%0 Journal Article
%T Foraging for Information in the EHR: The Search for Adherence Related Information by Mental Health Clinicians
%A Bryan Gibson
%A Charlene Weir
%A Jorie Butler
%A Kenric Hammond
%A Maryan Zirkle
%J Archive of "AMIA Annual Symposium Proceedings".
%D 2016
%X In this project we sought to qualitatively describe clinician¡¯s search for information related to the complex construct of adherence. Nineteen think aloud observations and semi-structured interviews were conducted with mental health providers as they prepared for a patient visit. The transcripts were coded according to constructs from information foraging theory (information goal, patch, scent, enrichment, and opportunity cost). The search strategies uncovered were complicated: provider¡¯s searches were sometimes multi-staged (e.g. a search of the EHR led to further enquiry when interviewing the patient), and involved multiple ¡®patches¡¯ (i.e. data from the EHR, the patient and other providers were all sought out). In addition, some information that providers considered relevant to understand adherence related questions was non-obvious (e.g. the absence of specific information was considered a useful cue). Providers¡¯ information search strategies for complex constructs are at times non-intuitive; implications for the design of EHR summarization tools are discussed
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333196/