P02S07: Vertigo (drug prescription)
Bottom line: Information on betahistine for vertigo was used to maintain the
management of a patient (drug prescription). There were no information-related
patient health outcomes.
Level 1 outcome (situational relevance): On November 10, 2008, P02 did a search at work in the emergency
department, by themselves, and during an encounter with a patient. They
retrieved one information hit about vertigo and
Serc (anti-histaminic). The reported search objective was to
address a clinical question. It was a forty
seven year old female. [
] It was a new episode of vertigo for her. [
] She was very dizzy, even just
little bits of movement were very upsetting and she was vomiting. [
] just started
within the last 24 hours. And because it looked like it was vertigo rather than
something else, we decided to put her on something to help with the symptoms.
Usually we choose Serc and thats why I searched it. [
] I was looking for
dosing and it clearly outlined that, so it was helpful. According to P02,
e-Therapeutics+ was the only source for information, and the found information
was relevant.
Level 2 outcome (cognitive impact): One hit was associated with a report of positive cognitive impact (see table). Regarding confirmation, reassurance, and reminder, P02 stated: I had an idea what the dosing was and it just confirmed
that for me.
Retrieved
information hit(s):
1) e-Therapeutics+ (CIRT): e-CPS tab Serc dosage section
(P02S07H01)
Level 3 outcome
(information use): Information on vertigo and Serc was retrieved, and used to maintain (be more certain about) the
management of the patient (information used as presented in e-Therapeutics+). Basically, I prescribed the information as it
was outlined in the eT website, and thats about all.
Level 4 outcome (patient health): Without this information hit, P02s 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 |
Reminded something Confirmed Reassured |
Be more certain |
No outcome |