Information retrieval: Difference between revisions

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==Factors associated with ''unsuccessful'' retrieval==
==Factors associated with ''unsuccessful'' retrieval==
The field of [[medicine]] provides much research on the difficulties of information retrieval. Barriers to successful retrieval include:
The field of [[medicine]] provides much research on the difficulties of information retrieval. Barriers to successful retrieval include:
* Lack of prior experience with the information retrieval system being used<ref name="pmid11971889">{{cite journal |author=Hersh WR, Crabtree MK, Hickam DH, ''et al'' |title=Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions |journal=J Am Med Inform Assoc |volume=9 |issue=3 |pages=283–93 |year=2002 |pmid=11971889 |pmc=344588 |doi= |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=11971889 |issn=}}</ref><ref name="pmid7719819">{{cite journal |author=de Bliek R, Friedman CP, Wildemuth BM, Martz JM, Twarog RG, File D |title=Information retrieved from a database and the augmentation of personal knowledge |journal=J Am Med Inform Assoc |volume=1 |issue=4 |pages=328–38 |year=1994 |pmid=7719819 |pmc=116215 |doi= |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=7719819 |issn=}}</ref>
* Lack of prior experience with the information retrieval system being used<ref name="pmid11971889">{{cite journal |author=Hersh WR, Crabtree MK, Hickam DH, ''et al'' |title=Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions |journal=J Am Med Inform Assoc |volume=9 |issue=3 |pages=283–93 |year=2002 |pmid=11971889 |pmc=344588 |doi= |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=11971889 |issn=}}</ref><ref name="pmid7719819"/>
* Low visual spatial ability<ref name="pmid11971889">{{cite journal |author=Hersh WR, Crabtree MK, Hickam DH, ''et al'' |title=Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions |journal=J Am Med Inform Assoc |volume=9 |issue=3 |pages=283–93 |year=2002 |pmid=11971889 |pmc=344588 |doi= |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=11971889 |issn=}}</ref>
* Low visual spatial ability<ref name="pmid11971889"/>
* Poor formulation of the question to be searched<ref name="pmid11909789">{{cite journal |author=Ely JW, Osheroff JA, Ebell MH, ''et al'' |title=Obstacles to answering doctors' questions about patient care with evidence: qualitative study |journal=BMJ |volume=324 |issue=7339 |pages=710 |year=2002 |month=March |pmid=11909789 |pmc=99056 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=11909789 |issn=}}</ref>
* Poor formulation of the question to be searched<ref name="pmid11909789">{{cite journal |author=Ely JW, Osheroff JA, Ebell MH, ''et al'' |title=Obstacles to answering doctors' questions about patient care with evidence: qualitative study |journal=BMJ |volume=324 |issue=7339 |pages=710 |year=2002 |month=March |pmid=11909789 |pmc=99056 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=11909789 |issn=}}</ref>
* Difficulty designing a search strategy when multiple resources are available<ref name="pmid11909789">{{cite journal |author=Ely JW, Osheroff JA, Ebell MH, ''et al'' |title=Obstacles to answering doctors' questions about patient care with evidence: qualitative study |journal=BMJ |volume=324 |issue=7339 |pages=710 |year=2002 |month=March |pmid=11909789 |pmc=99056 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=11909789 |issn=}}</ref>
* Difficulty designing a search strategy when multiple resources are available<ref name="pmid11909789">{{cite journal |author=Ely JW, Osheroff JA, Ebell MH, ''et al'' |title=Obstacles to answering doctors' questions about patient care with evidence: qualitative study |journal=BMJ |volume=324 |issue=7339 |pages=710 |year=2002 |month=March |pmid=11909789 |pmc=99056 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=11909789 |issn=}}</ref>
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===Characteristics of the searcher===
===Characteristics of the searcher===
In healthcare, searchers are more likely to be successful if their answer is answer before searching, they have experience with the system they are searching, and they have a high spatial visualization score.<ref name="pmid11971889">{{cite journal |author=Hersh WR, Crabtree MK, Hickam DH, ''et al'' |title=Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions |journal=J Am Med Inform Assoc |volume=9 |issue=3 |pages=283–93 |year=2002 |pmid=11971889 |doi=}}</ref> Also in healthcare, physicians with less experience are more likely to want more information.<ref name="pmid3196128">{{cite journal |author=Gruppen LD, Wolf FM, Van Voorhees C, Stross JK |title=The influence of general and case-related experience on primary care treatment decision making |journal=Arch. Intern. Med. |volume=148 |issue=12 |pages=2657–63 |year=1988 |pmid=3196128 |doi=}}</ref> Physicians who report stress when uncertain are more likely to search textbooks than source evidence.<ref name="pmid17443246">{{cite journal |author=McKibbon KA, Fridsma DB, Crowley RS |title=How primary care physicians' attitudes toward risk and uncertainty affect their use of electronic information resources |journal=J Med Libr Assoc |volume=95 |issue=2 |pages=138–46, e49–50 |year=2007 |pmid=17443246 |doi=10.3163/1536-5050.95.2.138}}</ref>
In healthcare, searchers are more likely to be successful if their answer is answer before searching, they have experience with the system they are searching, and they have a high spatial visualization score.<ref name="pmid11971889"/> Also in healthcare, physicians with less experience are more likely to want more information.<ref name="pmid3196128">{{cite journal |author=Gruppen LD, Wolf FM, Van Voorhees C, Stross JK |title=The influence of general and case-related experience on primary care treatment decision making |journal=Arch. Intern. Med. |volume=148 |issue=12 |pages=2657–63 |year=1988 |pmid=3196128 |doi=}}</ref> Physicians who report stress when uncertain are more likely to search textbooks than source evidence.<ref name="pmid17443246">{{cite journal |author=McKibbon KA, Fridsma DB, Crowley RS |title=How primary care physicians' attitudes toward risk and uncertainty affect their use of electronic information resources |journal=J Med Libr Assoc |volume=95 |issue=2 |pages=138–46, e49–50 |year=2007 |pmid=17443246 |doi=10.3163/1536-5050.95.2.138}}</ref>


