医院图书馆在临床科研中的作用

医院图书馆是医学科技创新的重要组成部分,是开展医疗、教学和科研工作的信息支撑体系。医院图书馆主要通过加强用户培训教育,开展编制二次文献工作;加强信息导航,开展定题服务,在临床科研中发挥着信息保障作用。     

医学图书馆与医学生信息素质教育

医学图书馆作为医院文献信息中心,应该在医学生信息素质教育中发挥积极的作用,促进医院医疗、科研、教学的发展。本文探讨了信息素质与医学生信息素质教育、医学图书馆开展信息素质教育的优势和方法。     

军队医院图书馆在突发事件中的应急保障服务

由于社会上突发事件频发,研究军队医院图书馆在突发事件中的应急服务体系的作用显得日益重要。本文结合军队医院图书馆现实工作,分析了社会上一些突发事件的特点,就军队医院图书馆应急医学信息服务保障的现状及原因,建立应急医学信息保障系统的必要性,充分发挥信息服务保障作用,以及军队医院图书馆应急医学信息服务保障任务进行论述,并提出一些合理化建议。这些对于加强军队医院图书馆建设,增加军队医院图书馆在社会上的认知度有重要意义。     

构建医患和谐：大型医院图书馆医学信息服务的“三个面向”

文章针对临床医疗引发的医患矛盾,从医学信息服务角度提出了以面向医院管理层、临床医务人员和患者的医学信息服务来化解矛盾,阐述了大型医院图书馆以医学信息服务为纽带,构建医患和谐的工作要点。     

山东省县及县以上医院图书馆现状调查分析

随着医学科学和现代管理科学的飞速发展,信息的重要性已被广泛认识。医院图书馆是直接为医院医疗、教学、科研和管理提供信息服务的场所。医院图书馆工作人员的数量、素质及能力是充分发挥图书信息作用的保证。笔者于1998年5月对山东省县及县以上医院图书馆作了调查,结果报告如下。1 调查范围、对象与方法     

谈如何做好医院图书馆的医学信息工作

医学信息是科技情报在医学领域的具体体现 ,是通过医疗卫生工作实践所获得人体生命、疾病、健康的现象、本质和规律的认识 ,是反映人的生命过程的各种情报信息。医学信息工作是医学情报信息传播的核心 ,是使医学知识信息物化成为医疗技术和卫生劳务生产力 ,并应用于医疗实践的服务过程。随着医学科学的迅速发展和医院现代化建设的需要 ,医院图书馆如何适应医学信息工作的发展 ,做好医学信息工作成为一项重要课题。为此 ,几年来 ,我院图书馆注重做好以下几方面的工作 :1　广辟信息源当前 ,人类面临信息社会的到来 ,图书馆从书籍的世界进入了…     

医院图书馆管理浅析

随着医疗技术的不断发展，信息与知识更新周期缩短，创新速度较快，对信息的收集显得越来越重要。医院图书馆的根本宗旨是为临床医疗、科研、教学提供优质有效服务，利用各种方法和手段将图书信息传递到临床，尽最大限度地满足临床对医学信息的需求，实现其应有的价值。我院主要采用以下方式来加强对图书馆的管理。     

探讨设立病人图书馆的必要性

随着医学模式的转变,书籍对病人治疗的影响日益为广大医生所接受。设立病人图书馆是现代化医院的管理模式所要求的。 1 设立病人图书馆的必要性 由于社会主义市场经济的确立和发展,医疗保险制度的改革,使市场经济规律进入医疗卫生服务领域。随着人民生活水平和文化层次的提高,病人对医疗卫生的需求达到了新的高度,他们不仅要寻求高质量、高水平的医疗技术,更需要多层次、全方位、多元化服务。也就是说,他们不仅要求看好病,而且还希望     

医院图书馆文献资源的开发和利用

医院图书馆是医学科学知识的源泉，是传播最新医学信息及相关科学知识的中心。它不仅为医学教育、科研工作收集及提供有关的文献资料，还肩负着为医疗服务的重任，对提高医院的医疗水平有着重要的现实意义。     

图书馆医学信息学论文统计分析

本文对图书馆人员所发表的医学信息类的论文,从主题词、刊登杂志及作者分别进行统计分析,意在了解图书馆在医学信息学领域内的研究动态及在信息服务中的优势与不足,以便更好地发挥其在医学信息传播中的作用。     

Using Web sites on quality health care for teaching consumers in public libraries

More and more consumers are searching the Internet for health information. Health Web sites vary in quality, though, and not all consumers are aware of the need to evaluate the information they find on the Web. Nurses and other health providers involved in patient education can evaluate Web sites and suggest quality sites for patients to use. This article describes a project we implemented in 2 public libraries to educate consumers about quality health care and patient safety using Web sites that we had evaluated earlier. Participants (n = 103) completed resources on health care quality, questions patients should ask about their diagnoses and treatment options, changes in Medicare and Medicare options or ways to make their health benefits work for them, and tips to help prevent medical errors. Most consumers were highly satisfied with the Web sites and the information they learned on quality care from these resources. Many participants did not have Internet access at home or work and instead used the library to search the Web. Information about the Web sites used in this project and other sites on quality care can be made available in libraries and community settings and as part of patient education resources in hospitals. The Web provides easy access for consumers to information about patient safety initiatives and health care quality in general.     

