Journal articles on the topic 'Medical sciences Electronic information resources'
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Harger, Nancy E. "Electronic Resources in Medical Libraries: Issues and Solutions." Journal of the Medical Library Association : JMLA 96, no. 2 (April 2008): 171–72. http://dx.doi.org/10.3163/1536-5050.96.2.172.
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Eskrootchi, Rogheyeh, and Mohammad Ali Boroumand. "Marketing methods for electronic resources in medical libraries: a study on the application of the analytical hierarchy process." Journal of the Medical Library Association 110, no. 3 (December 8, 2022): 332–39. http://dx.doi.org/10.5195/jmla.2022.1351.
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Paired with the high cost of providing access to electronic resources in medical libraries, the inefficient use of these resources highlights the need for more efforts to promote these resources than ever before. In this study, electronic resource marketing methods were prioritized and the best strategies were determined using the analytical hierarchy process (AHP). Using an analytical survey of officials of medical libraries, the most common methods for marketing electronic resources in libraries were determined and divided into categories of strategies. Five important criteria for marketing strategies were also selected. Using AHP, pairwise comparisons were performed between the alternatives (i.e., strategies), which were evaluated against the selected criteria. Data analysis was performed using Expert Choice 11 software. A total of 44 electronic resource marketing methods were identified and categorized into 4 strategies. On average, 43.9% of these methods were used by the surveyed libraries. The AHP showed that simplicity was the most important criterion and that communication networks were the best electronic resource marketing strategy. Home/off-campus access, group training, library search stations, and marketing by individual librarians were the most preferred methods of marketing electronic resources. With the availability of a variety of different methods for marketing electronic resources, medical libraries must select strategies based on important criteria depending on the characteristics of the library, librarians, and users. Thus, the AHP can be an effective and practical solution to decision-making by mathematically prioritizing the selection of the best strategies from a set of alternatives based on differentially weighted criteria.
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Wolverton, Robert E., Karen Davidson, and Shima Moradi. "Electronic resources for health and medical systems in Iran." Journal of Electronic Resources Librarianship 31, no. 1 (January 2, 2019): 41–46. http://dx.doi.org/10.1080/1941126x.2018.1562609.
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Thanuskodi, S. "Use of Internet and Electronic Resources for Medical Science Information: A Case Study." Journal of Communication 1, no. 1 (July 2010): 37–44. http://dx.doi.org/10.1080/0976691x.2010.11884769.
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Preddie, Martha Ingrid. "Clinician-selected Electronic Information Resources do not Guarantee Accuracy in Answering Primary Care Physicians' Information Needs." Evidence Based Library and Information Practice 3, no. 1 (March 17, 2008): 78. http://dx.doi.org/10.18438/b8n011.
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McKibbon, K. Ann, and Douglas B. Fridsma. “Effectiveness of Clinician-selected Electronic Information Resources for Answering Primary Care Physicians’ Information Needs.” Journal of the American Medical Informatics Association 13.6 (2006): 653-9.
Objective – To determine if electronic information resources selected by primary care physicians improve their ability to answer simulated clinical questions.
Design – An observational study utilizing hour-long interviews and think-aloud protocols.
Setting – The offices and clinics of primary care physicians in Canada and the United States.
Subjects – 25 primary care physicians of whom 4 were women, 17 were from Canada, 22 were family physicians, and 24 were board certified.
Methods – Participants provided responses to 23 multiple-choice questions. Each physician then chose two questions and looked for the answers utilizing information resources of their own choice. The search processes, chosen resources and search times were noted. These were analyzed along with data on the accuracy of the answers and certainties related to the answer to each clinical question prior to the search.
Main results – Twenty-three physicians sought answers to 46 simulated clinical questions. Utilizing only electronic information resources, physicians spent a mean of 13.0 (SD 5.5) minutes searching for answers to the questions, an average of 7.3 (SD 4.0) minutes for the first question and 5.8 (SD 2.2) minutes to answer the second question. On average, 1.8 resources were utilized per question. Resources that summarized information, such as the Cochrane Database of Systematic Reviews, UpToDate and Clinical Evidence, were favored 39.2% of the time, MEDLINE (Ovid and PubMed) 35.7%, and Internet resources including Google 22.6%. Almost 50% of the search and retrieval strategies were keyword-based, while MeSH, subheadings and limiting were used less frequently. On average, before searching physicians answered 10 of 23 (43.5%) questions accurately. For questions that were searched using clinician-selected electronic resources, 18 (39.1%) of the 46 answers were accurate before searching, while 19 (42.1%) were accurate after searching. The difference of one correct answer was due to the answers from 5 (10.9%) questions changing from correct to incorrect, while the answers to 6 questions (13.0%) changed from incorrect to correct. The ability to provide correct answers differed among the various resources. Google and Cochrane provided the correct answers about 50% of the time while PubMed, Ovid MEDLINE, UpToDate, Ovid Evidence Based Medicine Reviews and InfoPOEMs were more likely to be associated with incorrect answers. Physicians also seemed unable to determine when they needed to search for information in order to make an accurate decision.
Conclusion – Clinician-selected electronic information resources did not guarantee accuracy in the answers provided to simulated clinical questions. At times the use of these resources caused physicians to change self-determined correct answers to incorrect ones. The authors state that this was possibly due to factors such as poor choice of resources, ineffective search strategies, time constraints and automation bias. Library and information practitioners have an important role to play in identifying and advocating for appropriate information resources to be integrated into the electronic medical record systems provided by health care institutions to ensure evidence based health care delivery.
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Porumbeanu, Octavia-Luciana. "The impact of electronic resources and new technology in academic medical libraries in Romania." Health Information & Libraries Journal 26, no. 2 (May 27, 2009): 151–55. http://dx.doi.org/10.1111/j.1471-1842.2009.00845.x.
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Lakshanakumar, B. M., and K. Senthilnayagam. "Use of Electronic Resources by the Faculty Members of Government Medical College Libraries in Karnataka." Indian Journal of Information Sources and Services 9, no. 2 (May 5, 2019): 102–5. http://dx.doi.org/10.51983/ijiss.2019.9.2.614.
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Medical college libraries are aiming to provide efficient information services using both electronic and printed scholarly information resources to the medical professionals This paper study on the use of E-resources (e-books, e-journals, e-databases) subscribed by Health Science Library and Information Network, HELINET Consortium. The study sample is the faculty members of Government Medical Colleges. The study found that use of E Resources and use of Database by faculty members is not up to expectation of the provider and the investment.
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Bauer, Kathleen. "Indexes as Tools for Measuring Usage of Print and Electronic Resources." College & Research Libraries 62, no. 1 (January 1, 2001): 36–42. http://dx.doi.org/10.5860/crl.62.1.36.
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Libraries are experiencing rapid change as they add electronic resources. These resources are popular with patrons, but their usage is not captured in traditional library statistics. Libraries must find a way to represent the diverse data available for electronic resources in some meaningful way that allows for comparison with statistics for print resources. To do this, the Cushing/Whitney Medical Library has created two indexes, the Electronic and Print Usage Indexes. An index is a simple tool that combines data on items from a group into one number and so represents overall change in the group. The indexes at Cushing/Whitney show that in 1998–1999, patron usage of electronic resources more than doubled, whereas print use declined.
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Felber, Sue H. "The Medical Library Association Guide to Cancer Information: Authoritative, Patient-Friendly Print, and Electronic Resources." Journal of the Medical Library Association : JMLA 96, no. 2 (April 2008): 172–73. http://dx.doi.org/10.3163/1536-5050.96.2.173.
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Boumarafi, Behdja. "Electronic Resources at the University of Sharjah Medical Library: An Investigation of Students' Information-Seeking Behavior." Medical Reference Services Quarterly 29, no. 4 (October 29, 2010): 349–62. http://dx.doi.org/10.1080/02763869.2010.518921.
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Mardi, Yuli. "Electronic Medical Record as Literature Study." Proceeding International Conference on Medical Record 2, no. 1 (January 10, 2022): 45–51. http://dx.doi.org/10.47387/icmr.v2i1.154.