In healthcare, using expert searchers on behalf of physicians led to increased satisfaction by the physicians with the search results.<ref name="PMIDPending_Shelagh">Shelagh A. Mulvaney et al., “A Randomized Effectiveness Trial of a Clinical Informatics Consult Service: Impact on Evidence Based Decision-Making and Knowledge Implementation,” J Am Med Inform Assoc (December 20, 2007), http://www.jamia.org/cgi/content/abstract/M2461v1 (accessed December 21, 2007).</ref>
In healthcare, using expert searchers on behalf of physicians led to increased satisfaction by the physicians with the search results.<ref name="PMIDPending_Shelagh">Shelagh A. Mulvaney et al., “A Randomized Effectiveness Trial of a Clinical Informatics Consult Service: Impact on Evidence Based Decision-Making and Knowledge Implementation,” J Am Med Inform Assoc (December 20, 2007), http://www.jamia.org/cgi/content/abstract/M2461v1 (accessed December 21, 2007).</ref>
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==Impact of information retrieval==
==Impact of information retrieval==
The benefits of enhancing personal knowledge with retrieval of extrasomatic knowledge has been shown in a controlled comparison with rote memory.<ref name="pmid7719819">{{cite journal |author=de Bliek R, Friedman CP, Wildemuth BM, Martz JM, Twarog RG, File D |title=Information retrieved from a database and the augmentation of personal knowledge |journal=J Am Med Inform Assoc |volume=1 |issue=4 |pages=328–38 |year=1994 |pmid=7719819 |doi=}}</ref>
The benefits of enhancing personal knowledge with retrieval of extrasomatic knowledge has been shown in a controlled comparison with rote memory.<ref name="pmid7719819"/>
 
Various before and after comparisons are summarized in the tables.
Various before and after comparisons are summarized in the tables.


