P09S04: Cataract
Surgery Postoperative Care
Bottom line: Information on Cataract Surgery Postoperative Care was used to
modify the management of the patient (patient education about monitoring symptoms after cataract surgery). There were no information-related patient
health outcomes
Level 1 outcome (situational relevance): On August 1, 2008, P09 did a search at work, by themselves, and after
an encounter with a patient. They retrieved one information hit about endophthalmitis. The search
objective was to fulfill an educational or research objective. [The patient was] a woman [
] in
her early 80s. [
] It just so happened that this highlight [was emailed] that
week [as part of my participation in the research]. So I looked at it and
evaluated, and had some good information on the postoperative evaluation [for
cataract surgery]. [
] That particular day, I was at the pre-op [for this
patient]. [
] It [the information] was useful for me. [
] She [the patient]
didn't have any problems [post-op], but it's important for me to know what to
look for [patient education and follow-up]. According to P09, 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 practice
improvement, P09 stated: [My practice is improved] just being more focused in terms of
evaluating, when people come back, evaluating for those patients floaters, and
signs or symptoms of endophthalmitis.
Retrieved
information hit(s):
1) e-Therapeutics+ (CIRT): Home
tab Eye Disorders: Cataract Surgery Postoperative Care
(P09S04H01)
Level 3 outcome
(information use): Information on endophthalmitis was retrieved,
and used to modify the management of the patient (information used as presented
in e-Therapeutics+). When I say [that the information was used to]
modify [my management] it means I just, specifically, look for these things, and
ask for them specifically [
] [If I wouldnt have read this information], I
wouldn't have discussed it.
Level 4 outcome (patient health): There was no
clear relationship between the information use and patient health outcomes.
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Fulfill educational objective |
Practice improved Learned something Motivated to learn Reassured |
Manage differently |
No outcome |