Virtual Library, Introduction, Damascus Medical Syndicate Scientific Conference, 24 Sept 2010, Damascus, Syria. The workshop presented and coordinated by Dr. Ghassan Shahrour, Chairperson of Syrian Medical Informatics Association. مدخـل إلى المكتبة الطبية الافتراضية مؤتمر أطباء دمشق العلمي الرابع E-health is a way of thinking, attitude and Commitments.

1. ‫مؤتمر أطباء دمشق العلمي الرابع‬
2010 ‫32-52 أيلول‬
‫ورشـة: مدخـل إلى‬
‫المكتبة الطبية االفتراضية‬
Ghassan Shahrour, MD, Syrian Medical Informatics Association
1
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

2. E-Health ُ ‫الصحة اإللكترونية‬
ّ ّ
E-Health:
the use, in the health
sector, of digital data—
transmitted, stored and
retrieved
electronically—for
clinical, educational
and administrative
purposes, both at the
local site and at a
distance.
2
‫• الصحة اإللكترونية‬
ّ ّ
– ‫استخدام المعطيات الرقمية‬
‫المنقولة والمخزنة‬
– ً ‫والمسترجعة إلكترونيا‬
،‫في إطار القطاع الصحي‬
ّ ّ
‫ألغراض سريرية وتعليمية‬
‫وبحثية وإدارية، سواء في‬
.‫الموقع المحلي أم عن بعد‬
ُ
Ghassan Shahrour, MD,
Syrian Medical Informatics Association

3. Objectives of SYRMIA
Include:
- To help MDs in SYRMA to promote their ICT
knowledge and skills required for their health
practices, and e-learning.
-Advocate building enabling environment for the
use of ICT in the health sector.
3
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

4. ‫الصحة اإللكترونية‬
E-health is a way of thinking, attitude and
Commitments.
Computerized Physician Order Entry: Helpful or Harmful, Article,
AMAJ
Ghassan Shahrour, MD,
Syrian Medical Informatics Association

5. ‫تأثيرات تطور تكنولوجيا المعلومات واالتصاالت ‪ICT‬‬
‫على العاملين في الصحة‬
‫ّ ّ‬
‫1(احتياجات تعلُّم تكنولوجيا المعلومات واالتصال،‬
‫(دور المتعلم طوال الحياة).‬
‫2(احتياجات تعلم تكنولوجيا المعلومات واالتصال،‬
‫(دور المختص السريري).‬
‫3(احتياجات تعلُّم تكنولوجيا المعلومات واالتصال،‬
‫ِّ‬
‫(دور المثقف/المرشد).‬
‫4(احتياجات تعلم تكنولوجيا المعلومات واالتصال،‬
‫(دور اإلداري).‬
‫5(احتياجات تعلم تكنولوجيا المعلومات واالتصال، الالزمة‬
‫(دور الباحث).‬
‫‪Ghassan Shahrour, MD, Syrian Medical‬‬
‫‪Informatics Association‬‬
‫5‬

6. Our Activities include introduction on:
6
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

7. Our Activities include introduction on:
7
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

8. Our Activities include introduction on:

9. African Medical and Research Foundation

11. Internet Resources.‫الشابكة‬
‫مكتبة ومصادر‬
http://www.freemedicaljournals.com
11
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

12. http://www.doaj.org/
12
Ghassan Shahrour, MD,
Syrian Medical Informatics Association

13. http://www.freebooks4doctors.com/
13
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

14. 14
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

15. Medline Plus
http://medlineplus.gov/
15
Ghassan Shahrour, MD, Syrian
Medical Informatics Association

16. PubMed
http://pubmed.gov
16
Ghassan Shahrour, MD, Syrian Medical
Informatics Association

17. ‫‪E Groups‬‬
‫تقييم المواقع الصحية في الشابكة‬
‫ّ ّ‬
‫• مجموعات النقاش اإللكترونية‬

21. E-Health Encyclopedia

22. ‫التثقيف الصحي عبر اإلنترنت ماذا أعددنا له؟‬
Internet Based Public Health Education:
Are We Prepared?
Ghassan Shahrour, M.D
Damascus Syria
The First Annual Congress of
Damascus Faculty of Medicine
10-12 May 2006
22
Ghassan Shahrour, MD SMIA