{| class="wikitable"
{| class="wikitable"
|+ Impact of medical searching by physicians and medical students<ref name="pmid16929042">{{cite journal |author=McKibbon KA, Fridsma DB |title=Effectiveness of clinician-selected electronic information resources for answering primary care physicians' information needs |journal=J Am Med Inform Assoc |volume=13 |issue=6 |pages=653–9 |year=2006 |pmid=16929042 |pmc=1656967 |doi=10.1197/jamia.M2087 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=16929042 |issn=}}</ref><ref name="pmid15800302">{{cite journal |author=Westbrook JI, Gosling AS, Coiera EW |title=The impact of an online evidence system on confidence in decision making in a controlled setting |journal=Med Decis Making |volume=25 |issue=2 |pages=178–85 |year=2005 |pmid=15800302 |doi=10.1177/0272989X05275155 |url=http://mdm.sagepub.com/cgi/pmidlookup?view=long&pmid=15800302 |issn=}}</ref><ref name="pmid18579828">{{cite journal |author=Coiera E, Westbrook JI, Rogers K |title=Clinical Decision Velocity is Increased when Meta-search Filters Enhance an Evidence Retrieval System |journal=J Am Med Inform Assoc |volume=15 |issue=5 |pages=638–46 |year=2008 |pmid=18579828 |pmc=2528038 |doi=10.1197/jamia.M2765 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=18579828 |issn=}} [http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=citizendium&pubmedid=18579828 Pubmed Central]</ref><ref name="pmid11971889">{{cite journal |author=Hersh WR, Crabtree MK, Hickam DH, ''et al'' |title=Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions |journal=J Am Med Inform Assoc |volume=9 |issue=3 |pages=283–93 |year=2002 |pmid=11971889 |pmc=344588 |doi= |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=11971889 |issn=}} [http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=citizendium&pubmedid=11971889 Pubmed Central]</ref>
|+ Impact of medical searching by physicians and medical students<ref name="pmid16929042">{{cite journal |author=McKibbon KA, Fridsma DB |title=Effectiveness of clinician-selected electronic information resources for answering primary care physicians' information needs |journal=J Am Med Inform Assoc |volume=13 |issue=6 |pages=653–9 |year=2006 |pmid=16929042 |pmc=1656967 |doi=10.1197/jamia.M2087 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=16929042 |issn=}}</ref><ref name="pmid15800302">{{cite journal |author=Westbrook JI, Gosling AS, Coiera EW |title=The impact of an online evidence system on confidence in decision making in a controlled setting |journal=Med Decis Making |volume=25 |issue=2 |pages=178–85 |year=2005 |pmid=15800302 |doi=10.1177/0272989X05275155 |url=http://mdm.sagepub.com/cgi/pmidlookup?view=long&pmid=15800302 |issn=}}</ref><ref name="pmid18579828">{{cite journal |author=Coiera E, Westbrook JI, Rogers K |title=Clinical Decision Velocity is Increased when Meta-search Filters Enhance an Evidence Retrieval System |journal=J Am Med Inform Assoc |volume=15 |issue=5 |pages=638–46 |year=2008 |pmid=18579828 |pmc=2528038 |doi=10.1197/jamia.M2765 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=18579828 |issn=}} [http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=citizendium&pubmedid=18579828 Pubmed Central]</ref><ref name="pmid11971889"/>
! rowspan="2"|Search engine!!rowspan="2"| Users!!rowspan="2"| Questions!! colspan="2"|Portion of answers correct||rowspan="2"|Portion of answers that moved from correct to incorrect
! rowspan="2"|Search engine!!rowspan="2"| Users!!rowspan="2"| Questions!! colspan="2"|Portion of answers correct||rowspan="2"|Portion of answers that moved from correct to incorrect
|-
|-
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{| class="wikitable"
{| class="wikitable"
|+ Frequency that searching changed medical care.<ref name="pmid21949275">{{cite journal| author=Izcovich A, Malla CG, Diaz MM, Manzotti M, Catalano HN| title=Impact of facilitating physician access to relevant medical literature on outcomes of hospitalised internal medicine patients: a randomised controlled trial. | journal=Evid Based Med | year= 2011 | volume= 16 | issue= 5 | pages= 131-5 | pmid=21949275 | doi=10.1136/ebmed-2011-100117 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21949275  }}  [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21949274 Review in: Evid Based Med. 2011 Oct;16(5):129-30] </ref><ref name="pmid15109337">{{cite journal| author=Lucas BP, Evans AT, Reilly BM, Khodakov YV, Perumal K, Rohr LG et al.| title=The impact of evidence on physicians' inpatient treatment decisions. | journal=J Gen Intern Med | year= 2004 | volume= 19 | issue= 5 Pt 1 | pages= 402-9 | pmid=15109337 | doi=10.1111/j.1525-1497.2004.30306.x | pmc=PMC1492243 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15109337  }} </ref><ref name="pmid12634206">{{cite journal |author=Crowley SD, Owens TA, Schardt CM, ''et al'' |title=A Web-based compendium of clinical questions and medical evidence to educate internal medicine residents |journal=Acad Med |volume=78 |issue=3 |pages=270–4 |year=2003 |month=March |pmid=12634206 |doi= |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=1040-2446&volume=78&issue=3&spage=270 |issn=}}</ref><ref name="pmid1600426">{{cite journal |author=Marshall JG |title=The impact of the hospital library on clinical decision making: the Rochester study |journal=Bull Med Libr Assoc |volume=80 |issue=2 |pages=169–78 |year=1992 |month=April |pmid=1600426 |pmc=225641 |doi= |url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=citizendium&pubmedid=1600426 |issn=}}</ref><ref name="pmid3450340">{{cite journal |author=King DN |title=The contribution of hospital library information services to clinical care: a study in eight hospitals |journal=Bull Med Libr Assoc |volume=75 |issue=4 |pages=291–301 |year=1987 |month=October |pmid=3450340 |pmc=227744 |doi= |url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=citizendium&pubmedid=3450340 |issn=}}</ref>
|+ Frequency that searching changed medical care.<ref name="pmid21949275">{{cite journal| author=Izcovich A, Malla CG, Diaz MM, Manzotti M, Catalano HN| title=Impact of facilitating physician access to relevant medical literature on outcomes of hospitalised internal medicine patients: a randomised controlled trial. | journal=Evid Based Med | year= 2011 | volume= 16 | issue= 5 | pages= 131-5 | pmid=21949275 | doi=10.1136/ebmed-2011-100117 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21949275  }}  [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21949274 Review in: Evid Based Med. 2011 Oct;16(5):129-30] </ref><ref name="pmid15109337">{{cite journal| author=Lucas BP, Evans AT, Reilly BM, Khodakov YV, Perumal K, Rohr LG et al.| title=The impact of evidence on physicians' inpatient treatment decisions. | journal=J Gen Intern Med | year= 2004 | volume= 19 | issue= 5 Pt 1 | pages= 402-9 | pmid=15109337 | doi=10.1111/j.1525-1497.2004.30306.x | pmc=PMC1492243 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15109337  }} </ref><ref name="pmid12634206">{{cite journal |author=Crowley SD, Owens TA, Schardt CM, ''et al'' |title=A Web-based compendium of clinical questions and medical evidence to educate internal medicine residents |journal=Acad Med |volume=78 |issue=3 |pages=270–4 |year=2003 |month=March |pmid=12634206 |doi= |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=1040-2446&volume=78&issue=3&spage=270 |issn=}}</ref><ref name="pmid1600426">{{cite journal |author=Marshall JG |title=The impact of the hospital library on clinical decision making: the Rochester study |journal=Bull Med Libr Assoc |volume=80 |issue=2 |pages=169–78 |year=1992 |month=April |pmid=1600426 |pmc=PMC225641 |doi= |url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=citizendium&pubmedid=1600426 |issn=}}</ref><ref name="pmid3450340">{{cite journal |author=King DN |title=The contribution of hospital library information services to clinical care: a study in eight hospitals |journal=Bull Med Libr Assoc |volume=75 |issue=4 |pages=291–301 |year=1987 |month=October |pmid=3450340 |pmc=PMC227744 |doi= |url=http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=citizendium&pubmedid=3450340 |issn=}}</ref>
! &nbsp;!! Searches!!Frequency useful information found||Frequency changed care
! &nbsp;!! Searches!!Frequency useful information found||Frequency changed care
|-
|-
| Izcovich<ref name="pmid21949275"/><br/>2011||[[Randomized controlled trial|RCT]] of 407 inpatients compared to 402 control inpatients ||&nbsp;||No difference between study groups
| Izcovich<ref name="pmid21949275"/><br/>2011||[[Randomized controlled trial|RCT]] of 407 inpatients compared to 402 control inpatients<br/>Searcher sought answers to questions that arose during "morning report".<br/>Search resources ''did not'' include UpToDate. Results emailed to teams.||&nbsp;||No difference between study groups
|-
|-
| Lucas<ref name="pmid15109337"/><br/>2011||Before after study of 146 inpatients with blinded outcome assessment||&nbsp;||&bull;&nbsp;Treatments changed in 18%<br/>&bull;&nbsp;Treatments improved in 14%
| Lucas<ref name="pmid15109337"/><br/>2011||Before after study of 146 inpatients<br/>Searcher sought answers to corroborate principle treated decisions for ''all'' patients.<br/>Search resources included UpToDate. Search results given to attendings.<br/>Blinded outcome assessment||&nbsp;||&bull;&nbsp;Treatments changed in 18%<br/>&bull;&nbsp;Treatments improved in 14%
|-
|-
| Crowley<ref name="pmid12634206"/><br/>2003|| 625 self-initiated searches, uncontrolled study||83%||39%
| Crowley<ref name="pmid12634206"/><br/>2003|| 625 self-initiated searches, uncontrolled study||align="center"|83%||39%
|-
|-
| Rochester study<ref name="pmid1600426"/><br/>1992||uncontrolled study|| ||80%
| Rochester study<ref name="pmid1600426"/><br/>1992||uncontrolled study||&nbsp;||80%
|-
|-
| Chicago study||uncontrolled study|| ||74%
| Chicago study<ref name="pmid3450340"/><br/>1987||questions searched by librarians in response to physician queries; uncontrolled study||&nbsp;||74%
|}
|}


