Evidence-Based Services - Clinical Informatics Consult Service

The Clinical Informatics Consult Service (CICS) brings information specialists directly into the critical care setting, where they provide just-in-time, patient-specific information when and where it is needed for effective clinical decision-making and evidence-based practice.

CICS information specialists provide searching and synthesis of the literature in response to the more complex questions from inpatient clinical teams. Information specialists synthesize all of the viewpoints reported in the literature related to a particular question, developing a concise, informative summary, which they present along with relevant articles on rounds.

For relatively quick, straightforward queries, CICS information specialists provide resource selection and search strategy assistance tailored to the clinical case, training clinicians to quickly meet basic information needs using VUMC's wealth of electronic resources.

Our information specialists also work with a number of outpatient clinics via the Outpatient Clinical Informatics Consult Service.

Evidence Based Site

(access limited to users with VUnetID and password only)
To capture the expertise, time, and effort information specialists put into these activities, the CICS program incorporates the ongoing creation of a searchable electronic database of all complex clinical questions information specialists receive on rounds. Their answers for the questions, along with the filtered references and written summaries, are entered into the Evidence Based Site. Information specialists' search strategies for each question are linked to an update button that connects directly to PubMed results for that strategy, providing a quick update on the topic. Question records are also updated periodically to ensure that the most current and relevant viewpoints in the medical literature are represented.

For more information about the CICS program, please contact Taneya Koonce.

Related Publications

  1. Giuse NB. Advancing the practice of clinical medical librarianship. Bull Med Libr Assoc 1997;85:437-8.
  2. Giuse NB, Kafantaris SR, Miller MD, Wilder KS, Martin SL, Sathe NA, Campbell JD. Clinical medical librarianship: the Vanderbilt experience. Bull Med Libr Assoc 1998;86:412-6.
  3. Jerome RN, Giuse NB, Gish KW, Sathe NA, Dietrich MS. Information needs of clinical teams: analysis of questions received by the Clinical Informatics Consult Service. Bull Med Libr Assoc 2001;89:177-84.
  4. Jerome RN, Koonce TK, Gish KW, Giuse NB. Evaluating the evidence: creation of gold standard practices for searching and filtering the biomedical literature. Paper presented at the Medical Library Association Annual Meeting, May 30, 2001.
  5. Rosenbloom ST, Giuse NB, Jerome RN, Blackford JU. Providing evidence-based answers to complex clinical questions: evaluating the consistency of article selection. Acad Med 2005;80:109-14.
  6. Giuse NB, Koonce TY, Jerome RN, Cahall M, Sathe NA, Williams A. Evolution of a mature clinical informationist model. J Am Med Inform Assoc 2005;12:249-255.