23. 2009 ”Orientation on EHR and PACS "
Ghassan Shahrour, MD,
Syrian
Medical Informatics Association

24. Ghassan Shahrour, MD, Syrian
Medical Informatics Association

26. Ghassan Shahrour, MD, Syrian
Medical Informatics Association

27. Prof. Francesco sicurello, President @ITIM/IITM, Tele- Medicine
Milan - ITALY
Introduction on the methods and systems
in Medical Informatics and Telemedicine
:‫81 آذار 7002 في مركز رضا سعيد للمؤتمرات حول‬
."‫"طرق ونظم المعلوماتية الطبية والطب البعدي‬

28. Some of Our Activities

29. ‫‪Presentation Skills‬‬
‫الرابطة السورية للمعلوماتية الطبية‬
‫‪www.syrmia.org‬‬

30. Some of Our
Activities

31. Some of Our Activities
Regional Conference on:
“Sharing Experience Best Practices in
ICT Services for Persons With
Disabilities”
EMRO, Cairo, 13 – 15 November 2007

32. UN E-Government Survey 2010

33. UN E-government Survey

34. Medical librarians
• become Web managers, medical informatics
experts, and chief information officers as well
as catalogers, instructors, and reference
librarians.
• A medical librarian needs a graduate degree in
library or information science. A background
in science, health sciences, or allied health is
beneficial, as are graduate courses in medical
informatics or medical librarianship.

35. Role of the health sciences library
• The health sciences library is positioned to
play a key role in the hospital and the
academic medical school. The increasing use
of the Internet and new information
technologies by medical, nursing, and allied
health staffs, patients and the community
require new strategies, strategic planning,
allocation of adequate resources, and selection
and evaluation of appropriate information
resources and technologies.

36. Solution
• A central virtual health sciences library is
recommended to be created to enable
health care professionals and medical
students have remote access to all
resources (Electronic journals, electronic
Books, Databases, CME lectures, etc…)

37. Requirements
• Budget, qualified manpower,
electronic resources, website
(portal), remote access, software,
offering virtual reference desk
service, library committee, etc…

38. Portal
• A searchable website (portal) to include and
provide remote access to all resources.
• Can be purchased from vendors or can be created
in-house with the help of IT department team.
• A software to provide remote access can be
purchased.
• Issuing authentication (user name and password)
for each user.

39. Electronic Resources
• E-journals, E-Books, E-databases, etc...
• Free full text vs. paid annual subscriptions.
• Free trails from publishers should be obtained
before subscribing to evaluate each resource.
• Subscription to the most important electronic
resources should be considered.
• Remote access to all electronic resources is
essential.

40. Electronic resources
•
•
•
•
Free Trials first.
Access through IP address.
Site License (user name & Password)
FTE: Full Time Equivalent; for Hospitals means: Total
# of Clinicians, Pharmacists, & Researches
(excluding Nurses).
• Small = 1-400; Medium = 401-1500; Large = 1501 -

41. Health InterNetwork Access to
Research Initiative (HINARI)
• provides free or very low cost online access
to the major journals in biomedical and
related social sciences to local, non-profit
institutions in developing countries.
• national universities, research institutes.
professional schools (medicine, nursing,
pharmacy, public health, dentistry), teaching
hospitals, government offices and national
medical libraries.

42. Free electronic resources
http://www.ncbi.nlm.nih.gov/pubmed/ •
http://www.freemedicaljournals.com •
http://www.freebooks4doctors.com/ •
http://www.ncbi.nlm.nih.gov/sites/entrez?db •
=books
http://www.nap.edu/topics.php?topic=288 •
http://www.nap.edu/topics.php?topic=287 •
http://www.medicalstudent.com/ •

43. Continued… Free
• http://www.biomedcentral.com/
• http://www.doaj.org/doaj?func=subject&cpid
=20
• http://highwire.stanford.edu/lists/freeart.dtl
• http://www.ncbi.nlm.nih.gov/pmc/

