P02S08: Asthma in children (drug dosing and education)
Bottom line: Information on asthma was used to maintain the management of a
patient (drug dosing and patient education). There were no information-related
patient health outcomes.
Level 1 outcome (situational relevance): On September 15, 2008, P02 did a search at work in the emergency
department, by themselves, and during an encounter with a patient. P02 searched
for information outside of the examination room, and went back in with the drug
dosage. They retrieved one information hit about asthma and Flovent. The reported search objectives were: to
look up something they forgot, and to share information with a patient and her
family. She was a patient, seven year old girl, with known
asthma, who was having an exacerbation and we were just reviewing her
medications. And Im not sure she was using the Flovent as she should have been
so we needed to address that as part of her management. She was with her mom.
[
] I wanted to make sure I wasnt giving her a too high dosage, just
rechecking. [
] And so to discuss with mom about proper dosing and use of
Flovent. 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 and reassurance, P02 stated: [The information
confirmed I was doing the right thing] because we
were using a medicine thats recommended to prevent asthma from getting worse.
Retrieved
information hit(s):
1) e-Therapeutics+ (CIRT): e-CPS tab Flovent HFA dosage
section for children 4-16 years of age (P02S08H01)
Level 3 outcome
(information use): Information on asthma and Flovent was retrieved, and used to maintain (be more certain about) the
management of the patient (information used as presented in e-Therapeutics+). [We] discussed
with mom what the dosing should be based on her age or sort of the range and
then she agreed that we should continue this medicine. So I believe for her as
well we wrote a prescription for another inhaler for her to use. [
] She
was previously on the medicine and we were just updating the dose and that is
the recommended medicine to be on to prevent deterioration.
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 |
|
Look up something forgotten Share information |
Confirmed Reassured |
Be more certain |
No outcome |