How doctors make use of online, point-of-care clinical decision support systems: a case study of UpToDate

Addison J, Whitcombe J, Glover SW. How doctors make use of online, point-of-care clinical decision support systems: a case study of UpToDate. Health Information & Libraries Journal, 2012 30, pp. 13–22

Through an online questionnaire, investigators surveyed doctors at healthcare organizations in North West England which subscribe to UpToDate. Respondents were asked to describe a scenario in which they had used UpToDate, and to identify benefits, if any, associated with that scenario.

More than 90% of the 239 respondents who had used UpToDate identified at least one benefit:

  • 57% reported using UpToDate reduced treatment delays
  • 52% reported using UpToDate meant they avoided unnecessary diagnostic tests
  • 48% reported UpToDate reduced delays in diagnosis
  • 39% reported UpToDate changed their treatment decision
  • 28% reported UpToDate reduced the time to discharge