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Background: Medical records can be created manually or electronically. In the world of health, the development of information and communication technology is currently affecting health care services as a whole, including the implementation of electronic medical records. The application of electronic medical records must go through a careful planning stage, this is because electronic medical records involve many parties in health facilities and and require a lot of costs. For this reason, a comprehensive study of electronic medical records is needed. One way is to conduct a literature study of several articles related to the electronic medical record.Methods: In conducting this research, the literature review method was used, where the search for articles was not carried out systematically, but the scientific journal articles reviewed were selected by the researcher on one research topic, and selected based on the knowledge and experience possessed by the researcher (traditional review).Results: In this study, 7 articles were reviewed related to electronic medical records. There are some similarities in terms of benefits or obstacles in the application of electronic medical records in health facilities. Among the benefits of electronic medical records are the efficiency of using paper/medical record files, efficiency in the use of space/storage media, time efficiency in searching data and distributing medical record data, efficiency of human resources in finding medical record files and being able to detect errors in data entry. While some of the common obstacles to implementing electronic medical records in health facilities are the unpreparedness of officers at health facilities, so it takes time for socialization and training of human resources, problems with the network, lack of IT resources at health facilities that specifically handle electronic medical records, high implementation costs. expensive (hardware software) and there is no legal umbrella.Conclusions: There is a need for comprehensive research using the semantic review method of articles related to electronic medical records, so that the results can be used as a reference for health facilities in implementing electronic medical records. Thus, it is hoped that the migration and implementation process from manual medical records to electronic medical records can be carried out as expected.
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Cheng, Daryl, Thomas Scodellaro, Wonie Uahwatanasakul, and Mike South. "An Electronic Medical Record in Pediatric Medical Education: Survey of Medical Students' Expectations and Experiences." Applied Clinical Informatics 09, no. 04 (October 2018): 809–16. http://dx.doi.org/10.1055/s-0038-1675371.
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Objective This study sought to quantitatively characterize medical students' expectations and experiences of an electronic health record (EHR) system in a hospital setting, and to examine perceived and actual impacts on learning. Methods Medical students from July to December 2016 at a tertiary pediatric institution completed pre- and postrotation surveys evaluating their expectations and experience of using an EHR during a pediatric medicine rotation. Survey data included past technology experience, EHR accessibility, use of learning resources, and effect on learning outcomes and patient–clinician communication. Results Students generally reported high computer self-efficacy (4.16 ± 0.752, mean ± standard deviation), were comfortable with learning new software (4.08 ± 0.771), and expected the EHR to enhance their overall learning (4.074 ± 0.722). Students anticipated the EHR to be easy to learn, use, and operate, which was consistent with their experience (pre 3.86 vs. post 3.90, p = 0.56). Students did not expect nor experience that the EHR reduced their interaction, visual contact, or ability to build rapport with patients. The EHR did not meet expectations to facilitate learning around medication prescribing, placing orders, and utilizing online resources. Students found that the EHR marginally improved feedback surrounding clinical contributions to patient care from clinicians, although not to the expected levels (pre 3.50 vs. post 3.17, p < 0.01). Conclusion Medical students readily engaged with the EHR, recognized several advantages in clinical practice, and did not consider their ability to interact with patients was impaired. There was widespread consensus that the EHR enhanced their learning and clinician's feedback, but not to the degree they had expected.
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Boytcheva, Svetla. "Structured Information Extraction from Medical Texts in Bulgarian." Cybernetics and Information Technologies 12, no. 4 (December 1, 2012): 52–65. http://dx.doi.org/10.2478/cait-2012-0030.
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Abstract This paper presents an approach for Information Extraction (IE) from Patient Records (PRs) in Bulgarian. The specific terminology and lack of resources in electronic format are some of the obstacles that make the task of current patient status data extraction in a structured format quite challenging. The usage of N-grams, collocations and words’ distances allows us to cope with this problem and to extract automatically the attribute-value pairs with relatively high precision.
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Flake, Donna. "No Password Required—A Case Study of Integrating the Library's Electronic Resources Into the Hospital's Electronic Medical Record." Journal of Hospital Librarianship 10, no. 4 (October 20, 2010): 402–9. http://dx.doi.org/10.1080/15323269.2010.514670.
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Baxter, Sally L., Lina Lander, Brian Clay, John Bell, Kristen Hansen, Amanda Walker, and Ming Tai-Seale. "Comparing the Use of DynaMed and UpToDate by Physician Trainees in Clinical Decision-Making: A Randomized Crossover Trial." Applied Clinical Informatics 13, no. 01 (January 2022): 139–47. http://dx.doi.org/10.1055/s-0041-1742216.
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Abstract Background Costs vary substantially among electronic medical knowledge resources used for clinical decision support, warranting periodic assessment of institution-wide adoption. Objectives To compare two medical knowledge resources, UpToDate and DynaMed Plus, regarding accuracy and time required to answer standardized clinical questions and user experience. Methods A crossover trial design was used, wherein physicians were randomized to first use one of the two medical knowledge resources to answer six standardized questions. Following use of each resource, they were surveyed regarding their user experience. The percentage of accurate answers and time required to answer each question were recorded. The surveys assessed ease of use, enjoyment using the resource, quality of information, and ability to assess level of evidence. Tests of carry-over effects were performed. Themes were identified within open-ended survey comments regarding overall user experience. Results Among 26 participating physicians, accuracy of answers differed by 4 percentage points or less. For all but one question, there were no significant differences in the time required for completion. Most participants felt both resources were easy to use, contained high quality of information, and enabled assessment of the level of evidence. A greater proportion of participants endorsed enjoyment of use with UpToDate (23/26, 88%) compared with DynaMed Plus (16/26, 62%). Themes from open-ended comments included interface/information presentation, coverage of clinical topics, search functions, and utility for clinical decision-making. The majority (59%) of open-ended comments expressed an overall preference for UpToDate, compared with 19% preferring DynaMed Plus. Conclusion DynaMed Plus is noninferior to UpToDate with respect to ability to achieve accurate answers, time required for answering clinical questions, ease of use, quality of information, and ability to assess level of evidence. However, user experience was more positive with UpToDate. Future studies of electronic medical knowledge resources should continue to emphasize evaluation of usability and user experience.
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Chakroborty, Shuvashish. "Use of the internet and electronic resources for medical science information in Bangladesh: A case study." Learning Community-An International Journal of Educational and Social Development 5, no. 2and3 (2014): 119. http://dx.doi.org/10.5958/2231-458x.2014.00014.1.
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Wheeler, Terrie R. "Implementation of a Medical Knowledge Resource in the Electronic Medical Record." Journal of Hospital Librarianship 7, no. 4 (December 2007): 15–29. http://dx.doi.org/10.1300/j186v07n04_02.
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Zhang, Yuanyuan. "Construction and Application of Regional Medical Information Sharing System Based on Big Data." International Journal of Information System Modeling and Design 11, no. 3 (July 2020): 40–61. http://dx.doi.org/10.4018/ijismd.2020070103.
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With the popularization of network application and the rapid development of electronic science, big data technology is constantly maturing and widely used in various fields. For the continuous development of regional medical informatization in China, based on the concept of big data technology and regional medical information data sharing, this paper adopts big data to improve the quality and efficiency of medical information service so as to realize the reasonable distribution and sharing of medical resources and provide references for medical service innovation in China.
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Overby, Casey, John Connolly, Christopher Chute, Joshua Denny, Robert Freimuth, Andrea Hartzler, Ingrid Holm, et al. "Practical considerations for implementing genomic information resources." Applied Clinical Informatics 07, no. 03 (July 2016): 870–82. http://dx.doi.org/10.4338/aci-2016-04-ra-0060.
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SummaryTo understand opinions and perceptions on the state of information resources specifically targeted to genomics, and approaches to delivery in clinical practice.We conducted a survey of genomic content use and its clinical delivery from representatives across eight institutions in the electronic Medical Records and Genomics (eMERGE) network and two institutions in the Clinical Sequencing Exploratory Research (CSER) consortium in 2014.Eleven responses representing distinct projects across ten sites showed heterogeneity in how content is being delivered, with provider-facing content primarily delivered via the electronic health record (EHR) (n=10), and paper/pamphlets as the leading mode for patient-facing content (n=9). There was general agreement (91%) that new content is needed for patients and providers specific to genomics, and that while aspects of this content could be shared across institutions there remain site-specific needs (73% in agreement).This work identifies a need for the improved access to and expansion of information resources to support genomic medicine, and opportunities for content developers and EHR vendors to partner with institutions to develop needed resources, and streamline their use – such as a central content site in multiple modalities while implementing approaches to allow for site-specific customization. Citation: Rasmussen LV, Overby CL, Connolly J, Chute CG, Denny JC, Freimuth RR, Hartzler AL, Holm IA, Manzi S, Pathak J, Peissig PL, Smith M, Williams MS, Shirts BH, Stoffel EM, Tarczy-Hornoch P, Rohrer Vitek CR, Wolf WA, Starren J. Practical considerations for implementing genomic information resources – experiences from eMERGE and CSER.