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==Evaluation of the quality of information retrieval==
==Evaluation of the quality of information retrieval==
{{Image|600px-Survival-curve.png|right|350px|Survival curve modeling amount of time taken to answer questions. The units for time are arbitrary and meaningless in this example.}}
{{Image|600px-Logistic-curve.svg.png|right|350px|Logistic curve modeling rate of correct answers over time. The units for time are arbitrary and meaningless in this example.}}
Various methods exist to evaluate the quality of information retrieval.<ref name="isbn0-87815-064-1">{{cite book |author=Lancaster, Frederick Wilfrid; Warner, Amy J. |authorlink= |editor= |others= |title=Information retrieval today |edition= |language= |publisher=Information Resources Press |location=Arlington, Va |year=1993 |origyear= |pages= |quote= |isbn=0-87815-064-1 |oclc= |doi= |url= |accessdate=}}</ref><ref name="isbn0-387-78702-X">{{cite book |author=Hersh, William R. |authorlink= |editor= |others= |title=Information Retrieval: A Health and Biomedical Perspective (Health Informatics) |edition= |language= |publisher=Springer |location=Berlin |year=2008 |origyear= |pages= |quote= |isbn=0-387-78702-X |oclc= |doi= |url= |accessdate=}} [http://books.google.com/books?id=H3f9xsW0a_8C&printsec=toc Google books]</ref><ref name="isbn0-13-607224-0">{{cite book |author=Trevor Strohman; Croft, Bruce; Donald Metzler |authorlink= |editor= |others= |title=Search Engines: Information Retrieval in Practice |edition= |language= |publisher=Addison Wesley |location=Harlow |year=2009 |origyear= |pages= |quote= |isbn=0-13-607224-0 |oclc= |doi= |url=http://www.pearsonhighered.com/croft1epreview/ |accessdate=}}</ref> Hersh<ref name="isbn0-387-78702-X"/> noted the classification of evaluation developed by Wancaster and Warner<ref name="isbn0-87815-064-1"/> in which the first level of evaluation is:
Various methods exist to evaluate the quality of information retrieval.<ref name="isbn0-87815-064-1">{{cite book |author=Lancaster, Frederick Wilfrid; Warner, Amy J. |authorlink= |editor= |others= |title=Information retrieval today |edition= |language= |publisher=Information Resources Press |location=Arlington, Va |year=1993 |origyear= |pages= |quote= |isbn=0-87815-064-1 |oclc= |doi= |url= |accessdate=}}</ref><ref name="isbn0-387-78702-X">{{cite book |author=Hersh, William R. |authorlink= |editor= |others= |title=Information Retrieval: A Health and Biomedical Perspective (Health Informatics) |edition= |language= |publisher=Springer |location=Berlin |year=2008 |origyear= |pages= |quote= |isbn=0-387-78702-X |oclc= |doi= |url= |accessdate=}} [http://books.google.com/books?id=H3f9xsW0a_8C&printsec=toc Google books]</ref><ref name="isbn0-13-607224-0">{{cite book |author=Trevor Strohman; Croft, Bruce; Donald Metzler |authorlink= |editor= |others= |title=Search Engines: Information Retrieval in Practice |edition= |language= |publisher=Addison Wesley |location=Harlow |year=2009 |origyear= |pages= |quote= |isbn=0-13-607224-0 |oclc= |doi= |url=http://www.pearsonhighered.com/croft1epreview/ |accessdate=}}</ref> Hersh<ref name="isbn0-387-78702-X"/> noted the classification of evaluation developed by Wancaster and Warner<ref name="isbn0-87815-064-1"/> in which the first level of evaluation is:
* Costs/resources consumed in learning and using a system
* Costs/resources consumed in learning and using a system
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** Precision and recall
** Precision and recall
** Novelty. This has been judged by independent reviewers.<ref name="pmid15109337">{{cite journal |author=Lucas BP, Evans AT, Reilly BM, ''et al'' |title=The impact of evidence on physicians' inpatient treatment decisions |journal=J Gen Intern Med |volume=19 |issue=5 Pt 1 |pages=402–9 |year=2004 |month=May |pmid=15109337 |pmc=1492243 |doi=10.1111/j.1525-1497.2004.30306.x |url= |issn=}}</ref>
** Novelty. This has been judged by independent reviewers.<ref name="pmid15109337">{{cite journal |author=Lucas BP, Evans AT, Reilly BM, ''et al'' |title=The impact of evidence on physicians' inpatient treatment decisions |journal=J Gen Intern Med |volume=19 |issue=5 Pt 1 |pages=402–9 |year=2004 |month=May |pmid=15109337 |pmc=1492243 |doi=10.1111/j.1525-1497.2004.30306.x |url= |issn=}}</ref>
** Completeness and accuracy of results. An easy method of assessing this is to let the searcher make a subjective assessment.<ref name="pmid12634206">{{cite journal |author=Crowley SD, Owens TA, Schardt CM, ''et al'' |title=A Web-based compendium of clinical questions and medical evidence to educate internal medicine residents |journal=Acad Med |volume=78 |issue=3 |pages=270–4 |year=2003 |month=March |pmid=12634206 |doi= |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=1040-2446&volume=78&issue=3&spage=270 |issn=}}</ref><ref name="pmid15561792">{{cite journal |author=Ely JW, Osheroff JA, Chambliss ML, Ebell MH, Rosenbaum ME |title=Answering physicians' clinical questions: obstacles and potential solutions |journal=J Am Med Inform Assoc |volume=12 |issue=2 |pages=217–24 |year=2005 |pmid=15561792 |pmc=551553 |doi=10.1197/jamia.M1608 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=15561792 |issn=}}</ref><ref name="pmid11604759">{{cite journal |author=Gorman P |title=Information needs in primary care: a survey of rural and nonrural primary care physicians |journal=Stud Health Technol Inform |volume=84 |issue=Pt 1 |pages=338–42 |year=2001 |pmid=11604759 |doi= |url= |issn=}}</ref><ref name="pmid11711012">{{cite journal |author=Alper BS, Stevermer JJ, White DS, Ewigman BG |title=Answering family physicians' clinical questions using electronic medical databases |journal=J Fam Pract |volume=50 |issue=11 |pages=960–5 |year=2001 |month=November |pmid=11711012 |doi= |url=http://www.jfponline.com/Pages.asp?AID=2383 |issn=}}</ref> Other methods may be to use a bank of questions with known target documents<ref name="pmid2403476">{{cite journal |author=Haynes RB, McKibbon KA, Walker CJ, Ryan N, Fitzgerald D, Ramsden MF |title=Online access to MEDLINE in clinical settings. A study of use and usefulness |journal=Ann. Intern. Med. |volume=112 |issue=1 |pages=78–84 |year=1990 |month=January |pmid=2403476 |doi= |url= |issn=}}</ref> or known answers<ref name="pmid11971889">{{cite journal |author=Hersh WR, Crabtree MK, Hickam DH, ''et al'' |title=Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions |journal=J Am Med Inform Assoc |volume=9 |issue=3 |pages=283–93 |year=2002 |pmid=11971889 |pmc=344588 |doi= |url= |issn=}}</ref><ref name="pmid16929042">{{cite journal |author=McKibbon KA, Fridsma DB |title=Effectiveness of clinician-selected electronic information resources for answering primary care physicians' information needs |journal=J Am Med Inform Assoc |volume=13 |issue=6 |pages=653–9 |year=2006 |pmid=16929042 |pmc=1656967 |doi=10.1197/jamia.M2087 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=16929042 |issn=}}</ref>.
** Completeness and accuracy of results. An easy method of assessing this is to let the searcher make a subjective assessment.<ref name="pmid12634206">{{cite journal |author=Crowley SD, Owens TA, Schardt CM, ''et al'' |title=A Web-based compendium of clinical questions and medical evidence to educate internal medicine residents |journal=Acad Med |volume=78 |issue=3 |pages=270–4 |year=2003 |month=March |pmid=12634206 |doi= |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=1040-2446&volume=78&issue=3&spage=270 |issn=}}</ref><ref name="pmid15561792">{{cite journal |author=Ely JW, Osheroff JA, Chambliss ML, Ebell MH, Rosenbaum ME |title=Answering physicians' clinical questions: obstacles and potential solutions |journal=J Am Med Inform Assoc |volume=12 |issue=2 |pages=217–24 |year=2005 |pmid=15561792 |pmc=551553 |doi=10.1197/jamia.M1608 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=15561792 |issn=}}</ref><ref name="pmid11604759">{{cite journal |author=Gorman P |title=Information needs in primary care: a survey of rural and nonrural primary care physicians |journal=Stud Health Technol Inform |volume=84 |issue=Pt 1 |pages=338–42 |year=2001 |pmid=11604759 |doi= |url= |issn=}}</ref><ref name="pmid11711012">{{cite journal |author=Alper BS, Stevermer JJ, White DS, Ewigman BG |title=Answering family physicians' clinical questions using electronic medical databases |journal=J Fam Pract |volume=50 |issue=11 |pages=960–5 |year=2001 |month=November |pmid=11711012 |doi= |url=http://www.jfponline.com/Pages.asp?AID=2383 |issn=}}</ref> Other methods may be to use a bank of questions with known target documents<ref name="pmid2403476">{{cite journal |author=Haynes RB, McKibbon KA, Walker CJ, Ryan N, Fitzgerald D, Ramsden MF |title=Online access to MEDLINE in clinical settings. A study of use and usefulness |journal=Ann. Intern. Med. |volume=112 |issue=1 |pages=78–84 |year=1990 |month=January |pmid=2403476 |doi= |url= |issn=}}</ref> or known answers<ref name="pmid11971889"/>.


