Becker Library Informatics Support Original Presentation by Will Olmstadt, MS, MPH Last Updated 11/2009, by Susan Fowler, MLIS BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Becker Medical Library “ In support of the School of Medicine’s close partnership with BJC HealthCare, Becker Library will enhance institutional partnerships to guarantee access to information for health care professionals supporting the School of Medicine patient care mission.” Becker Library Strategic Directions 2007-2010 BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

“ In support of the School of Medicine’s close partnership with BJC HealthCare, Becker Library will enhance institutional partnerships to guarantee access to information for health care professionals supporting the School of Medicine patient care mission.”

Becker Library Strategic Directions 2007-2010

Why a library? Long history of excellent support “ Rochester Study” (1990-1991) 80% of physicians surveyed said that information provided by their library changed some aspect of patient care Banks et al., LSU (2004-2005) Patients presented during morning report with librarian support had shorter LOS & lower charges compared to controls BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Long history of excellent support

“ Rochester Study” (1990-1991)

80% of physicians surveyed said that information provided by their library changed some aspect of patient care

Banks et al., LSU (2004-2005)

Patients presented during morning report with librarian support had shorter LOS & lower charges compared to controls

What is provided? Clinical support Librarians attend rounds with hospitalists and actively participate in developing practice guidelines, patient safety, Evidence Based Medicine, research and staff education committees Librarians provide… synthesized literature searches to support clinical decision making expertise in the use and training in clinical decision making tools like… Isabel MDConsult Micromedex (BJC) StatRef! ClinicalEvidence Clinical Pharmacology BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Clinical support

Librarians attend rounds with hospitalists and actively participate in developing practice guidelines, patient safety, Evidence Based Medicine, research and staff education committees

Librarians provide…

synthesized literature searches to support clinical decision making

expertise in the use and training in clinical decision making tools like…

Isabel

MDConsult

Micromedex (BJC)

StatRef!

ClinicalEvidence

Clinical Pharmacology

Clinical Portal One stop shopping for all clinical information resources: http://becker.wustl.edu/resources/clinicians.html BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

One stop shopping for all clinical information resources:

http://becker.wustl.edu/resources/clinicians.html

Bioinformatics @ Becker Two full-time bioinformatics specialists http://becker.wustl.edu/resources/bioinfo/ BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Two full-time bioinformatics specialists http://becker.wustl.edu/resources/bioinfo/

MD Consult Over 50 electronic books – key references Over 80 full-text journals Over 1,000 practice guidelines Over 10,000 patient education handouts Over 50,000 images Licensed through Becker Medical Library BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Over 50 electronic books – key references

Over 80 full-text journals

Over 1,000 practice guidelines

Over 10,000 patient education handouts

Over 50,000 images

Licensed through Becker Medical Library

BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Isabel Healthcare Isabel Healthcare “ diagnosis reminder” system Proprietary algorithms search symptoms and produce potential diagnoses “ Statistical Natural Language Processing” NOT an “expert system” No ranked list of diagnoses Significant applications Teaching Risk management CME opportunity BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Isabel Healthcare

“ diagnosis reminder” system

Proprietary algorithms search symptoms and produce potential diagnoses

“ Statistical Natural Language Processing”

NOT an “expert system”

No ranked list of diagnoses

Significant applications

Teaching

Risk management

CME opportunity

BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Parting thoughts Shared licenses would promote easier access to tools Advocate for unified, single sign on access Partner with your librarian to provide the best information resources and access for your community If it takes longer then 20 minutes to find something – contact your librarian Finally… "If information is the currency of democracy, then libraries are the banks.” Wendell Ford BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Shared licenses would promote easier access to tools

Advocate for unified, single sign on access

Partner with your librarian to provide the best information resources and access for your community

If it takes longer then 20 minutes to find something – contact your librarian

Finally…

"If information is the currency of democracy, then libraries are the banks.” Wendell Ford

Becker Library contacts Susan Fowler, MLIS Medical Librarian [email_address] 362-8092 Betsy Kelly Associate Director 362-2783 BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Susan Fowler, MLIS

Medical Librarian

[email_address]

362-8092

Betsy Kelly

Associate Director

362-2783

References Banks DE, Shi R, Timm DF, Christopher KA, Duggar DC, Comegys M, McLarty J. Decreased hospital length of stay associated with presentation of cases at morning report with librarian support. J Med Libr Assoc. 2007 Oct;95(4):381-7. PubMed PMID: 17971885; PubMed Central PMCID: PMC2000787. Bernard Becker Medical Library. Strategic Directions 2007-2010. Available at http://becker.wustl.edu/libdept/libdirector/index.php . Klein MS, Ross FV, Adams DL, Gilbert CM. Effect of online literature searching on length of stay and patient care costs. Acad Med. 1994 Jun;69(6):489-95. PubMed PMID: 8003169. Marshall JG. The impact of the hospital library on clinical decision making: the Rochester study. Bull Med Libr Assoc. 1992 Apr;80(2):169-78. PubMed PMID: 1600426; PubMed Central PMCID: PMC225641. Rossman B and Rossman D. Communication with Library Systems Support Personnel. Library Philosophy & Practice. 2005; 7(2). Available at http://www.webpages.uidaho.edu/~mbolin/rossmann.htm BERNARD BECKER MEDICAL LIBRARY Washington University School of Medicine

Banks DE, Shi R, Timm DF, Christopher KA, Duggar DC, Comegys M, McLarty J. Decreased hospital length of stay associated with presentation of cases at morning report with librarian support. J Med Libr Assoc. 2007 Oct;95(4):381-7. PubMed PMID: 17971885; PubMed Central PMCID: PMC2000787.

Bernard Becker Medical Library. Strategic Directions 2007-2010. Available at http://becker.wustl.edu/libdept/libdirector/index.php .

Klein MS, Ross FV, Adams DL, Gilbert CM. Effect of online literature searching on length of stay and patient care costs. Acad Med. 1994 Jun;69(6):489-95. PubMed PMID: 8003169.

Marshall JG. The impact of the hospital library on clinical decision making: the Rochester study. Bull Med Libr Assoc. 1992 Apr;80(2):169-78. PubMed PMID: 1600426; PubMed Central PMCID: PMC225641.

Rossman B and Rossman D. Communication with Library Systems Support Personnel. Library Philosophy & Practice. 2005; 7(2). Available at http://www.webpages.uidaho.edu/~mbolin/rossmann.htm