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Y., Shafaei-Khanghah, Enteshari-Moghaddam A., Nasl Seraji F., Amani F., Ghobadi H., and Farzaneh E. "Educational needs assessment of faculty members in Ardabil University of Medical Sciences." International Journal Of Community Medicine And Public Health 4, no. 11 (October 25, 2017): 4042. http://dx.doi.org/10.18203/2394-6040.ijcmph20174814.
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Background: Identifying the educational needs is an essential step in planning faculty development programs and plays an important role in promoting the quality of education and can help educational planners to be able to design effective strategies based on available resources and provide effective training. The aim of this study was to determine the educational needs of faculty members in medical school of Ardabil University of Medical Sciences. Methods: This is a descriptive cross-sectional study that has been done on 88 faculty academic members in two clinical and basic groups Data collected by a questionnaire and collected data were analyzed using statistical methods in SPSS.20. Results: 53.4% of cases were in group clinical and rests of them were in basic group. 75% of cases were male and rest of them were female. 57% had more than 10 years of work experience. There was a significant difference between two groups in the field of research in the area ethics in research and in the field of information technology in the area of using electronic resources between two groups. Based on the prioritization of the needs within the clinical and basic academic members, the greatest need in both groups was related to the writing of scientific texts in English. Also, the lowest priorities within the clinical and basic members were the familiarity with English journals (26.8%) and the use of electronic resources (27.7%). Conclusions: Results showed that the level and type of needs among university faculty members fits with the needs of the faculty members in other universities that is required to response the needs of clinical and basic professors, necessary educational and research actions based on the priorities in 6 areas will happen in future.
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Ворона, Іванна Іванівна. "INTERNET RESOURCES FOR THE COURSE OF LATIN IN MEDICAL UNIVERSITIES." Information Technologies and Learning Tools 74, no. 6 (December 30, 2019): 138–49. http://dx.doi.org/10.33407/itlt.v74i6.2730.
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The features of using the Internet as a learning resource are described in the research. The necessity of using new educational technologies in the educational process because of the development of information and communication technologies is substantiated. The expediency of using the Internet resources of different purpose and complexity for learning Latin language as well as the list of web-sites is presented. The Internet Information Network offers a huge number of learning and informative materials different in form and content that greatly enhances students’ interest in learning Latin and medical terminology as well as their opportunities to find, study and master the material. Much attention is paid to the use of the Internet by the rising experts in medicine during their independent study of the Latin language. The web resources of the Internet provide access to a wide range of achievements of world science and technology. This is evidenced by a large number of electronic resources of learning, reference, illustrative, game-like and literature content that can affect personal development, education and competence of the students. The access to new information materials is a powerful source of complementation of the theoretical and intellectual component of Latin learning. Using Internet information resources, wisely integrating them into the learning process, makes it possible to cope with a range of both didactic and social as well as cultural tasks more effectively: development of reading skills by using the materials of the network of different degrees of complexity; improvement of writing skills; increase of vocabulary with professional Latin terms; studying history of medical terms, their etymology. As a result of the study the conclusion has been drawn that the Internet with a variety of information and resources has a positive effect on the effectiveness of teaching the Latin language along with the development of motivation and interest of the students. The purposeful and competent use of the Internet resources in teaching Latin significantly improves the efficiency of the learning process and facilitates the study of vocabulary and grammar.
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Eysmont, Yuliya. "DB "Ukrainika scientific": past, present and future." Вісник Книжкової палати, no. 10 (October 28, 2019): 21–24. http://dx.doi.org/10.36273/2076-9555.2020.10(291).21-24.
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The history of creation of the national DB "Ukrainika scientific" which is one of the important and significant electronic resources of the Vernadsky National Library of Ukraine, is covered. Attention is paid to its role in the domestic and world information space, emphasis is placed on its uniqueness. It is noted that the main task of creation, replenishment and functioning of DB "Ukrainika scientific" is to achieve full reflection of the printed scientific works of domestic scientists from all branches of science. The formation, thematic and types of filling of DB "Ukrainika scientific" are considered. It is noted that the largest number of publications reflected in the DB "Ukrainika scientific" relates to the social sciences and humanities, the second place is occupied by abstracts of publications on technical and agricultural, the third — medical, the fourth — natural sciences. Peculiarities of abstracting scientific documents are revealed. Emphasis is placed on the responsibility and high professionalism of Vernadsky National Library of Ukraine specialists who participate in the creation and editing of abstract texts for DB "Ukrainika scientific". The advantages of using the information resource contained in the national abstract database are given. The current state and prospects of development of the system of cooperative abstracting in Ukraine are analyzed. It is noted that at the present stage the main participants in corporate cooperation in abstracting documents for DB "Ukrainika scientific" are the following institutions: Vernadsky National Library of Ukraine, Institute of Information Registration of the National Academy of Sciences of Ukraine, National Scientific Medical Library of Ukraine, V. O. Sukhomlynskyi State Scientific and Pedagogical Library of Ukraine. The Agreement on cooperation between these institutions is analyzed and the responsibilities of each of them are given. It is emphasized that cooperative cooperation helps to increase the amount of abstract resources in various fields of science. Prospects for the development of DB "Ukrainika scientific" are outlined. Emphasis is placed on the harmonious combination of the abstract database with full-text, which will provide a significant increase in the number of users.
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Leslie, Sharon. "A Review of: “The Medical Library Association Guide to Cancer Information: Authoritative, Patient-Friendly Print and Electronic Resources Volk, Ruti M.”." Medical Reference Services Quarterly 27, no. 2 (June 2, 2008): 242–44. http://dx.doi.org/10.1080/02763860802114934.
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Ziminski, Timoteus B., Steven A. Demurjian, Eugene Sanzi, Mohammed Baihan, and Thomas Agresta. "An Architectural Solution for Health Information Exchange." International Journal of User-Driven Healthcare 6, no. 1 (January 2016): 65–103. http://dx.doi.org/10.4018/ijudh.2016010104.
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Health information technology (HIT) systems including electronic health records (EHRs) have a market saturation nearing 92% at individual institutions but are still unsuited for cross-institutional collaboration of stakeholders (e.g., medical providers such as physicians, hospitals, clinics, labs, etc.) in support of health information exchange (HIE) of different HIT systems in geographically separate locations. In the computer science field, software architectures such as service-oriented architecture, grid computing, publish/subscribe paradigm, and data warehousing are well-established approaches for interoperation. However, the application of these software architectures to support HIE has not been significantly explored. To address this issue, this paper proposes an architectural solution for HIE that leverages established software architectural styles in conjunction with the emergent HL7 standard Fast Healthcare Interoperability Resources (FHIR). FHIR models healthcare data with XML or JSON schemas using a set of 93 resources to track a patient's clinical findings, problems, allergies, adverse events, history, suggested physician orders, care planning, etc. For each resource, a FHIR CRUD RESTful Application Program Interface (API) is defined to share data in a common format for each of the HITs that can then be easily accessible by mobile applications. This paper details an architectural solution for HIE using software architectural styles in conjunction with FHIR to allow HIT systems of stakeholders to be integrated to facilitate collaboration among medical providers. To demonstrate the feasibility and utility of HHIEA, a realistic regional healthcare scenario is introduced that illustrates the interactions of stakeholders across an integrated collection of HIT systems.
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Watts, Chris, and Ijeoma Ibegbulam. "Access to Electronic Healthcare Information Resources in Developing Countries: experiences from the Medical Library, College of Medicine, University of Nigeria." IFLA Journal 32, no. 1 (March 2006): 54–61. http://dx.doi.org/10.1177/0340035206063903.
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Mullen, Deborah. "The Medical Library Association Guide to Cancer Information: Authoritative, Patient-Friendly Print and Electronic Resources, by Ruti Malis Volk." Journal of Hospital Librarianship 9, no. 4 (October 27, 2009): 448–49. http://dx.doi.org/10.1080/15323260903256376.
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Yaseen, Maria, Misbah Bano, and Masood Jawaid. "Medical students utilization of e-learning re-sources; is it an informal curriculum?" International Journal of Medicine 5, no. 1 (May 3, 2017): 132. http://dx.doi.org/10.14419/ijm.v5i1.7503.
