P26S08: Adverse effect of antidepressant
Bottom line: Information on depression was
used to better understand
a specific issue about a patient (adverse effects associated with an
antidepressant). There were no information-related patient health outcomes.
Level 1 outcome (situational relevance): On June 24, 2009, P26 did a search at home, by themselves, and after an
encounter with a patient. They retrieved one information hit about prozac. The
reported search objective was: to address a clinical question. “The patient was a woman [between 25 and 30]
which consulted in psychiatry because she had really really really strong
premenstrual syndromes and depression too. […] One of the psychiatrists told me
there is an indication [for Prozac] for women with important premenstrual
syndromes. [I wanted] to look up Prozac indications in premenstrual syndromes,
then look up Prozac adverse effects.” According to P26, information found in e-Therapeutics+ was the in
agreement and equally relevant as the information from another electronic
resource (UpToDate). These resources answered only the question about the
adverse effects (no information found about premenstrual syndrome and antidepressants).
Level 2 outcome (cognitive impact): One hit was associated with a report of positive cognitive impact (see table). Regarding
practice improvement and learning, P26 stated: “I better know about the medication’s adverse effects. I can better
inform my patients. [...] I would say that basically what I learned that was
new were the adverse effects.”
Retrieved
information hit:
1) e-Therapeutics+ (CIRT): eCPS Tab – Keyword: Prozac – Prozac
(M) – Table 1 (P26S08H01)
Level 3 outcome
(information use): Information on prozac was retrieved, and used to better understand a
specific issue about a patient (information used as presented in e-Therapeutics+). “I wanted to confirm if what was decided was
valid or not. [...] I didn’t know anything in the beginning. [...] It’s my boss
who has the final word, and the recommendation was Prozac. [...][INT: Was the
information used to write your report?] No, no, it was more like... for
myself.”
Level 4 outcome (patient health): Not applicable
(conceptual use).
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Address a clinical question |
Practice improved Learned something |
Understand issue |
No outcome |