<ul><li>LIBR534 – Health information sources & services </li></ul><ul><li>Module IV: Collect </li></ul><ul><li>Lecture 2- ...
<ul><li>Module IV Class 2 - Agenda </li></ul><ul><li>Principles of Hospital Medical Reference </li></ul><ul><ul><li>Refere...
Rowell-Giustini – LIBR534 <ul><li>Learning Objectives  </li></ul><ul><li>At completion of class, you should have an overvi...
Rowell-Giustini – LIBR534 <ul><li>Definition of reference in HSLs </li></ul><ul><li>Reference services in a health science...
Healthcare Settings and Definitions <ul><li>Primary Care </li></ul><ul><ul><li>health care that is provided by a health ca...
Rowell-Giustini – LIBR534 Who is asking? Doctors Nurses Pharmacologists, OT, PT, RT, X-Ray Perfusionists,  Dieticians Admi...
Clinical value of information Rowell-Giustini – LIBR534 <ul><li>Rochester Study found that: </li></ul><ul><ul><li>80% of p...
Clinical Value of Information <ul><li>Changes in the following specific aspects of care were reported by the physicians:  ...
Clinical Value of Information <ul><li>Physicians also said that the information provided by the library contributed to the...
Clinical Value of Information <ul><li>The physicians rated the information provided by the library  more highly  than that...
Rowell-Giustini – LIBR534 What makes a good HS Librarian <ul><li>Core librarianship skills & HSL knowledge </li></ul><ul><...
Rowell-Giustini – LIBR534 (Not so) New Roles – more training? <ul><li>Informationist (Homan &McGowan, 2002) </li></ul><ul>...
<ul><li>CADTH Seminar / Web Cast </li></ul><ul><li>Health Information — Is it a Public Good? </li></ul><ul><li>http://www....
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2010 03 18 Mod 4 Class 2

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  • In addition to confirming earlier research findings that information provided by hospital libraries is perceived by physicians as having a significant impact on clinical decision making, the results increase our store of scientific knowledge about the specific nature and extent of the impact of information provided by the hospital library.
  • In addition to confirming earlier research findings that information provided by hospital libraries is perceived by physicians as having a significant impact on clinical decision making, the results increase our store of scientific knowledge about the specific nature and extent of the impact of information provided by the hospital library.
  • In addition to confirming earlier research findings that information provided by hospital libraries is perceived by physicians as having a significant impact on clinical decision making, the results increase our store of scientific knowledge about the specific nature and extent of the impact of information provided by the hospital library.
  • Library Catalogue Reference Competencies doc
  • 2010 03 18 Mod 4 Class 2

    1. 1. <ul><li>LIBR534 – Health information sources & services </li></ul><ul><li>Module IV: Collect </li></ul><ul><li>Lecture 2- Health Sciences Reference </li></ul><ul><li>March 18, 2010 </li></ul><ul><li>Greg Rowell & Dean Giustini, SLAIS Adjunct faculty </li></ul>
    2. 2. <ul><li>Module IV Class 2 - Agenda </li></ul><ul><li>Principles of Hospital Medical Reference </li></ul><ul><ul><li>Reference Competencies Review </li></ul></ul><ul><ul><li>Medical Informatics education – Hersch, 2002 </li></ul></ul><ul><li>BREAK </li></ul><ul><li>General Health and Medical Reference </li></ul><ul><li>Consumer Health </li></ul><ul><li>Complementary and Alternative Medicine </li></ul>Rowell-Giustini – LIBR534
    3. 3. Rowell-Giustini – LIBR534 <ul><li>Learning Objectives </li></ul><ul><li>At completion of class, you should have an overview of: </li></ul><ul><ul><li>Who uses Health Sciences Libraries </li></ul></ul><ul><ul><li>Role and impact of information in clinical care </li></ul></ul><ul><ul><li>Core competencies and roles of HSL librarians in a changing health environment </li></ul></ul><ul><ul><li>Consumer Health Information sources and issues </li></ul></ul><ul><ul><li>CAM sources and issues </li></ul></ul>
    4. 4. Rowell-Giustini – LIBR534 <ul><li>Definition of reference in HSLs </li></ul><ul><li>Reference services in a health sciences library may be broadly defined as... “ any assistance given by the library staff to users seeking information…” </li></ul><ul><li>Type of reference service provided depends on library setting, type of library services offered, who the patron is and the type of information they want </li></ul>