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Background: E-learning refers to the use of Internet technologies to deliver a broad range of solutions that enhance knowledge and per-formance of learners. This mode of learning can be used by institutions to improve the efficiency and effectiveness of educational inter-ventions in the face of the social, scientific, and pedagogical challenges. Worldwide, it has gained popularity in the past few decades; however, its use is highly variable among the medical schools of Pakistan. Currently, a very few number of institutions have adopted it officially in their curriculum. Despite this, many students use different E Learning resources to enhance their learning.Objective: To find out about the online resources utilized by the medical students in addition to their traditional medical curriculum to enhance their learning.Method: In this cross-sectional study, 300 participants from Dow Medical College and Jinnah Sindh Medical Universities were included after taking informed consent. A self-administered questionnaire which consists of demographic information, years of study and online resources with their usage details by the students for different subjects of basic and clinical sciences were documented.Results: Almost all the students reported to use some form of eLearning to enhance their medical understanding. The most frequently used electronic resources were Google images (61.7%) and Wikipedia (50.3%). Mostly, the students used YouTube (25.7%) for animations; Kaplan (27%) and Dr. Najeeb (15.6%) for video lectures. However, Audio lecture by Goljan (17.7%) was the only resource for podcast learning. Among discussion forums, Facebook groups (16.3%) were most popular and among static websites, Medscape (4.3%), PubMed (2.5%), WebMD (1.3%) were the most commonly used ones.Conclusion: All of the medical students used some form of eLearning in medical education in addition to their formal curriculum. This way of learning should be further implemented in the form of formal curriculum as e-learning modules for basic and clinical sciences to make learning easier, engaging and innovative for the 21st century learners.
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Brown, Marcy L. "Varied Search Protocols Lead to Clinically Relevant Results." Evidence Based Library and Information Practice 3, no. 1 (March 17, 2008): 65. http://dx.doi.org/10.18438/b8x88x.
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Patel, Manesh R., Connie M. Schardt, Linda L. Sanders, and Sheri A. Keitz. “Randomized Trial for Answers to Clinical Questions: Evaluating a Pre-Appraised Versus a MEDLINE Search Protocol.” Journal of the Medical Library Association 94.4 (2006): 382-6.
Objective – To determine the success rate of electronic resources for answering clinical questions by comparing speed, validity, and applicability of two different protocols for searching the medical literature.
Design – Randomized trial with results judged by blinded panel.
Setting – Duke University Medical Center in Durham, North Carolina, United States of America.
Subjects – Thirty-two 2nd and 3rd year internal medicine residents on an eight-week general medicine rotation at the Duke University Medical Center.
Methods – Two search protocols were developed:
Protocol A: Participants searched MEDLINE first, and then searched pre-appraised resources if needed.
Protocol B: Participants searched pre-appraised resources first, which included UpToDate, ACP Journal Club, Cochrane Database of Systematic Reviews, and DARE. The residents then searched MEDLINE if an answer could not be found in the initial group of pre-appraised resources.
Residents were randomised by computer-assisted block order into four blocks of eight residents each. Two blocks were assigned to Protocol A, and two to Protocol B. Each day, residents developed at least one clinical question related to caring for patients. The questions were transcribed onto pocket-sized cards, with the answer sought later using the assigned protocol. If answers weren’t found using either protocol, searches were permitted in other available resources.
When an article that answered a question was found, the resident recorded basic information about the question and the answer as well as the time required to find the answer (less than five minutes; between five and ten minutes; or more than ten minutes). Residents were to select answers that were “methodologically sound and clinically important” (384). Ten faculty members formally trained in evidence-based medicine (EBM) reviewed a subset of therapy-related questions and answers. The reviewers, who were blinded to the search protocols, judged the applicability and internal validity of the answers.
Results – In total, 120 questions were searched using protocol A and 133 using protocol B; 104 answers were found by the protocol A group and 117 by the protocol B group. In protocol A, 97 answers were found in MEDLINE (80.8%) and six answers were found in pre-appraised resources (5.0%). In protocol B, 85 answers were found in pre-appraised resources (64.6%) and 31 were found in MEDLINE (23.3%). UpToDate was the major resource for answers in protocol B.
A statistically greater number of answers were found in less than five minutes in protocol B (p
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Masyfufah, Lilis, Mrs Sriwati, Amir Ali, and Bambang Nudji. "Readiness of Application of Electronic Medical Records in Health Services (Literature Study)." Proceeding International Conference on Medical Record 2, no. 1 (January 10, 2022): 1–12. http://dx.doi.org/10.47387/icmr.v2i1.148.
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Background: Information and Communication Technology is advancing rapidly and has a major impact on all life, especially in the health sector, especially medical records. This is manifested in the Electronic Medical Record (EMR), which has now been further developed into an Electronic Health Record (EHR). This technology is used to replace or complement paper medical records. The purpose of this literature study is to determine the readiness to apply electronic medical records in health services.Methods: This study uses a literature study obtained from searching scientific research articles from the 2010–2020 range. Keywords used in this study is readiness and DOQ-IT. The database used comes from Google Sholar, Garuda, Neliti, and One Search. The search found 130 articles, then a critical appraisal process was carried out to produce 10 suitable manuscripts.Results: Various literatures found that the readiness to apply electronic medical records using the DOQ-IT method was influencedby 4 factors including the readiness of human resources, orgnizational culture, insfrastructure, and leadership governance. It can be concluded that the readiness for the application of electronic medical recors in health services with the very ready category is 30%, the moderately ready category is 50%, then the unready category is 20%.Conclusions: From the discussion above, it can be concluded that EMR readiness in health services is categorized as quite ready (50%), very ready (30%), and not ready (20%).
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Wood, Michael A., Carole Thompson, and Kristine M. Alpi. "Extending Electronic Resource Licenses to a Newly Established Overseas Medical School Branch." Journal of Electronic Resources in Medical Libraries 4, no. 1-2 (March 15, 2007): 25–40. http://dx.doi.org/10.1300/j383v04n01_04.
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Nemati Anaraki, Leila, and Fahimeh Babalhavaeji. "Investigating the awareness and ability of medical students in using electronic resources of the integrated digital library portal of Iran." Electronic Library 31, no. 1 (February 8, 2013): 70–83. http://dx.doi.org/10.1108/02640471311299146.
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Bouwmeester, Carla J. "Surveying Physicians' Attitudes about Herbal Supplements, Resources, and Pharmacy Consultations." Journal of Pharmacy Technology 21, no. 5 (September 2005): 247–53. http://dx.doi.org/10.1177/875512250502100502.
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Objective: To investigate whether physicians discuss herbal supplement use with their patients and document this information in the medical record, to determine the perceived barriers to discussing herbal supplement use, and to assess all resources currently available to physicians in their office setting and additional resources needed to answer questions about herbal supplements. Methods: An electronic survey was conducted of physicians enrolled in a managed care electronic network as of November 2002; data were collected from December 2002 through March 2003. Results: Of the 203 physicians who responded to the survey, 18% always discussed herbal supplements with their patients, 57% sometimes carried on these discussions, 21% rarely did, and 4% never asked. These responses correlated roughly with how often herbal supplement use was documented in the medical chart (always 27%, sometimes 51%, rarely 20%, never 2%). The strongest barriers to discussing herbal supplements were lack of resources and lack of time. The largest number of physicians used Web sites or print resources for information on herbal supplements. The most preferred resources were Web sites, computer databases, and pharmacy consultations. Conclusions: Awareness of herbal supplement use is vital for the healthcare practitioner to deliver comprehensive health services. Physicians' attitudes regarding herbal supplements are influenced by the resources available and by personal bias. Pharmacists can play a pivotal role in providing consultation services, educational materials, and screening for drug–herb interactions.
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Lê, Mê-Linh. "Nutrition, Food Science, and Dietetics Faculty Have Information Needs Similar to Basic and Medical Sciences Faculty – Online Access to Electronic Journals, PubMed/Medline, and Google." Evidence Based Library and Information Practice 6, no. 4 (December 15, 2011): 155. http://dx.doi.org/10.18438/b8fh0z.
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Objective – To determine the information needs of nutrition, food science, and dietetics faculty members by specifically examining how they locate and access information sources and which scholarly journals are consulted for teaching, research, and current awareness; and identifying any perceived information service needs (e.g., training).
Design – Online survey questionnaire.
Setting – Four senior colleges within the City University of New York (CUNY) system.
Subjects – Nutrition, food science, and dietetics faculty members.
Methods – Using institutional websites and the assistance of relevant affiliated librarians, 29 full-time and adjunct nutrition, food science, and dietetics faculty members were identified at Queens College, Brooklyn College, Hunter College, and Lehman College (all part of the CUNY system). A survey was emailed in June and July 2007 and had 14 (48.4%) responses. The study was temporarily halted in late 2007. When resumed in January 2009, the survey was re-sent to the initial non-respondents; five additional responses were received for a final 65.5% (n=19) response rate.
Main Results – The majority of respondents held a PhD in their field of study (63.1%), were full-time faculty (no percentage given), and female (89.5%). Information sources were ranked for usage by respondents, with scholarly journals unsurprisingly ranked highly (100%), followed by conference and seminar proceedings (78.9%), search engines (73.6%), government sources (68.4%), and information from professional organizations (68.4%). Respondents ranked the top ten journals they used for current awareness and for research and teaching purposes. Perhaps due to a lack of distinction by faculty in terms of what they use journals for, the two journal lists differ by only two titles.
