Effectiveness of bibliographic searches performed by paediatric residents and interns assisted by librarians. A randomised controlled trial

Health Info Libr J. 2011 Dec;28(4):273-84. doi: 10.1111/j.1471-1842.2011.00957.x. Epub 2011 Aug 16.

Abstract

Background: Considerable barriers still prevent paediatricians from successfully using information retrieval technology.

Objectives: To verify whether the assistance of biomedical librarians significantly improves the outcomes of searches performed by paediatricians in biomedical databases using real-life clinical scenarios.

Methods: In a controlled trial at a paediatric teaching hospital, nine residents and interns were randomly allocated to an assisted search group and nine to a non-assisted (control) group. Each participant searched PubMed and other online sources, performing pre-determined tasks including the formulation of a clinical question, retrieval and selection of bibliographic records. In the assisted group, participants were supported by a librarian with ≥5 years of experience. The primary outcome was the success of search sessions, scored against a specific assessment tool.

Results: The median score of the assisted group was 73.6 points interquartile range (IQR = 13.4) vs. 50.4 (IQR = 17.1) of the control group. The difference between median values in the results was 23.2 points (95% CI 4.8-33.2), in favour of the assisted group (P-value, Mann-Whitney U test: 0.013).

Conclusions: The study has found quantitative evidence of a significant difference in search performance between paediatric residents or interns assisted by a librarian and those searching the literature alone.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Clinical Competence
  • Databases, Bibliographic*
  • Decision Support Systems, Clinical / instrumentation
  • Evidence-Based Practice
  • Female
  • Health Services Research
  • Hospitals, Teaching
  • Humans
  • Information Storage and Retrieval / methods
  • Internship and Residency / methods*
  • Libraries, Medical
  • Library Science / methods*
  • Male
  • Pediatrics*
  • Statistics, Nonparametric