*Usage
*Usage
Line 156: Line 157:


===Precision and recall===
===Precision and recall===
Recall is the fraction of relevant documents that are successfully retrieved. This is the same as [[sensitivity and specificity|sensitivity]]. The recall has also been called the "yield."<ref name="pmid20102628">{{cite journal| author=Wallace BC, Trikalinos TA, Lau J, Brodley C, Schmid CH| title=Semi-automated screening of biomedical citations for systematic reviews. | journal=BMC Bioinformatics | year= 2010 | volume= 11 | issue=  | pages= 55 | pmid=20102628 | doi=10.1186/1471-2105-11-55 | pmc=PMC2824679 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20102628  }} </ref>
Recall is the fraction of relevant documents that are successfully retrieved. This is the same as [[sensitivity and specificity|sensitivity]]. The recall has also been called the "yield"<ref name="pmid20102628">{{cite journal| author=Wallace BC, Trikalinos TA, Lau J, Brodley C, Schmid CH| title=Semi-automated screening of biomedical citations for systematic reviews. | journal=BMC Bioinformatics | year= 2010 | volume= 11 | issue=  | pages= 55 | pmid=20102628 | doi=10.1186/1471-2105-11-55 | pmc=PMC2824679 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20102628  }} </ref> and comprehensiveness<ref name="pmid22249990">{{cite journal| author=Shariff SZ, Sontrop JM, Haynes RB, Iansavichus AV, McKibbon KA, Wilczynski NL et al.| title=Impact of PubMed search filters on the retrieval of evidence by physicians. | journal=CMAJ | year= 2012 | volume= 184 | issue= 3 | pages= E184-90 | pmid=22249990 | doi=10.1503/cmaj.101661 | pmc=PMC3281182 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22249990  }} </ref>.


:<math> \mbox{recall}=\frac{|\{\mbox{relevant documents}\}\cap\{\mbox{retrieved documents}\}|}{|\{\mbox{relevant documents}\}|} </math>
:<math> \mbox{recall}=\frac{|\{\mbox{relevant documents}\}\cap\{\mbox{retrieved documents}\}|}{|\{\mbox{relevant documents}\}|} </math>


Precision is the fraction of retrieved documents that are relevant to the search.  This is the same as [[sensitivity and specificity|positive predictive value]].
Precision is the fraction of retrieved documents that are relevant to the search.  Precision has also been called efficiency.<ref name="pmid22249990">{{cite journal| author=Shariff SZ, Sontrop JM, Haynes RB, Iansavichus AV, McKibbon KA, Wilczynski NL et al.| title=Impact of PubMed search filters on the retrieval of evidence by physicians. | journal=CMAJ | year= 2012 | volume= 184 | issue= 3 | pages= E184-90 | pmid=22249990 | doi=10.1503/cmaj.101661 | pmc=PMC3281182 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22249990  }} </ref> This is the same as [[sensitivity and specificity|positive predictive value]].