The majority browse e-journals (55.6%) rather than print, obtain access to e-journals through home or work computers (23.6%), and obtain access to print through personal collections (42.1%). Databases were cited as the most effective way to locate relevant information (63.1%); PubMed was the most heavily used database (73.7%), although Medline (via EBSCO), Science Direct, and Academic Search Premier were also used.
Respondents were asked how they preferred to obtain online research skills (e.g., on their own, via a colleague, via a librarian, or in some other way). The linked data does not answer this question, however, and instead supplies figures on what types of sessions respondents had attended in the past (44.4% attended library instruction sessions, while others were self-taught, consulted colleagues, attended seminars, or obtained skills through their PhD research).
Conclusion – Strong public interest in nutritional issues is a growing trend in the Western world. For those faculty members and scholars researching and teaching on nutrition and related areas, more work on their information needs is required. This study begins to address that gap and found that nutrition, food science, and dietetics faculty share strong similarities with researchers in medicine and the other basic sciences with regard to information needs and behaviours. The focus is on electronic journals, PubMed/Medline, and online access to resources. Important insights include the fact that print journals are still in modest use, researchers use grey literature (e.g., government sources) and other non-traditional formats (e.g., conference proceedings and electronic mail lists) as information sources, and training sessions need to be offered in a variety of formats in order to address individual preferences.
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MacKenzie, Kimberly. "Nigerian Medical Libraries Face Challenges With High Hopes for the Future." Evidence Based Library and Information Practice 16, no. 1 (March 15, 2021): 109–11. http://dx.doi.org/10.18438/eblip29890.
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A Review of: Popoola, B., Uzoagba, N., & Rabiu, N. (2020). “What’s happening over there?”: A study of the current state of services, challenges, and prospects in Nigerian medical libraries. Journal of the Medical Library Association, 108(3), 398–407. https://doi.org/10.5195/jmla.2020.607 Abstract Objective – This study examined the field of medical librarianship as it is currently practiced in Nigeria. Design – Mixed methods: electronic survey and in-person interview. Setting – The survey was advertised via an email list and a WhatsApp discussion group, both based in Nigeria. The interviews were requested directly by the authors. Subjects – Librarians working in medical libraries in Nigeria for the survey; library heads for the interviews. Methods – The survey was created in Google Forms and shared via the Nigerian Library Association’s email discussion list and the WhatsApp Group for the Medial Library Association of Nigeria. Question categories included personal and library demographics, library patronage/social media use, library services for users, and librarians’ training and challenges. Most questions were closed-ended. Survey data was analyzed in SPSS for response frequencies and percentages. The interviews were conducted in person. Questions covered topics such as demographics, challenges, and prospects (for medical librarianship in Nigeria). Interview transcriptions underwent thematic content analysis. Main Results – The majority of the 58 survey respondents (73%) reported seven or more years of medical library experience. There was no consensus on classifications schemes used throughout medical libraries in Nigeria, with 43% using the US National Library of Medicine classification and 32% using the Library of Congress. Social media use also varied, but the majority (approximately 45%) reported using social media less than monthly to promote their libraries or programming. Monographs were the main collection material reported by roughly 35% of respondents. Journals followed at approximately 24% while only 10% reported electronic resources as the main collection material. The majority of respondents (53%) noted that their library did not offer specialized services. Others (31%) reported “selective dissemination of information, current awareness services, or reference services” (p. 402) as specialized services; 7% reported literature searching. The majority of respondents (70-75%) rated their skill levels in evidence based medicine and systematic reviews as beginner/intermediate. Half of respondents reported that their libraries had not held any training programs or seminars for library users in the six months prior. Interviews with library heads revealed that they all had high hopes for the future of medical libraries in Nigeria but also noted many challenges. These included a lack of cooperation between libraries, a lack of interlibrary loan services, budget deficiencies, and insufficient access to the internet. This mirrored survey responses, 50% of which noted access to electronic information was a “significant barrier to improved services” (p. 402) along with a lack of training (53%) and low library usage (57%). Conclusion – Medical libraries in Nigeria face multiple challenges. Budgetary constraints, a lack of library cooperation, and internet accessibility limit the availability of electronic collections. The authors suggest that library associations in Nigeria focus on education and training opportunities for current and future medical librarians.
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Preddie, Martha Ingrid. "Time, Cost, Information Seeking Skills and Format of Resources Present Barriers to Information Seeking by Primary Care Practitioners in a Research Environment." Evidence Based Library and Information Practice 2, no. 3 (September 5, 2007): 105. http://dx.doi.org/10.18438/b8r30m.
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Objective – To determine the information seeking behaviors of primary care practitioners in order to inform future efforts towards the design of information services that would support quality in primary care.
Design – A cross-sectional survey.
Setting – A primary care practice based research network (PBRN) of caregivers who serve a broad population while simultaneously studying and disseminating innovations aimed at improvements in quality, efficiency and/or safety of primary health care in the United States.
Subjects – All primary care practitioners in the PBRN including family practitioners, general practitioners, nurse practitioners and physician assistants.
Methods – A questionnaire comprising twenty-six questions was distributed to 116 practitioners. Practitioners attached to academic centres (who were also members of the PBRN) were excluded in order “to achieve a sample of practices more representative of the primary care practising population” (208). Descriptive data were collected and analyzed. SPSS v11.5 was used for statistical analyses.
Main results – There was a response rate of 51% (59 of 116). Fifty-eight percent of the respondents stated that they sought information (excluding drug dosing or drug interactions information) to support patient care several times a week. Sixty-eight per cent sought this information while the patient waited. Almost half of the respondents had access to a small medical library (48%) or a hospital library (46%), while 21% used a university medical library. Approximately 14% had no immediate access to a medical library. Almost 60% of practitioners stated that they had an e-mail account. Thirty-four percent agreed that the use of e-mail to communicate with patients enhanced medical practice, while 24% disagreed. There was frequent prescribing of Internet-based consumer health information to patients by only 16% of the practitioners, while Internet support groups were frequently recommended by 5%. The main barriers to information seeking were lack of time (76%), cost (33%), information seeking skills (25%), and format of information sources (22%). The use of EBM resources was fairly low, while there was a high preference for ready reference and interpersonal sources. When compared with print information resources, the use of online resources was moderate. A significant correlation was found between use of online sources and use of print sources, namely, that practitioners who used online sources more frequently, also sought information from print sources more frequently, with the inverse being true for those who sought information less frequently from either electronic or print sources.
Conclusion – Primary care practitioners in this rural PBRN used print and interpersonal sources more than online sources. Practitioners who are more likely to use print sources are also more likely to seek online information. Librarians working in PBRN environments will need to identify interventions that address barriers such as time, cost, and information-seeking skills.
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Hannigan, Gale Gabrielle. "Identifying Relevant Controlled Clinical Trials for Systematic Reviews Requires Searching Multiple Resources – and, Even Then, Comprehensiveness is Questionable." Evidence Based Library and Information Practice 1, no. 4 (December 8, 2006): 54. http://dx.doi.org/10.18438/b8s88p.
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A review of:
Crumley, Ellen T., Wiebe, Natasha, Cramer, Kristie, Klassen, Terry P., Hartling, Lisa. “Which resources should be used to identify RCT/CCTs for systematic reviews: a systematic review.” BMC Medical Research Methodology 5:24 (2005) doi:10.1186/1471-2288-5-24 (available from: http://www.biomedcentral.com/1471-2288/5/24.
Objective – To determine the value of searching different resources to identify relevant controlled clinical trial reports for systematic reviews.
Design – Systematic review.