44. Paid electronic resources
•
•
•
•
•
•
•
•
•
•
•
•
•
•
AAP
BMJ Journals
CINAHL
Dentistry & Oral Sciences Source from EBSCO
EBSCO
Emerald
Harvard Business Review
MDConsult
Medline with Full Text from EBSCO
OVID
ProQuest
Springer e-Journals
Wiley InterScience (Dentistry)
Wiley InterScience (Dermatology)

45. Clinical/Evidence Based Practice (EBP)
• Best Practice
• Clinical Evidence
The Cochrane Library
• DynaMed
EBM Reviews from OVID
• EvidenceMatters
• EvidenceUpdates
• FIRSTConsult
• JAMAevidence
Joanna Briggs Institute
• MDConsult: Practice Guidelines
• Micromedex
• Nursing Reference Center
UpToDate

46. Continued … Clinical/Evidence
•
•
•
•
•
•
•
•
•
•
National Guideline Clearinghouse - NGC
PubMed Clinical Queries
Trip Database
PEDro - The Physiotherapy Evidence Database
OT seeker - Occupational Therapy
Bandolier
Clinical Practice Guidelines and Protocols in British Columbia
CMA Infobase: Clinical Practice Guidelines
Centre for Health Evidence
Guidelines Advisory Committee (GAC) Clinical Practice
Guidelines
• Scottish Intercollegiate Guidelines Network (SIGN)

47. Drugs and Pharmacology
• AccessMedicine: Drug Monographs
• AccessMedicine: Goodman. The
Pharmacological Basis of Therapeutics
• British National Formulary (BNF)
• British National Formulary for Children (BNFC)
• Micromedex
• MDConsult: provided by Gold Standard

48. Continued … drug
•
•
•
•
•
•
•
•
DailyMed
Drug Information Portal
Drugs.com
Chemical Industry Supplier Registry
HerbMed
National Prescribing Centre (NPC)
NeLM
TOXNET: Toxicology Data Network

49. Continuing Medical Education (CME)
BMJ Learning
Nursing Reference Center
Other CME Resources for Medical: AAP Journal CME
APA Online CME Center
Blood CME Center: Cardiovascular & Metabolic Health
(CMH) Foundation
CME Center: American Academy of Family Physician
CME LLC: Offers High-Quality Continuing Medical Education
for Healthcare Professionals. Go to Register/login to create
an account then select Claim Credits.
Medscape CME
Online CME from freeCME.com
PsychiatryOnline CME
PsychiatryOnline - Self-Assessment
•
•
•
•
•
•
•
•
•
•
•

50. CME Resources for Nursing
• Medscape CME: Nurse Practitioners Resource
Center CME
• WebSug: The largest collection of educational
programs in minimally invasive surgery

51. Examination Resources
•
•
•
•
•
Medical Masterclass
USMLEasy
AccessMedicine - Self Assessments
PsychiatryOnline - Self-Assessment
WebSurg

52. Research & Publishing
•
•
•
•
RefWorks: - Reference & Citation Manager
Literature Searching (Resources, Services, Classes)
Open Access Publishing
Instructions to Authors in the Health Sciences: by
Mulford Library. these pages provide links to Web sites
which provide instructions to authors for over 3,500
journals in the health and life sciences.
• Elsevier Author's Home
• ResearcherID: is a global, multi-disciplinary scholarly
research community

53. How to communicate with the library
users?
• In person, Telephone, & Fax.
• Online discussion:
a. Real time: Yahoo Messenger, MSN
messenger.
b. Asynchronous: Email, Mailing lists,
Newsgroups, conferences, forums, Web based
discussions.
• RSS feeds, Blogs, Social Networking, etc…

54. EMRO/WHO
http://www.emro.who.int/lin/
Take advantage of EMRO/WHO free services:
• Virtual Health Sciences Library
• Networking and sharing
• Regional office publications
• Medical subject headings in Arabic
• EMR union catalog of health sciences

55. Tutorials
• Librarians must conduct Hands-On workshops
to train health care professionals how to use
the electronic resources.
• Weekly workshops
• Invite international speakers
• Develop staff development plan.
• Conduct Needs Assessment to know what
topics are interested for the hospital staff

56. Sources of Information
• Digital Library vs. databases
– Digital Library is a portal to electronic resources (books,
journals, databases)
– Databases contain article citations (e.g. PubMed, Web of
Science)
• Getting started: background information
– UpToDate® is a database of synthesized clinical evidence and
practice expertise. Content is based on journal literature to offer
current practice recommendations supported by high-quality
evidence.
– MDConsult is a virtual medical library that includes the
full-text of well-known journals and textbooks, clinical
guidelines, drug information, and patient education handouts in
English and Spanish.

