Methods Inf Med 1983; 22(04): 183-188
DOI: 10.1055/s-0038-1636648
Original Article
Schattauer GmbH

PaperChase: Computerized Bibliographic Retrieval to Answer Clinical Questions[*)]

PAPERCHASE: COMPUTERUNTERSTÜTZTE SCHRIFTTUMSSUCHE ZUR BEANTWORTUNG KLINISCHER FRAGEN
G. L. Horowitz
1   (From the Charles A. Dana Research Institute and Harvard-Tborndike Laboratory of Beth Israel Hospital, Division of Computer Medicine, Departments of Medicine and Pathology, Beth Israel Hospital and Harvard Medical School, Boston, Massachusetts)
,
J. D. Jackson
1   (From the Charles A. Dana Research Institute and Harvard-Tborndike Laboratory of Beth Israel Hospital, Division of Computer Medicine, Departments of Medicine and Pathology, Beth Israel Hospital and Harvard Medical School, Boston, Massachusetts)
,
H. L. Bleich
1   (From the Charles A. Dana Research Institute and Harvard-Tborndike Laboratory of Beth Israel Hospital, Division of Computer Medicine, Departments of Medicine and Pathology, Beth Israel Hospital and Harvard Medical School, Boston, Massachusetts)
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2018 (online)

PaperChase is a computerized bibliographic retrieval system that permits users without previous training to search the medical literature themselves at any time of the day or night. The database for PaperChase consists of approximately 425,000 references from 258 journals dating back eight years—nearly all the references shelved in the library of our hospital. In its first year of deployment, 1,032 users conducted 8,459 searches, during which they displayed 399,821 references and selected 97,869 of them for printing. The most common reason for using PaperChase is to answer a question of medical importance. As the results of the search are displayed, the titles of the retrieved references flash by; often one or more of them contain a declarative medical statement that answers the question of interest. To facilitate rapid review of these medical statements, we provided a new means to display references—just the titles, but four at a time. Examples are given which illustrate how users of PaperChase can find what they are looking for without consulting bound volumes.

PaperChase ist ein computererstelltes bibliographisches Retrieval-System, das es dem Benutzer ermöglicht, zu jeder Tages- und Nachtzeit ohne vorherige Ausbildung selbst Suchen nach medizinischer Literatur durchzuführen. Die Datenbank von PaperChase besteht aus rund 425000 Literaturhinweisen aus 258 Zeitschriften der letzten acht Jahre, wobei fast die gesamte zitierte Literatur in unserer Krankenhausbibliothek verfügbar ist. Im ersten Verwendungsjahr führten 1 032 Benutzer 8459 Suchen durch, in deren Verlauf sie 399821 Literaturhinweise ermittelten und 97869 davon ausdrucken ließen.

Der häufigste Grund für die Benutzung von PaperChase ist die Beantwortung einer Frage von Bedeutung in der Medizin. Sobald die Ergebnisse der Suche ausgegeben werden, leuchten die Titel der aufgefundenen Literaturhinweise auf; häufig enthält eine oder mehrere von ihnen eine deklarative medizinische Aussage, die die betreffende Frage beantwortet. Um eine rasche Übersicht über diese medizinischen Aussagen zu ermöglichen, boten wir eine neue Form der Ausgabe von Literaturhinweisen an — nur die Titel, aber vier auf einmal. Beispiele werden gegeben, die erhellen, wie die Benutzer von PaperChase das finden können, wonach sie suchen, ohne gebundene Bücher zu konsultieren.

*) Portions of this manuscript were adapted from The New England Journal of Medicine 305: 924—930, 1981, with permission from the publisher.