Methods – Seven electronic databases (MEDLINE, EMBASE, CINAHL, ERIC, PsycINFO, Web of Science, Cochrane Library) were searched to April 2004;four journals (Health Information & Libraries Journal - formerly Health Libraries Review, Hypothesis, Journal of the Medical Library Association - formerly Bulletin of the Medical Library Association, Medical Reference Services Quarterly were handsearched from 1990 to 2004; all abstracts of the Cochrane Colloquia (1993-2003) were handsearched; key authors were contacted and relevant article references screened. Two reviewers independently screened results for studies that compared two or more resources to find RCTs or CCTs using defined inclusion and exclusion criteria. Two reviewers assessed studies for quality using four criteria: adequate descriptions of what the search was attempting to identify, the methods used to search, the reference standard; and, evidence that bias was avoided in selection of relevant studies. Screening and assessment differences between reviewers were resolved through discussion. Using a standard form, one investigator extracted data for each study, such as study design, results (e.g., recall, precision); a second investigator checked these data. Authors were contacted to provide missing data. Results were grouped by resources compared and these comparisons were summarized using medians and ranges. Search strategies were categorized as Complex (using a combination of types of search terms), Cochrane (the Cochrane Highly Sensitive Search Strategy or HSSS), Simple (using five or fewer search terms which may include a combination of MeSH, Publication Type, keywords), and Index (using one or two terms to check/verify if the study is in the database).1
Main results – Sixty-four studies met criteria for inclusion in the analysis. Four major comparisons were: MEDLINE vs. handsearch (n=22), MEDLINE vs. MEDLINE + handsearch (n=12), MEDLINE vs. other reference standard (n=18), and EMBASE vs. reference standard (n=13). Thirteen other comparisons had only one or two studies each. The most common comparison was between MEDLINE vs. Handsearching. Data analyzed from 23 studies and 22 unique topic comparisons showed a 58% median for search recall (range=7-97%). Data for search precision based on 12 studies and 11 unique topic comparisons indicated a median of 31% (range=0.03-78%). Data based on more than four comparisons, shows no median recall more than 75% (range=18-90%) and no median precision more than 40% (range=13-83%). Recall was higher for Trial Registries vs. Reference Standard (89%, range=84-95%) but these numbers were based on two studies and four comparisons; one study with two comparisons measured precision (range=96-97%) for Trial Registries vs Reference Standard. Subgroup analyses indicate that Complex and Cochrane searches each achieve better recall and precision compared to Simple searches. Forty-two studies reported reasons why searches miss relevant studies. The reason cited most often for electronic databases was inadequate or inappropriate indexing.
Conclusion – The results of this systematic review indicate that no one resource results in particularly high recall or precision when searchers look for RCTs and CCTs.
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Diekema, Anne R., Elizabeth (Betsy) S. Hopkins, Brandon Patterson, and Nena Schvaneveldt. "Using Information Practices of Nurses to Reform Information Literacy Instruction in Baccalaureate Nursing Programs." Evidence Based Library and Information Practice 14, no. 4 (December 13, 2019): 72–102. http://dx.doi.org/10.18438/eblip29588.
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Abstract
Objective - Seeking information is a key element of evidence based practice and successful healthcare delivery. Significant literature exists on both the information seeking behaviour of professional nurses and information literacy teaching methods, but scarce evidence connects nurses’ information behaviour and environments with their education. This study sought to use data from nursing alumni to answer the following research questions: What are the current information practices of professional bachelor’s-prepared nurses? How do recently-graduated nurses suggest that their education could have better prepared them to find and evaluate information in the workplace?
Methods - The researchers conducted a descriptive study using a 59-item survey instrument with a variety of question formats including short-answer, multiple choice, Likert, and open response. The researchers distributed the survey to baccalaureate nursing alumni who graduated in 2012-2017 from four universities in the state of Utah in the United States.
Results - Nurses seek practical information primarily to provide informed patient care, while also clarifying medical situations and expanding their health care knowledge. They frequently consult nursing colleagues and physicians when seeking information. The majority of nurses consult electronic health records daily. Respondents described time as the biggest barrier to accessing information. They requested authentic, clinically-focused scenarios, training on freely-accessible resources, and more explicit teaching of lifelong learning skills, such as critical thinking.
Conclusion - Information literacy education should prepare student nurses for the fast-paced information environment they will face in the workplace. This means incorporating more patient-focused scenarios, freely available quality resources, and time-based activities in their education. The researchers suggest areas to prepare nurses for information seeking, including problem-based clinical scenarios, building guides with databases accessible for free or little cost, and added emphasis on critical thinking and self-motivated learning.
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Clayton, Ellen Wright. "Informed Consent and Biobanks." Journal of Law, Medicine & Ethics 33, no. 1 (2005): 15–21. http://dx.doi.org/10.1111/j.1748-720x.2005.tb00206.x.
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Biomedical research has always relied on access to human biological materials and clinical information, resources that when combined form biobanks. In the past, it appears that investigators sometimes used these resources with relatively little oversight, and without the consent of the individuals from whom these materials and information were obtained. Several developments in the last ten to fifteen years have converged to place greater emphasis on the role of individual consent in the creation and use of biobanks. The most important by far is the power of information technology, which has transformed our lives in almost every domain. In the research setting, it is now easy to abstract information from electronic medical records. Computers make it possible to analyze enormous datasets and have contributed in essential ways to the dramatic increases in our understanding of genomics and other areas of biomedical science.
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Raja, M., Dr S. Dhanasekaran, and Dr V. Vasudevan. "Light Weight Cryptography based Medical Data and Image Encryption Scheme." Webology 18, no. 2 (December 23, 2021): 88–104. http://dx.doi.org/10.14704/web/v18i2/web18309.
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Many medical companies use cloud technology to collect, distribute and transmit medical records. Given the need for medical information, confidentiality is a key issue. In this study, we propose an encrypted scheme based on encrypted data for an electronic healthcare environment. We use hybrid Attribute based encryption and Triple DES encryption technique (ABETDES) scheme, including identity-based cryptography (IBC), to ensure data privacy through communication channels և to improve the reliability of cloud computing. There are also limited indicators of light processing and storage resources. This solves a serious maintenance problem and ensures that a private key is created where it is not blind. The introduction of a security option, a comprehensive security analysis to protect ciphertext, shows that our program is effective against many known attacks and compared to existing methods.
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Uddin, Md Nazim, Md Shafiur Rahman, Md Harun-Or-Rashid Khandaker, M. Al Mamun, S. M. Mannan, Jean Sack, and Christine Dennehy. "Use and Impact of HINARI: An Observation in Bangladesh with Special Reference to icddr,b." Journal of Information & Knowledge Management 16, no. 01 (March 2017): 1750003. http://dx.doi.org/10.1142/s0219649217500034.
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This paper analyses the impact of the use of electronic resources and Health InterNetwork Access to Research Initiative (HINARI) services for medical research libraries in Bangladesh, emphasising the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b). Purposeful use of e-resources, time and cost-saving benefits, research impact, and challenges of using HINARI are discussed. The basic study was conducted at icddr,b in January–February 2014, using a mixed methodology, combining qualitative and quantitative approaches, including a background literature review, usage data shared from the HINARI secretariat at the World Health Organization (WHO), questionnaires, personal observations, and interviews with staff members of icddr,b. Findings revealed that icddr,b is the heaviest user of HINARI (a major source of public health and medical e-resources) in Bangladesh, with demonstrable increases of health research journal articles after introducing HINARI in 2003.
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Haley, Pamela. "Analysis of Print and Electronic Serials’ Use Statistics Facilitates Print Cancellation Decisions." Evidence Based Library and Information Practice 1, no. 4 (December 8, 2006): 57. http://dx.doi.org/10.18438/b8d30h.
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A review of:
Gallagher, John, Kathleen Bauer, Daniel M. Dollar. “Evidence-Based Librarianship: Utilizing Data From All Available Sources to Make Judicious Print Cancellation Decisions.” Library Collections, Acquisitions & Technical Services 29.2 (2005): 169-79.
Objective – To apply the principles of evidence-based librarianship to the decision-making process regarding the cancellation of print serials.
Design – Quantitative analysis of local and national data from various sources.
Subjects – Data sources included 1249 current unbound print journals, 3465 Medline-indexed electronic journals, statistics from the Association of Research Libraries and American Association of Health Sciences Libraries, as well as traditional library statistics.
Setting – The study was conducted in the Yale University’s Cushing/Whitney Medical Library located in New Haven, Connecticut U.S.A.
Methods – Several sources were targeted for data. A three-month periodical usage study of the current issues of the library’s 1249 actively received print titles was undertaken. Excel-generated alphabetical listings of titles were used by shelvers to indicate, with a check mark, which issues were shelved during a specified week. The workflow was adjusted to ensure only items under study were counted. Signs asking patrons not to re-shelve journal issues were posted. Usage data were collected weekly and entered into an Excel spreadsheet where the total use of the journals was tracked. In-house circulation, photocopy, and gate count statistics were also used. In addition to the survey, SFX statistics for the library’s electronic journals indexed in MEDLINE (3465) were gathered during the same 3 month period covered by the print usage survey. MEDLINE was chosen as the delineating factor to ensure consistent subject coverage with the print journal collection. For perspective and trends, statistics from the Association of Research Libraries and the American Association of Health Sciences Libraries were considered.
