P01S06: Yeast infection
Bottom line: Information on yeast infection was used to maintain the management of the patient (antifungal rinse).
There were no information-related patient health outcomes.
Level 1 outcome (situational relevance): On November 5, 2008, P01 did a search at work, by themselves, and
during an encounter with a patient. I
was not in front of the patient. [
] I had left the [examination] room and went
to my desk at the back. P01 retrieved one information hit about Nystatin
for yeast infection. The reported search objectives were: to address a clinical
question, to look up something they forgot, and to share the information with a
patient. [The patient] is
twenty five. [
] She just had a tonsillectomy and she was still having pain
even though she had her tonsillectomy a week ago. And she has uncontrolled
diabetes. And she is also obese and not very clean. Like her hygiene is bad. So
she came in and I wanted to look at her throat and she had yeast all inside of
her mouth. [...] So I wanted to treat her for the yeast infection. Hopefully
that would control her pain. [...] I had to find a medication for the oral
yeast infection and so the clinical question was: how do I treat [dosage] this
oral yeast infection. [...] I mean, I knew the dosage so its more just kind of
a reminder to myself. [...] I always teach the patients to know how to take
their medications and so with this information and instructions I just was
teaching the patient about it. According to P01,
the information from e-Therapeutics+ was in agreement with and equally relevant
as the information from another electronic resource (Family Practice Notebook
Website). I went to the Family Practice Notebook. [...]
There wasnt any dosage listed under oral suspension].
Level 2 outcome (cognitive impact): One hit was associated with a report of positive cognitive impact (see table). Regarding practice improvement, P01 stated: Now I know the
dosage of Nystatin. I am more familiar and I am more comfortable with
prescribing Nystatin and so I feel that if I see oral yeast again I wont be
hesitant [for future patients].
Retrieved
information hit(s):
1) e-Therapeutics+ (CIRT): e-CPS tab RatioNystatin
extract on dosage for oral suspension and oral tablets (P01S06H01).
Level 3 outcome
(information use): Information on Nystatin for yeast infection was retrieved for a patient,
and used to maintain (be more certain about) the management of the patient (information
used as presented in e-Therapeutics+). I found the information I
needed and I wrote the prescription for her. I went back [into the examination
room] to teach her exactly how to take it.
Level 4 outcome (patient health): Without this information, P01s management of the patient would have
been the same. There were no clear relationships between the use of
information and expected patient health outcomes.
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Address a clinical question Look up something forgotten Share information |
Practice improved Reminded something Confirmed Reassured |
Be more certain |
No outcome |