:<math> \mbox{precision}=\frac{|\{\mbox{relevant documents}\}\cap\{\mbox{retrieved documents}\}|}{|\{\mbox{retrieved documents}\}|} </math>
:<math> \mbox{precision}=\frac{|\{\mbox{relevant documents}\}\cap\{\mbox{retrieved documents}\}|}{|\{\mbox{retrieved documents}\}|} </math>
Line 177: Line 178:


===Decision velocity===
===Decision velocity===
{{Image|600px-Survival-curve.png|right|350px|Survival curve modeling amount of time taken to answer questions. The units for time are arbitrary and meaningless in this example.}}
Time need to answer a question can be compared between two systems with a Kaplan-Meir survival analysis method.<ref name="pmid18579828">{{cite journal |author=Coiera E, Westbrook JI, Rogers K |title=Clinical Decision Velocity is Increased when Meta-search Filters Enhance an Evidence Retrieval System |journal=J Am Med Inform Assoc |volume=15 |issue=5 |pages=638–46 |year=2008 |pmid=18579828 |pmc=2528038 |doi=10.1197/jamia.M2765 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=18579828 |issn=}}</ref>
Time need to answer a question can be compared between two systems with a Kaplan-Meir survival analysis method.<ref name="pmid18579828">{{cite journal |author=Coiera E, Westbrook JI, Rogers K |title=Clinical Decision Velocity is Increased when Meta-search Filters Enhance an Evidence Retrieval System |journal=J Am Med Inform Assoc |volume=15 |issue=5 |pages=638–46 |year=2008 |pmid=18579828 |pmc=2528038 |doi=10.1197/jamia.M2765 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=18579828 |issn=}}</ref>


Line 183: Line 183:
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=11548078 }}</ref>
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=11548078 }}</ref>


{{Image|600px-Logistic-curve.svg.png|right|350px|Logistic curve modeling rate of correct answers over time. The units for time are arbitrary and meaningless in this example.}}
If the correct answer to the search question is known, a logistic function can model rate of ''correct'' answers over time. The result is an [[S-curve]] (also called sigmoid curve or logistic growth curve) in which most questions are answered after an initial delay; however, a minority of questions take a much longer time.
If the correct answer to the search question is known, a logistic function can model rate of ''correct'' answers over time. The result is an [[S-curve]] (also called sigmoid curve or logistic growth curve) in which most questions are answered after an initial delay; however, a minority of questions take a much longer time.


===Critical incidents===
===Critical incidents===
Analysis of critical incidents may help.<ref name="pmid16798071">{{cite journal| author=Westbrook JI, Coiera EW, Sophie Gosling A, Braithwaite J| title=Critical incidents and journey mapping as techniques to evaluate the impact of online evidence retrieval systems on health care delivery and patient outcomes. | journal=Int J Med Inform | year= 2007 | volume= 76 | issue= 2-3 | pages= 234-45 | pmid=16798071 | doi=10.1016/j.ijmedinf.2006.03.006 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16798071  }} </ref>
Analysis of critical incidents may help.<ref name="pmid16798071"/>


==References==
==Footnotes==
<references/>
<small>
<references>


</references>
In addition:
In addition:
* {{cite book |author=Berthier Ribeiro-Neto; Ricardo Baeza-Yates; Ribeiro, Berthier de Araújo Neto |authorlink= |editor= |others= |title=Modern information retrieval |edition= |language= |publisher=Addison-Wesley |location=Boston |year=2009 |origyear= |pages= |quote= |isbn=0-321-41691-0 |oclc= |doi= |url= |accessdate=}}
* {{cite book |author=Berthier Ribeiro-Neto; Ricardo Baeza-Yates; Ribeiro, Berthier de Araújo Neto |authorlink= |editor= |others= |title=Modern information retrieval |edition= |language= |publisher=Addison-Wesley |location=Boston |year=2009 |origyear= |pages= |quote= |isbn=0-321-41691-0 |oclc= |doi= |url= |accessdate=}}
* {{cite book |author=Shortliffe, Edward Hance; Cimino, James D. |authorlink= |editor= |others= |title=Biomedical informatics: computer applications in health care and biomedicine |edition= |language= |publisher=Springer |location=Berlin |year=2006 |origyear= |pages= |quote= |isbn=0-387-28986-0 |oclc= |doi= |url= |accessdate=}}
* {{cite book |author=Shortliffe, Edward Hance; Cimino, James D. |authorlink= |editor= |others= |title=Biomedical informatics: computer applications in health care and biomedicine |edition= |language= |publisher=Springer |location=Berlin |year=2006 |origyear= |pages= |quote= |isbn=0-387-28986-0 |oclc= |doi= |url= |accessdate=}}[[Category:Suggestion Bot Tag]]
</small>

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Information retrieval is defined as "a branch of computer or library science relating to the storage, locating, searching, and selecting, upon demand, relevant data on a given subject."[1] As noted by Carl Sagan, "human beings have, in the most recent few tenths of a percent of our existence, invented not only extra-genetic but also extrasomatic knowledge: information stored outside our bodies, of which writing is the most notable example."[2] The benefits of enhancing personal knowledge with retrieval of extrasomatic knowledge or transactive memory have been shown in comparisons with rote memory.[3][4]

Although information retrieval is usually thought of being done by computer, retrieval can also be done by humans for other humans.[5] In addition, some Internet search engines such as mahalo.com and http://www.chacha.com/ may have human supervision or editors.

Some Internet search engines such http://www.deeppeep.org and http://www.deepdyve.com/ as attempt to index the Deep Web which is web pages that are not normally public.[6]

The usefulness of a search engine has been proposed to be:[7]

Classification by user purpose

Information retrieval can be divided into information discovery, information recovery, and information awareness.[8]

Information discovery

Information discovery is searching for information that the searcher has not seen before and the searcher does not know for sure that the information exists. Information discovery includes searching in order to answer a question at hand, or searching for a topic without a specific question in order to improve knowledge of a topic.

Information recovery

Information recovery is searching for information that the searcher has seen before and knows to exist.