Main Results – Based on the study’s findings, 53% of the print collection (657 titles) received no use during the study period; 7.1 % (89 titles) were used more than once per month; and 1.28% were used one or more times per week. Further, only 10% (125 titles) of the collection represented 60.7% of the total print collection use. There was also a direct correlation between the drop in patrons coming to the library and the decrease in print periodical use. SFX statistics revealed that of the 3465 MEDLINE indexed titles 14.8% (513 titles) were not accessed at all and 10% of the journals represented 56.8% of all SFX usage. These results were consistent with statistics from the Association of Research Libraries and the American Association of Health Sciences Libraries.
Conclusion – Titles that were used the most in print were also used the most electronically. Further, the study revealed that print journals are used only a fraction as often as their electronic counterparts. Indeed, in both the case of print and electronic journals the largest use came from a small number of subscribed titles. Print collection maintenance is more labour intensive and costly than electronic. Consequently, resources spent supporting 53% of the print collection that is not used seriously impacts efficiency. With constraints on acquisitions budgets, funding unused collections does not make sense. Examination of the print serial collection is only part of ensuring effective collections. As this study has indicated, unused electronic titles are also a drain on resources and further analysis of electronic packages is warranted.
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Higa, Mori Lou, Brian Bunnett, Bill Maina, Jeff Perkins, Therona Ramos, Laurie Thompson, and Richard Wayne. "Redesigning a Library’s Organizational Structure." College & Research Libraries 66, no. 1 (January 1, 2005): 41–58. http://dx.doi.org/10.5860/crl.66.1.41.
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The evolution from print to electronic resources and services continues to pose significant challenges for academic libraries. This article presents a systematic, evidence-based approach to guide this transition, which resulted in an exhaustive reorganization of library staffing and services. The approach begins with the necessity of accumulating and then evaluating data on staff workloads and responsibilities. At the University of Texas Southwestern Medical Center at Dallas Library, this evaluation revealed that a preponderant amount of time was still spent on print-related activities that were no longer considered to be library priorities. The corrective actions taken to remedy this misalignment are then discussed.
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Melssen, Maria C. "Study of Limited Value in Exploring Irish Hospital Clinicians’ Information Behaviour and Attitudes Towards the Clinical Informationist." Evidence Based Library and Information Practice 6, no. 4 (December 15, 2011): 149. http://dx.doi.org/10.18438/b89p73.
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Objective – To determine the self-perceived information needs, information-seeking strategies, and skill levels of hospital clinicians, in addition to their opinions on the inclusion of a clinical informationist (CI) in their clinical teams.
Design – Questionnaire survey.
Setting – Two public, medium-sized teaching hospitals (200-250 beds) in Ireland.
Subjects – Hospital clinicians.
Methods – A 33-item questionnaire (pilot tested on nurses) was deployed using SurveyMonkey. Participants were recruited using snowball sampling and were emailed the link to the questionnaire in June, July, and August of 2008. Hard copies of the questionnaire were also distributed at one of the hospitals; the librarian at this hospital manually entered the responses into SurveyMonkey. Survey results were analyzed using descriptive statistics.
Main Results – Of 230 eligible hospital clinicians (HCs), 22 participated in the survey. Of the HCs surveyed, 90% spend “over 21 hours per week engaged in patient care” (p. 26). During this time the HCs generate an average of 1-5 clinical questions each. The HCs surveyed frequently required information on the latest research on a specific topic, treatment, or patient problem. Information on diagnosis, drugs, prognosis, new therapies and products, or the latest information on a disease area, was required less frequently, but still by at least one-third of participants.
Not having the time to conduct searches was the greatest barrier to information seeking for HCs. HCs spend from 1-10 hours per week on investigating answers to clinical questions. Most of this information seeking occurs outside of working hours, either at home or during breaks at work.
To answer their clinical questions, 90% of the HCs use published, medical literature. The resources used by HCs include textbooks (30%), journals (30%), the Internet (19%), colleagues (17%), and databases (4%). The most important factors that influence resource choices are access to electronic or Internet resources: 60% prefer electronic resources rather than print resources. Additional influential factors included whether the resource was evidence-based, if it provided concise summaries of the information provided, and if the information could be found in a paper copy. HCs in this study also consult colleagues regularly, and their proximity to a colleague for consultation was a factor.
The HCs rated their search skills very high: over half (55%) rated their ability to find information as good, 15% believed they were very good, 25% felt they were average, and 5% rated themselves as poor. The HCs were also confident in finding information to meet their needs: 70% claim that they find the information they require more than half of the time. Of those HCs, 25% claim they are successful more than three quarters of the time.
65% of the HCs experience difficulties in keeping current with evidence based medicine. Evidence-based resources such as the Cochrane Collaboration are used less frequently (25%) than resources such as Medline (65%) and Google (75%).
When HCs were provided with a definition of clinical informationists (CI), 68% were not familiar with the role of CIs and only 32% of clinicians were familiar with the term “clinical informationist.” The HCs were then asked their feelings regarding the idea of involving a CI in their hospital: 18 of the 19 responses were positive. Various suggestions for how CIs could be used and the benefits of CIs were provided by the participants. Only three disadvantages of CIs were noted. Of 18 responses, 72% perceived that the inclusion of CIs would have a positive impact on patient care while 27.7% were neutral.
Conclusion – Overall, the HCs surveyed in this study ask fewer questions, have different information needs, and are more confident in their search skills than clinicians found in previous studies; however, the authors state that previous studies had been done with clinicians in office settings rather than clinicians in hospital settings. HCs in this study identified lack of time as their main barrier to researching clinical questions and when they do find the time to search for clinical questions, it is either during breaks in their day or after work at home. Their preferred resources are those found electronically. Though they value evidence-based resources, HCs rarely use them. These factors point to a need for information professionals to provide either remote access to electronic medical information resources from home, or provide a service that would allow hospital clinicians to quickly and easily find information during the work day. This is an area in which a CI might play a role. Though many HCs were not familiar with CIs, they were receptive to having a CI on their clinical team. The HCs provided various suggestions for where a CI could be involved as well as desired skills and qualifications of CIs. The only possible disadvantages that the clinicians could foresee was cost, the deskilling of clinicians’ own information-seeking skills, and medico-legal issues. The authors identified several limitations of this study which include the small sample size, the snowball sampling method and the possibility of bias in subject recruitment, and not including other health care professionals in this study. Further research regarding the information behaviour, seeking and skills of other health professionals is needed, as well as research on training and accreditation of CIs.
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Liu, Ziming. "Print vs. electronic resources: A study of user perceptions, preferences, and use." Information Processing & Management 42, no. 2 (March 2006): 583–92. http://dx.doi.org/10.1016/j.ipm.2004.12.002.
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Palm, Julia, Frank A. Meineke, Jens Przybilla, and Thomas Peschel. "“fhircrackr”: An R Package Unlocking Fast Healthcare Interoperability Resources for Statistical Analysis." Applied Clinical Informatics 14, no. 01 (January 2023): 54–64. http://dx.doi.org/10.1055/s-0042-1760436.
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Abstract Background The growing interest in the secondary use of electronic health record (EHR) data has increased the number of new data integration and data sharing infrastructures. The present work has been developed in the context of the German Medical Informatics Initiative, where 29 university hospitals agreed to the usage of the Health Level Seven Fast Healthcare Interoperability Resources (FHIR) standard for their newly established data integration centers. This standard is optimized to describe and exchange medical data but less suitable for standard statistical analysis which mostly requires tabular data formats. Objectives The objective of this work is to establish a tool that makes FHIR data accessible for standard statistical analysis by providing means to retrieve and transform data from a FHIR server. The tool should be implemented in a programming environment known to most data analysts and offer functions with variable degrees of flexibility and automation catering to users with different levels of FHIR expertise. Methods We propose the fhircrackr framework, which allows downloading and flattening FHIR resources for data analysis. The framework supports different download and authentication protocols and gives the user full control over the data that is extracted from the FHIR resources and transformed into tables. We implemented it using the programming language R [1] and published it under the GPL-3 open source license. Results The framework was successfully applied to both publicly available test data and real-world data from several ongoing studies. While the processing of larger real-world data sets puts a considerable burden on computation time and memory consumption, those challenges can be attenuated with a number of suitable measures like parallelization and temporary storage mechanisms. Conclusion The fhircrackr R package provides an open source solution within an environment that is familiar to most data scientists and helps overcome the practical challenges that still hamper the usage of EHR data for research.
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Jedwab, Rebecca M., Michael Franco, Denise Owen, Anna Ingram, Bernice Redley, and Naomi Dobroff. "Improving the Quality of Electronic Medical Record Documentation: Development of a Compliance and Quality Program." Applied Clinical Informatics 13, no. 04 (August 2022): 836–44. http://dx.doi.org/10.1055/s-0042-1756369.