57. PubMed
Weaknesses
• Can be time-consuming to search because of
its size
• Quick searches may omit relevant citations,
with the danger that you may miss important
viewpoints in the literature
• Controlled vocabulary terms (MeSH) are
updated annually, so may not accommodate
new concepts well
• Includes literature from over 70 countries, but
has a North American bias and may omit
relevant European literature

58. ‫مفاهيم ... تعريفات ... مسميات‬
‫• * المكتبة اإللكترونية ‪Electronic Library‬‬
‫*المكتبة المهجنة ‪Hybrid Library‬‬
‫*المكتبة االفتراضية ‪Virtual Library‬‬
‫*مكتبة المستقبل ‪Library Of Future‬‬
‫*المكتبة الرقمية ‪Digital Library‬‬
‫*مكتبة بدون جدران ‪Lib. with out wall‬‬
‫• رغم كثرة المصطلحات إال أنه لم يستخدم منها سوى ثالث مصلحات تعتبر هي‬
‫األكثر شيوعاً وهي المكتبة اإللكترونية – المكتبة‬
‫االفتراضية – المكتبة الرقمية‬

59. ‫المكتبات الرقمية ‪Digital Library‬‬
‫• هي المكتبة التي تشكل المصادر اإللكترونية الرقمية كل محتوياتها،‬
‫وال تحتاج إلي مبني وإنما لمجموعة من الخوادم وشبكة تربطها‬
‫بالنهايات الطرفية لالستخدام. فنجد أن " المكتبة الرقمية" مكونة‬
‫أساسا من أوعية ومصادر مرقمنة – أوعية تقليدية يتم تحويلها إلى‬
‫أوعية الكترونية. هذه األوعية يمكن أن تكون عبارة عن مقاالت‬
‫نختزنه ومعالجة ومتاحة من خالل أدوات وبرامج وتقنيات خاصة‬
‫بالرقمنة . لعلة من أفضل األمثلة على هذا النوع من المكتبات هو‬
‫مشروع الذاكرة األمريكية المتاحة عبر مكتبة الكونجرس . .‪US‬‬
‫‪Library of Congress: American Memory collection‬‬
‫•‬
‫•‬
‫‪http://memory.loc.gov/ammem/index.html‬‬
‫/‪http://books.google.com‬‬

60. ‫تاريخ المكتبات الرقمية‬
‫مشروع غوتنبرغ‬
‫قام مايكل هارت في عام 1791 قام بإنشاء أول مكتبة رقمية في‬
‫تاريخنا المعاصر، وأطلق عليها اسم مشروع غوتنبرغ مخلدا‬
‫بذلك اسم الرجل الذي اخترع الطباعة‬
‫ورغم الكميات الهائلة من الملفات المتوفرة ضمن موقع مشروع‬
‫غوتنبرغ، فإنه لم يحتو على كثير من الميزات التي يمكن أن‬
‫تجعل منه مكتبة رقمية كاملة، مثل إمكانيات البحث في النص، أو‬
‫تصنيف الكتب، وما إلى ذلك، وال يحتوي الموقع حتى اليوم إال‬
‫على محرك بحث بسيط يبحث في الكتب حسب العناوين أو حسب‬
‫اسم المؤلف‬

61. Impact on Patient Care
•
•
•
•
•
•
A study in 15 hospitals in NY.
29.3% reported changing diagnosis
50.5% reported changing choice of tests
45.2% reported changing choice of drugs
19.2% reported reducing length of hospital stay
71.6% reported changing advice given to
patients

62. Make a difference study..
• 19.2% reported avoiding patient mortality
• 8.2% reported avoiding hospital-acquired
infection
• 21.2% reported avoiding surgery
• 45.1% reported avoiding additional tests or
procedures
• 28.3% reported avoiding additional outpatient
visits

63. 63
Ghassan Shahrour, MD SMIA