    5. 5. Healthcare Settings and Definitions <ul><li>Primary Care </li></ul><ul><ul><li>health care that is provided by a health care professional in the first contact of a patient with the health care system </li></ul></ul><ul><li>Acute Care </li></ul><ul><ul><li>medical and surgical treatment usually provided at a hospital </li></ul></ul><ul><li>Tertiary Care </li></ul><ul><ul><li>Medical care of a highly technological and specialized nature provided in a medical centre or teaching and research institution for patients with severe, complicated or unusual medical problems </li></ul></ul><ul><li>Long Term Care </li></ul><ul><ul><li>A wide range of health and personal care – from simple assisted living arrangements to intensive nursing home care </li></ul></ul>
    6. 6. Rowell-Giustini – LIBR534 Who is asking? Doctors Nurses Pharmacologists, OT, PT, RT, X-Ray Perfusionists, Dieticians Administrators Researchers Students Patients and family members
    7. 7. Clinical value of information Rowell-Giustini – LIBR534 <ul><li>Rochester Study found that: </li></ul><ul><ul><li>80% of physicians said that they definitely or probably would have handled ... a clinical situation differently as a result of information provided by the library </li></ul></ul><ul><ul><ul><ul><ul><li>Marshall JG. The impact of the hospital library on clinical decision making: the Rochester study. Bulletin of the Medical Library Association 1992; 80(2):270-309 . </li></ul></ul></ul></ul></ul>
    8. 8. Clinical Value of Information <ul><li>Changes in the following specific aspects of care were reported by the physicians: </li></ul><ul><ul><li>Diagnosis (29%), </li></ul></ul><ul><ul><li>choice of tests (51%), </li></ul></ul><ul><ul><li>choice of drugs (45%), </li></ul></ul><ul><ul><li>reduced length of hospital stay (19%), </li></ul></ul><ul><ul><li>and advice given to the patient (72%). </li></ul></ul>Rowell-Giustini – LIBR534
    9. 9. Clinical Value of Information <ul><li>Physicians also said that the information provided by the library contributed to their ability to avoid the following: </li></ul><ul><ul><li>hospital admission (12%), </li></ul></ul><ul><ul><li>patient mortality (19%), </li></ul></ul><ul><ul><li>hospital-acquired infection (8%), </li></ul></ul><ul><ul><li>surgery (21%), </li></ul></ul><ul><ul><li>and additional tests or procedures (49%). </li></ul></ul>Rowell-Giustini – LIBR534
    10. 10. Clinical Value of Information <ul><li>The physicians rated the information provided by the library more highly than that provided by other information sources such as diagnostic imaging, lab tests, and discussions with colleagues. </li></ul><ul><li>In addition to confirming earlier research findings that information provided by hospital libraries is perceived by physicians as having a significant impact on clinical decision making, the results increase our store of scientific knowledge about the specific nature and extent of the impact of information provided by the hospital library. </li></ul>Rowell-Giustini – LIBR534
    11. 11. Rowell-Giustini – LIBR534 What makes a good HS Librarian <ul><li>Core librarianship skills & HSL knowledge </li></ul><ul><ul><li>What are they ? </li></ul></ul><ul><li>Ability to contextualise information needs </li></ul><ul><ul><li>Patient care; education; research; administration </li></ul></ul><ul><ul><li>Who has expressed the information need? </li></ul></ul><ul><ul><li>Right information for the right person at the right time </li></ul></ul><ul><li>What happens at an HSL reference desk? </li></ul><ul><ul><li>Interaction with users is often along f actual, i nstructional and/or t echnical lines (FIT) </li></ul></ul>
    12. 12. Rowell-Giustini – LIBR534 (Not so) New Roles – more training? <ul><li>Informationist (Homan &McGowan, 2002) </li></ul><ul><ul><li>Traditional library skills + knowledge of clinical medicine, expertise in evidence based medicine, techniques in retrieving information + credentials (AHIP, Lic, Cert) </li></ul></ul><ul><li>Medical Informatics (Hersch 2002) </li></ul><ul><ul><li>Medical informatics is the field concerned with acquiring, storing, and using information in health care </li></ul></ul><ul><li>Developing Research Capacity in Health Librarians (Rossall et al, 2008) </li></ul>
    13. 13. <ul><li>CADTH Seminar / Web Cast </li></ul><ul><li>Health Information — Is it a Public Good? </li></ul><ul><li>http://www.cadth.ca/index.php/en/events/webcast-public-good </li></ul>
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