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Abstract Background Introducing an electronic medical record (EMR) system into a complex health care environment fundamentally changes clinical workflows and documentation processes and, hence, has implications for patient safety. After a multisite “big-bang” EMR implementation across our large public health care organization, a quality improvement program was developed and implemented to monitor clinician adoption, documentation quality, and compliance with workflows to support high-quality patient care. Objective Our objective was to report the development of an iterative quality improvement program for nursing, midwifery, and medical EMR documentation. Methods The Model for Improvement quality improvement framework guided cycles of “Plan, Do, Study, Act.” Steps included design, pre- and pilot testing of an audit tool to reflect expected practices for EMR documentation that examined quality and completeness of documentation 1-year post-EMR implementation. Analysis of initial audit results was then performed to (1) provide a baseline to benchmark comparison of ongoing improvement and (2) develop targeted intervention activities to address identified gaps. Results Analysis of 1,349 EMR record audits as a baseline for the first cycle of EMR quality improvement revealed five out of nine nursing and midwifery documentation components, and four out of ten medical documentation components' completion and quality were classified as good (>80%). Outputs from this work also included a framework for strategies to improve EMR documentation quality, as well as an EMR data dashboard to monitor compliance. Conclusion This work provides the foundation for the development of quality monitoring frameworks to inform both clinician and EMR optimization interventions using audits and feedback. Discipline-specific differences in performance can inform targeted interventions to maximize the effective use of resources and support longitudinal monitoring of EMR documentation and workflows. Future work will include repeat EMR auditing.
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Ayeni, Philips O., Blessed O. Agbaje, and Maria Tippler. "A Systematic Review of Library Services Provision in Response to COVID-19 Pandemic." Evidence Based Library and Information Practice 16, no. 3 (September 15, 2021): 67–104. http://dx.doi.org/10.18438/eblip29902.
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Objective – Libraries have had to temporarily shut their doors because of the COVID-19 pandemic, resulting in the provision of online and remote services. This review analyzed services offered by libraries, the technological tools used, and the challenges facing libraries during the pandemic. Methods – This study employed a systematic literature review, following the PRISMA checklist (Moher at al., 2009). The Building Blocks search strategy was employed to search for keywords of concepts in Library and Information Science Abstract (LISA), Library and Information Science Technology Abstract (LISTA), Library Science Database, Web of Science (WoS) core collections, and Google Scholar. A set of inclusion and exclusion criteria was pre-determined by the authors prior to database searching. Quality assessment of included studies was performed using the Mixed Methods Appraisal Tool (Hong et al., 2018). A tabular approach was used to provide a summary of each article allowing the synthesis of results, which led to the identification of eight broad categories of services provided by libraries in included studies. Results – The first set of searches from the 5 databases produced 3,499 results. After we removed duplicates and applied the inclusion and exclusion criteria based on titles and abstracts, 37 potentially relevant articles were identified. Further screening of the full-text led to the final inclusion of 23 articles used for the qualitative synthesis. The majority of the studies were conducted in the United States of America (n= 6, 26.1%), followed by India (n=4, 17%), and China (n=2, 8.7%). The remaining studies were carried out in United Kingdom, Ireland, Canada, Mexico, Romania, Czech Republic, Indonesia, Pakistan, Nigeria, Lesotho, and Zimbabwe. The most common method used in selected studies was the case study (n= 11, 48%), followed by survey (n=7, 30.4%), content analysis (n=4, 17.4%), and mixed methods (n=1, 4.3%). The majority of the studies were carried out in academic libraries (74%), while the rest were based on medical, public, and special libraries. Findings show that the majority of academic libraries in the included studies are providing and expanding access to electronic resources (n=16, 69.6%) and increasing open access resources and services (n=11, 47.8%). More so, most academic libraries are assisting in virtual education and teaching endeavors of faculty and students (n=13, 56.5%). In addition, some medical and public libraries are bolstering public health safety through health literacy (n=12, 52.2%), supporting research efforts, and engaging in virtual reference services, among others. In order to carry out these services, libraries are harnessing several educational, social networking, communication, and makerspaces technologies. Most of the libraries in the included studies reported budgetary challenges, and the need for new ICT infrastructure and Internet service as they move their services online. Conclusion – This review found that libraries are adapting in a number of ways to continue their roles in meeting patrons’ needs in spite of the growing challenges posed by COVID-19 restrictions and lockdown. For libraries to thrive in these trying times, there must be a well-structured approach to ensuring continuity of services. Libraries should prioritize the acquisition of electronic resources as well as increase their efforts to digitize resources that are only available in printed copies. As library services have predominantly shifted online, there should be concerted effort and support from government and funding agencies to equip libraries with the technological facilities needed to provide cutting-edge services. The quality assessment of the included studies shows that there is need for rigor and transparency in the methodological description of studies investigating library services provision in a pandemic. This review provides an overview of the ways libraries have responded to the challenges posed by a global pandemic, and hence will be of use and interest to all librarians especially those in health and academic sectors.
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Haapanen, Mia, Pirkko Kultamaa, Tuulevi Ovaska, and Kirsi Salmi. "Reducing library space can promote the shift from storage of print-collections towards a learning-centre without limiting the access to information." Library Management 36, no. 8/9 (November 9, 2015): 685–89. http://dx.doi.org/10.1108/lm-06-2015-0051.
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Purpose – Libraries have changed due to many things, one of them being the shift from printed to electronic resources. Libraries become learning centres, providing more space for customers and less for stacks. Though information seeking habits have changed, especially students need places for studying and group work. In the case of Kuopio University Hospital Medical Library the shift has been influenced by space requirements for other hospital functions. The reduction of current physical space has led to revised collection policy that is now taking its final steps when the library is preparing to move to a new space. The paper aims to discuss these issues. Design/methodology/approach – First, a 650 m2 library space was remodelled to a 450 m2 without major negative effects on services. Second, the hospital has assigned the medical library a new location where a new library space and learning centre will be renovated. Less space for print collections means that reliable delivery from print resources is crucial. Findings – Due to the merger of two universities’ collections to one multi-campus collection and to quick delivery service from the National Repository Library as well as good logistic services the authors are able to provide the customers with a possibility to use wide collections even if the own print-collections are small. Research limitations/implications – The paper describes the collection policy and the service model of one library. Originality/value – Small visible collections can be a challenge as the shelves are few. Creating awareness through marketing is essential. Campaigns, QR codes, big screens, user education, social media and everyday individual guidance are among the tools of creating wider awareness.
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Nesterenko, Zoia V. "Axiological component in digitalization of health care and medicine." Pediatrician (St. Petersburg) 13, no. 3 (August 12, 2022): 5–13. http://dx.doi.org/10.17816/ped1335-13.
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The basis of the modern industrial revolution is digitalization and artificial intelligence due to the influence of the digitalization process on all aspects of the economy, public life, including healthcare and education. The creation of a modernized healthcare system that would meet world standards implies an increase in both the quality and accessibility of medical care, which requires new technological solutions. The development of any new technology relies on digitalization, which has led to the creation of the Internet, robots, and artificial intelligence. Digital health is a new format for the medical industry to improve the efficiency and quality of medical care. The training of modern specialists provides for a significant change in teaching methods. The dependence of the quality of medical education on the multicomponent and increasingly digital nature of social reality is obvious. Additional special training of doctors for remote work is needed, the development of curricula taking into account the digitalization of healthcare. The relevance of the problem of digitalization of higher medical education involves an analysis of the state of modernization processes in medical universities, regulations on the electronic information educational environment of the university, including electronic information and educational resources, a set of information, telecommunication technologies and technological tools. The necessity of systematizing the social effects of the digitalization of higher education and conducting appropriate prolonged studies is substantiated.
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KAPLAN, BONNIE, and SERGIO LITEWKA. "Ethical Challenges of Telemedicine and Telehealth." Cambridge Quarterly of Healthcare Ethics 17, no. 4 (October 2008): 401–16. http://dx.doi.org/10.1017/s0963180108080535.
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As healthcare institutions expand and vertically integrate, healthcare delivery is less constrained by geography, nationality, or even by institutional boundaries. As part of this trend, some aspects of the healthcare process are shifted from medical centers back into the home and communities. Telehealth applications intended for health promotion, social services, and other activities—for the healthy as well as for the ill—provide services outside clinical settings in homes, schools, libraries, and other governmental and community sites. Such developments include health information web sites, on-line support groups, automated telephone counseling, interactive health promotion programs, and electronic mail exchanges. Concomitant with these developments is the growth of consumer health informatics, in which individuals seeking medical care or information are able to find various health information resources that take advantage of new information technologies.