information Web Search


"However empirical studies of real-world usage show that even experienced users do not use computer tools efficiently."
Suresh Bhavnani, Bonnie E. John. "From Sufficient to Efficient Usage: An Analysis of Strategic Knowledge." CHI 97.

Instructions:

  1. Verify your group number. Same as last week. The number corresponds to an item in the list of assigned sites below.
  2. The sites were selected by Dr. Pelok, and the questions were generated by him. For clarification of a site or question, please contact Dr. Pelok directly.
  3. The scenario for this assigment is that a patient or patient advocate has come into your office bearing a printout from a web site. The link is given below, and should be the same as that which your group evaluated in Assignment 1, Pt. 2. You are to respond appropriately to this patient's concerns, INCLUDING:
  4. To do this, your group is asked to perform a web search (NOT a MEDLINE search!!!) to locate additional web sites on this topic, and to document the search process on the FRIAR/SECT Internet Search form. (Link should be active Monday afternoon. In the meantime here is a link to the first page of the form.) Criteria which usually most strongly impact on the grade are:

Topics for Assignment 2: Web Search

  1. Respiratory Problems: http://www.pnf.org/ccmd.html
  2. Sj÷gren's syndrome: http://www.pnf.org/remedies.html#Herbal
  3. Crohn╣s Disease: http://www.whale.to/d/crohns.html
  4. Braces: http://www.whale.to/v/nickel.html
  5. Periodontal Disease: http://www.whale.to/d/gum2.html
  6. Alzheimer╣s: http://www.whale.to/d/alzheimers.html
  7. Alternatives to Mercury: http://www.medical-library.net/specialties/framer.html?/specialties/_biological_and_mercury_free_dentistry.html
  8. Fluoride: http://www.whale.to/d/fluoride.html
  9. Root canal: http://www.hugnet.com/rcanalbklt.html
  10. Dental Products: http://www.hugnet.com/dental.html
  11. Dentures: http://www.frontiernet.net/~dwag/DENTURE-DENTURISTS.html
  12. HIV: http://www.lightstreamers.com/horowitz.htm
  13. Fillings to correct a bite: http://www.pnf.org/orthodontics_for_children.html
  14. Whole Body treatment: http://www.pnf.org/dentistry.html#Health-Centered%20Dentistry
  15. Trigeminal Neuralgia: http://www.whale.to/d/cavitations.html
  16. Birth Defects: http://www.whale.to/d/birth.htm
  17. Sealants: http://emporium.turnpike.net/P/PDHA/health.htm
  18. Flossing: http://www.burtonwellnesscenter.com/index.cfm?do=dental
  19. Local Anesthesia: http://www.sciential.net/alternatives_to_anesthesia_for_dent.htm
  20. Crowns: http://www.animated-teeth.com/dental_crowns/t9_dental_crowns_alternatives.htm

FRIAR/SECT Example

Part 1: FRIAR

FRAME:

A 25-yr-old woman is taking a cephalosporin, Cephalexin, 500mg 3 times daily for cystitis. She needs SBE prophylaxis for your perio therapy. Do you just have her take additional doses or what?

RELEVANT:

Concept 1. SBE prophylaxis
Concept 2. Currently already taking antibiotics.
Concept 3. Cephalexin

IRRELEVANT:

patient gender
patient age
cystitis
perio therapy

ALTERNATES/ALIASES:

Concept 1. SBE prophylaxis

Concept 2. Currently already taking antibiotics.

Concept 3. Cephalexin

REVIEW:


Part 2: SECT

SEARCH

Type of question.
This question is fairly technical, focused on health professional information, and uses some pretty specific terminology.

Select a type of search engine.
Therefore, I am selecting a general search engine rather than a health search engine, since general search engines do a better job with more technical and specific questions, also with professional questions and with rare diseases. Since the terminology is also specific, I am making sure to choose a search engine with a large database. If I retrieve too much, I can always narrow my search the next time around by either adding more terms or choosing a smaller search engine.

Select specific search engine.
I pick Google.

Run a search using first level terms for main topic.
I search with the following terms.

EVALUATE

Keeping in mind the criteria from the previous assignment (Patient Information Web Evaluation Checklist), would you actually recommend this site to a patient? Is it a site the patient will be able to access on their own from their home computer or those at a public library or other public computers? If you are not content with your findings so far, return to the searching step and repeat. If you are satisfied, continue by documenting what you recommended to the patient.

CITE

Adnan S. Dajani, MD; Kathryn A. Taubert, PhD; Walter Wilson, MD; Ann F. Bolger, MD; Arnold Bayer, MD; Patricia Ferrieri, MD; Michael H. Gewitz, MD; Stanford T. Shulman, MD; Soraya Nouri, MD; Jane W. Newburger, MD; Cecilia Hutto, MD; Thomas J. Pallasch, DDS, MS; Tommy W. Gage, DDS, PhD; Matthew E. Levison, MD; Georges Peter, MD; Gregory Zuccaro, MD Prevention of Bacterial Endocarditis. Originally published in print: JAMA. 1997;277:1794-1801. Internet version published: 1998. Last updated: Tue, Feb 16, 1999 11:07:02 PM GMT. Date viewed: September 16, 2001; 3:55PM EDT. URL: http://www.americanheart.org/Scientific/statements/1997/079701.html

NOTE: The article cited above does NOT directly answer the question specified, but could be used as partial justification for a clinical decision, and is given as an example of how to cite an Internet source. To add to a patient's record, I would recommend also including clinician's notes about what clinical decision was made on the basis of this information.

TEST

If this was a real patient, at this point you would implement your proposed solution or test out your strategy. If it doesn't work in the real world with a real patient, or if you don't trust your answer enough to try it on a real patient, then perhaps you should reconsider.


Contact: Pat Anderson, pfa@umich.edu.
Date last modified: September 17, 2001.
URL of current page: http://www-personal.umich.edu/~pfa/pro/courses/PtCareQs.html