What we know, what we infer, and where the limits are.
Some cited studies concern junior doctors or non-Australian settings. We pair external evidence with primary interviews conducted by our team and state limitations rather than hiding them.
A first-hand interview conducted by the Project LISA team as part of our problem discovery and validation research.
Part one of our first-hand interview with Rachel, conducted by the Project LISA team.
Part two of our first-hand interview with Rachel, conducted by the Project LISA team.
95% depend on guidelines daily; mean 133 seconds to locate a protocol; 38% were unable to locate some documents; 20% of searches were abandoned. The paper itself identifies a smartphone app as future work.
Read the sourceSearching rose to 62 minutes per day despite digitisation, with an estimated cost of approximately £57,000 per clinician per year.
Read the sourceAn integrative review found that nurses frequently prefer colleagues over formal evidence sources.
Read the sourceThe preference for colleagues is driven by clinical needs arising at the point of care, where answers are needed quickly.
Read the sourceComputer, IT and library access are primary barriers, with access problems more pronounced in rural and aged-care settings.
Read the sourceRural nurses may be the only health professional available, with minimal access to development, supervision and peer support.
Read the sourceThe absence of an onsite mentor left nurses isolated without another pair of eyes to support them.
Read the sourceCompetence with local policies is crucial for new-graduate patient safety, while many rural sites have no medical officer onsite.
Read the sourceMentoring was normally conducted outside work hours, making access dependent on unpaid labour and personal availability.
Read the sourceStructured mentorship is effective, yet rural turnover persists—suggesting that effective support is not consistently available where and when it is needed.
Read the sourceCIAP provides published and commercial evidence, but not each hospital’s own local policies and procedures.
Read the sourceThe evaluation found that nurses struggled to embed the portal into practice in a way doctors did not.
Read the sourceProject ECHO brings telementoring to rural Australia through scheduled group videoconferences—not on-demand point-of-care support.
Read the sourceNurRAG lifted accuracy from approximately 49% to 76%. LISA’s difference is its response to uncertainty: route an unanswerable question to a human rather than discard it.
Read the sourceLISA’s intended purpose is retrieval of existing approved documents. It does not analyse patient data or generate clinical recommendations. The design is intended to fall within the TGA’s software exclusions; confirming classification is an explicit next step.
Read the source