Information awareness

Information awareness has also been described as "'systematic serendipity' - an organized process of information discovery of that which he [the searcher] did not know existed".[8] Information awareness can be further divided into:[9]

  • Information familiarity
  • Knowledge acquisition (or called recollection) is the ability to apply the new knowledge.

Examples of information awareness prior to the Internet include reading print and online periodicals. With the Internet, new methods include email newsletters[10], email alerts, and RSS feeds.[11]

These methods may increase information familiarity.[9]

Classification by indexing methods used

Document retrieval

Models for information retrieval of documents are based on either the text of the document or links to and from the document and other documents.[12]

Models based on analysis of the text are the boolean, vector, and probabilistic.[12]

Models based on analysis of the links include PageRank, HITS, and impact factor.[12]

Boolean (set theoretic, exact matching)

Variants of the boolean model include:[12]

  • Fuzzy logic (used with thesauri)
  • Extended boolean

Vector space model (relevancy, algebraic, partial match, ranking)

Relevancy is determined by weighting concept i in a document j by (tf-idf weighting):[13]

Where

and

Variants of the vector space model include:[12]

  • Generalized vector space model (allows for correlated search terms)
  • Latent semantic indexing model (allows for search for synonymous concepts rather than literal search terms)
  • Neural network model

Probabilistic (Bayes)

Variants of the probabilistic model include:[12]

  • Inference network
  • Belief network

Analysis of links

For more information, see: PageRank and Impact factor.


Factors associated with unsuccessful retrieval

The field of medicine provides much research on the difficulties of information retrieval. Barriers to successful retrieval include:

  • Lack of prior experience with the information retrieval system being used[14][3]
  • Low visual spatial ability[14]
  • Poor formulation of the question to be searched[15]
  • Difficulty designing a search strategy when multiple resources are available[15]
  • "Uncertainty about how to know when all the relevant evidence has been found so that the search can stop"[15]
  • Difficulty synthesizing an answer across multiple documents[15]

Factors associated with successful retrieval

Characteristics of how the information is stored

For storage of text content, the quality of the index to the content is important. For example, the use of stemming, or truncating, words by removing suffixes may help.[16]

Display of information

Information that is structured may be more effective according to controlled studies.[17][18] In addition, the structure should be layered with a summary of the content being the first layer that the readers sees.[19] This allows the reader to take only an overview, or choose more detail. Some Internet search engines such as http://www.kosmix.com/ try to organize search results beyond a one dimensional list of results.

Regarding display of results from search engines, an interface designed to reduce anchoring and order bias may improve decision making.[20]

Characteristics of the search engine

John Battelle has described features of the perfect search engine of the future.[21] For example, the use of Boolean searching may not be as efficient.[22] Meta-searching and task based searching may improve decision velocity.[23]

Meta-search

Meta-search engines search multiple resources and integrate the results for the user. Examples in health care include Trip Database, MacPLUS, and QuickClinical.

Characteristics of the searcher

In healthcare, searchers are more likely to be successful if their answer is answer before searching, they have experience with the system they are searching, and they have a high spatial visualization score.[14] Also in healthcare, physicians with less experience are more likely to want more information.[24] Physicians who report stress when uncertain are more likely to search textbooks than source evidence.[25]

In healthcare, using expert searchers on behalf of physicians led to increased satisfaction by the physicians with the search results.[26]

Use of term overlap is associated with success.[27]

Impact of information retrieval

The benefits of enhancing personal knowledge with retrieval of extrasomatic knowledge has been shown in a controlled comparison with rote memory.[3] Various before and after comparisons are summarized in the tables.

Impact of medical searching by physicians and medical students[28][29][23][14]
Search engine Users Questions Portion of answers correct Portion of answers that moved from correct to incorrect
Before searching After searching
Quick Clinical[29][23]
(federated search)
73 practicing doctors and clinical nurse consultants Eight clinical questions
600 total responses
37% 50% 7%
User's own choice[28] 23 primary care physicians 2 questions from a pool of 23 clinical questions from Hersh[14]
46 total responses
39% 42% 11%
OVID[14] 45 senior medical students (data available for nursing students) 5 questions from a pool of 23 clinical questions from Hersh[14]
324 total responses
32% 52% 13%
Frequency that searching changed medical care.[30][31][32][33][34]
  Searches Frequency useful information found Frequency changed care
Izcovich[30]
2011
RCT of 407 inpatients compared to 402 control inpatients
Searcher sought answers to questions that arose during "morning report".
Search resources did not include UpToDate. Results emailed to teams.
  No difference between study groups
Lucas[31]
2011
Before after study of 146 inpatients
Searcher sought answers to corroborate principle treated decisions for all patients.
Search resources included UpToDate. Search results given to attendings.
Blinded outcome assessment
  • Treatments changed in 18%
• Treatments improved in 14%
Crowley[32]
2003
625 self-initiated searches, uncontrolled study 83% 39%
Rochester study[33]
1992
uncontrolled study   80%
Chicago study[34]
1987
questions searched by librarians in response to physician queries; uncontrolled study   74%

Critical incident studies can also document impact of information retrieval.[35][36]

Evaluation of the quality of information retrieval

Survival curve modeling amount of time taken to answer questions. The units for time are arbitrary and meaningless in this example.
Logistic curve modeling rate of correct answers over time. The units for time are arbitrary and meaningless in this example.

Various methods exist to evaluate the quality of information retrieval.[37][38][39] Hersh[38] noted the classification of evaluation developed by Wancaster and Warner[37] in which the first level of evaluation is:

  • Costs/resources consumed in learning and using a system
  • Time needed to use the system[40]
  • Quality of the results.
    • Coverage. An estimated of coverage can be crudely automated.[41] However, more accurate judgment of relevance requires a human judge which introduces subjectivity.[42]
    • Precision and recall
    • Novelty. This has been judged by independent reviewers.[31]
    • Completeness and accuracy of results. An easy method of assessing this is to let the searcher make a subjective assessment.[32][43][44][45] Other methods may be to use a bank of questions with known target documents[46] or known answers[14].
  • Usage
    • Self-reported
    • Measured[40]

Precision and recall

Recall is the fraction of relevant documents that are successfully retrieved. This is the same as sensitivity. The recall has also been called the "yield"[47] and comprehensiveness[48].