 
  • References

  • 1 Bezahler G. H. Fatal methyldopa-associated granulomatous hepatitits and myocarditis. Amer. J. med. Sci 1982; 283: 41-5.
  • 2 Bonkowsky H. L, Brisbane J. Colitis and hepatitis caused by methyldopa. J. Amer. med. Ass 1976; 236: 1602-3.
  • 3 Broden G, Bengtsson L. Biliary carcinoma associated with methyldopa therapy. Acta chir. scand. [Suppl] 1980; 500: 7-12.
  • 4 Brouillard R. P, Barrett Jr O. Methyldopa associated hepatitis. J. Amer. med. Ass 1973; 224: 904
  • 5 Bruer J. T, Goffman W, Warren K. S. Selective medical libraries and library networks for developing countries. Amer. J. trop. Med. Hyg 1981; 30: 1133-40.
  • 6 Char V. C, Chandra R, Fletcher A. B, Avery G. B. Polyhydramnios and neonatal renal failure—a possible association with maternal acetaminophen ingestion. [Letter] J. Pediat 1975; 86: 638-9.
  • 7 Curry Jr R. W, Robinson J. D, Sughrue M. J. Acute renal failure after acetaminophen ingestion. J. Amer. med. Ass 1982; 247: 1012-4.
  • 8 Delpre G, Grinblat J, Kadish U, Livni E, Shohat B, Lewitus Z, Joshua H. Immunological studies in a case of hepatitis following methyldopa administration. Amer. J. med. Sci 1979; 277: 207-13.
  • 9 Garfield E. (Edit.) Current Contents. 1983; Vol 26 July 4
  • 10 Harris A. L. Paracetamol-induced acute renal failure. Brit. med. J 1982; 284: 825
  • 11 Hoffbrand B. I, Fry W, Bunton G. L. Cholestatic jaundice due to methyldopa. Brit. med. J 1974; 3: 559
  • 12 Horowitz G. L, Bleich H. L. PaperChase: a computer program to search the medical literature. New Engl. J. Med 1981; 305: 924-30.
  • 13 Jeffery W. H, Lafferty W. E. Acute renal failure after acetaminophen overdose: report of two cases. Amer. J. Hosp. Pharm 1981; 38: 1355-8.
  • 14 Methyldopa hepatitis. [Editorial] Lancet 1976; II: 299
  • 15 Miller Jr A. C, Reíd W. M. Methyldopa-induced granulomatous hepatitis. J. Amer. med. Ass 1976; 235: 2001-2.
  • 16 Physicians’ Desk Reference. 37th Edition. Oradel, N. J: Medical Economics Company, Inc; 1983: 1245
  • 17 Puppala A. R, Steinheber F. U. Fulminant hepatic failure associated with methyldopa. Amer. J. Gastroent 1977; 68: 578-81.
  • 18 Rehman O. U, Keith T. A, Gall E. A. Methyldopa-induced submassive hepatic necrosis. J. Amer. med. Ass 1973; 224: 1390-2.
  • 19 Rodman J. S, Deutsch D. J, Gutman S. I. Methyldopa hepatitis. A report of six cases and review of the literature. Amer. J. Med 1976; 60: 941-8.
  • 20 Schweitzer I. L, Peters R. L. Acute submassive hepatic necrosis due to methyldopa. A case demonstrating possible initiation of chronic liver disease. Gastroenterology 1974; 66: 1203-11.
  • 21 Thomas E, Bhuta S, Rosenthal W. S. Methyldopa-induced liver injury. Rapid progression to fatal postnecrotic cirrhosis. Arch. Pathol. Lab. Med 1976; 100: 132-35.
  • 22 Thomas E, Rosenthal W. S, Zapiach L, Micci D. Spectrum of methyldopa liver injury. Amer. J. Gastroent 1977; 68: 125-33.
  • 23 Toghill P. J, Smith P. G, Benton P, Brown R. C, Matthews H. L. Methyldopa liver damage. Brit. med. J 1974; III: 545-8.
  • 24 Toghill P. J, Smith P. G, Benton P, Brown R. C, Matthews H. L. Liver damage in patients taking methyldopa. Gut 1974; 15: 342-3.
  • 25 Wilkinson S. P, Moodie H, Arroyo V. A, Williams R. Frequency of renal impairment in paracetamol overdose compared with other causes of acute liver damage. J. clin. Path 1977; 30: 141-3.