Precision is the fraction of retrieved documents that are relevant to the search. Precision has also been called efficiency.[48] This is the same as positive predictive value.

F1 is the unweighted harmonic mean of the recall and precision.[39][49]

Number needed to read

The number Needed to Read (NNR) is "how many papers in a journal have to be read to find one of adequate clinical quality and relevance."[50][51][52][53] Of note, the NNR has been proposed as a metric to help libraries to decide which journals to subscribe to.[50] The NNR has also been called the "burden."[47]

Number needed to search

The humber needed to search (NNS) is the number of questions that would have to be searched for one question to be well answered.[31]

Hit curve

A hit curve is the number of relevant documents retrieved among the first n results.[54][55]

Decision velocity

Time need to answer a question can be compared between two systems with a Kaplan-Meir survival analysis method.[23]

In health care, difficult questions make take hours to answer.[56]

If the correct answer to the search question is known, a logistic function can model rate of correct answers over time. The result is an S-curve (also called sigmoid curve or logistic growth curve) in which most questions are answered after an initial delay; however, a minority of questions take a much longer time.

Critical incidents

Analysis of critical incidents may help.[35]

Footnotes

  1. National Library of Medicine. Information Storage and Retrieval. Retrieved on 2007-12-12.
  2. Sagan, Carl (1993). The Dragons of Eden: Speculations on the Evolution of Human Intelligence. New York: Ballantine Books. ISBN 0-345-34629-7. 
  3. 3.0 3.1 3.2 de Bliek R, Friedman CP, Wildemuth BM, Martz JM, Twarog RG, File D (1994). "Information retrieved from a database and the augmentation of personal knowledge". J Am Med Inform Assoc 1 (4): 328–38. PMID 7719819[e]
  4. Sparrow, Betsy; Jenny Liu, Daniel M. Wegner (2011-07-14). "Google Effects on Memory: Cognitive Consequences of Having Information at Our Fingertips". Science. DOI:10.1126/science.1207745. Retrieved on 2011-07-16. Research Blogging.
  5. Mulvaney, S. A., Bickman, L., Giuse, N. B., Lambert, E. W., Sathe, N. A., & Jerome, R. N. (2008). A randomized effectiveness trial of a clinical informatics consult service: impact on evidence-based decision-making and knowledge implementation, J Am Med Inform Assoc, 15(2), 203-211. doi: 10.1197/jamia.M2461.
  6. Wright A. (2009) Exploring a ‘Deep Web’ That Google Can’t Grasp. New York Times.
  7. Shaughnessy AF, Slawson DC, Bennett JH (November 1994). "Becoming an information master: a guidebook to the medical information jungle". J Fam Pract 39 (5): 489–99. PMID 7964548[e]
  8. 8.0 8.1 Garfield, E. “ISI Eases Scientists’ Information Problems: Provides Convenient Orderly Access to Literature,” Karger Gazette No. 13, pg. 2 (March 1966). Reprinted as “The Who and Why of ISI,” Current Contents No. 13, pages 5-6 (March 5, 1969), which was reprinted in Essays of an Information Scientist, Volume 1: ISI Press, pages 33-37 (1977). http://www.garfield.library.upenn.edu/essays/V1p033y1962-73.pdf
  9. 9.0 9.1 Tanna GV, Sood MM, Schiff J, Schwartz D, Naimark DM (2011). "Do E-mail Alerts of New Research Increase Knowledge Translation? A "Nephrology Now" Randomized Control Trial.". Acad Med 86 (1): 132-138. DOI:10.1097/ACM.0b013e3181ffe89e. PMID 21099399. Research Blogging.
  10. Roland M. Grad et al., “Impact of Research-based Synopses Delivered as Daily email: A Prospective Observational Study,” J Am Med Inform Assoc (December 20, 2007), http://www.jamia.org/cgi/content/abstract/M2563v1 (accessed December 21, 2007).
  11. Koerner B (2008). Algorithms Are Terrific. But to Search Smarter, Find a Person. Wired Magazine. Retrieved on 2008-04-04.
  12. 12.0 12.1 12.2 12.3 12.4 12.5 Berthier Ribeiro-Neto; Ricardo Baeza-Yates; Ribeiro, Berthier de Araújo Neto (2009). Modern information retrieval. Boston: Addison-Wesley. ISBN 0-321-41691-0. 
  13. Hersh, William R (2001). “Information Retrieval Systems”, Fagan, Lawrence Marvin; Shortliffe, Edward Hance; Perreault, Leslie E.; Wiederhold, Gio: Medical Informatics: Computer Applications in Health Care and Biomedicine. Berlin: Springer, 549. ISBN 0-387-98472-0. 
  14. 14.0 14.1 14.2 14.3 14.4 14.5 14.6 14.7 Hersh WR, Crabtree MK, Hickam DH, et al (2002). "Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions". J Am Med Inform Assoc 9 (3): 283–93. PMID 11971889. PMC 344588[e]
  15. 15.0 15.1 15.2 15.3 Ely JW, Osheroff JA, Ebell MH, et al (March 2002). "Obstacles to answering doctors' questions about patient care with evidence: qualitative study". BMJ 324 (7339): 710. PMID 11909789. PMC 99056[e]
  16. Porter MF. An algorithm for suffix stripping. Program. 1980;14:130–7.
  17. Schwartz LM, Woloshin S, Welch HG (2007). "The drug facts box: providing consumers with simple tabular data on drug benefit and harm.". Med Decis Making 27 (5): 655-62. DOI:10.1177/0272989X07306786. PMID 17873258. Research Blogging.
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In addition:

  • Berthier Ribeiro-Neto; Ricardo Baeza-Yates; Ribeiro, Berthier de Araújo Neto (2009). Modern information retrieval. Boston: Addison-Wesley. ISBN 0-321-41691-0. 
  • Shortliffe, Edward Hance; Cimino, James D. (2006). Biomedical informatics: computer applications in health care and biomedicine. Berlin: Springer. ISBN 0-387-28986-0.