A STUDY ON THE INFORMATION NEEDS OF PREGNANT WOMEN IN NEW ZEALAND

Women who had recently had their first babies were surveyed to identify their unmet needs for information, the ease with which they could ask questions of health professionals and family and friends, their locus of control, self-care and self-knowledge. Of the 281 women surveyed, 221 responded, giving a response rate of 78.6 per cent. More than 50 per cent of the respondents felt they had too little information on special tests done in pregnancy, postnatal care and ‘blues’, caesarean section and induction of labour. Only 48 per cent of the women felt that they could question their doctor with ease. Most of the decisions about what happened during their pregnancy and labour were made by others for 31 per cent of the women. Of the smokers, 38 per cent stopped smoking during pregnancy. However some women lacked the self-knowledge for future self-care, as only 34 per cent of the respondents knew the result of their cervical smear.     

Estimation of the impact of providing outpatients with information about SARS infection control on their intention of outpatient visit

To examine the effect of provision of information about the infection control in the specific infection disease treatment unit in a city hospital on the outpatient's intention of outpatient service use, respondents who underwent outpatient medical care at the hospital (N = 821) were asked whether or not they intended to continue the outpatient visit at the hospital if a severe acute respiratory syndrome (SARS) patient was admitted to the unit. Although 56% of respondents replied that they could continue to visit the department if a SARS patient was admitted to the unit in the hospital before they read the information, the proportion of those who intended to continue outpatient care significantly increased by 15% after they read it. The logistic regression analyses revealed that respondents who had frequently visited the outpatient department (P < 0.001), those who felt relieved by reading the information about the unit (P < 0.001), and those who did not worry about nosocomial SARS infection inside the hospital (P < 0.001) were significantly more likely to reply that they would continue outpatient visits. We estimated that admission of a SARS patient to the unit would result in a 20% decrease in the cumulative total number of outpatients in the hospital during a 180-day interval after admission of a SARS patient to the unit, and the cumulative total number of outpatients increased by 7% after they read the information. This study suggests that providing outpatients with appropriate information about SARS infection control in the hospital had a statistically significant and substantial impact on the outpatients' intention to continue outpatient visits at the hospital.     

Promoting library services to qualified nurses: towards a market-led approach

This article summarizes a research project carried out with the nursing staff of South Buckinghamshire NHS Trust. A 'community profile' looked at nurses' use of library and information services for patient care purposes and found that only a small portion of all categories of qualified staff were library users. A postal questionnaire was used to investigate why nurses sought information, what they used it for, where they obtained it from and how valuable they perceived it to be. The results shown that personal and departmental collections were used quite frequently and the information was widely disseminated by the nurses to patients and their families, to colleagues and to students. The overall message from the survey was that the information obtained is valued highly and is used for various important purposes in health care delivery, such as educating patients and their families and revising treatment plans. However, nurses have difficulty in accessing libraries, which are judged to contain the most accurate, reliable and up-to-date information. The data from the community profile and questionnaire were further analysed using soft systems methodology, in order to identify problems in the traditional model of information delivery to nurses via conventional library and information service. These were then investigated further and a series of recommendations for action drawn up.     

Increasing Public Awareness of Quality Health Information on the Internet

Abstract

Recent surveys indicate that the number of people looking for health information online has skyrocketed. Consumers have access to an abundance of information via the Web, not all of it quality, authoritative information. Bad information can be worse than no information. The Medical College of Wisconsin Libraries partnered with a local public library to offer classes to the public on finding quality health information on the Web. Within three months after each class, a follow-up survey was sent to participants to determine if they had accessed health information online since taking the class, if taking the class had helped them to find information, and if they had used any of the information in making a health care decision or in interacting with their health care provider. Results show that awareness of quality health related Web sites helped consumers to find information that they in turn used in managing their health care decisions.     

对当前医院图书馆读者服务模式的思考

结合对我国当前医院图书馆的发展现状的认识,提出了当前医院图书馆要满足广大医务人员进行医疗、科研的需求,必须转变服务观念,改变服务模式的必要性和意义,着重论述了对当前医院图书馆的服务模式需要改进的几个方面,提出了包括从加强医院图书馆信息网络建设、实行人性化服务、提供知识服务、主动服务、扩大服务方式及为医院患者提供服务等方面改变服务模式的观点。     

The value of information supplied to clinicians by health libraries: devising an outcomes-based assessment of the contribution of libraries to clinical decision-making

The Value project, a study funded by the British Library Research and Development Department and a group of postgraduate medical deans, has examined the effectiveness of NHS library and information services. Clinicians at 11 hospital library sites were asked to describe the purposes for which they needed information, the steps they took to obtain it, and to assess the value of the information obtained from interlibrary loan requests, database searches and end-user searches. A sample of non-library users and of users of the BMA Dial-Up MEDLINE service were also asked similar questions. Results show that information did, or would in the future, assist in personal clinical decision-making and which kinds of decisions were most supported. Information new to clinicians was often provided. Follow-up interviews provided illustrations of the ways in which developments aimed at more cost-effective patient care were supported by information obtained from the library. Results are being used to guide the production of a quality assurance toolkit to help libraries audit their services and improve the delivery of information to clinicians.     

Efficacy of the stat serum electrolyte panel in the management of older emergency patients.

The serum electrolyte panel (SEP) is commonly ordered in the workup of the emergency department (ED) patient. This study was done: 1) to evaluate the efficacy of the SEP in terms of the identification of clinically significant abnormals (yield) and the impact on therapeutic plan (impact); 2) to evaluate the reasons that the test was ordered; and 3) to compare the expected and realized contributions of the test to patient care. Pretest and posttest questionnaires were administered to physicians managing 800 ED patients greater than or equal to 55 years old for whom SEPs were ordered. The yield of significant abnormals was 16%. Fluid and electrolyte treatment plans were modified after the SEP results became known in 35% of cases. This modification was associated with a normal SEP 48% of the time. Both the yield and the impact of the SEP were related to the reason that the test was ordered. The most common reason given was "to look for an unexpected abnormality" (50%). Physicians' expectations for the contribution of the SEP to patient care decisions were greater than the contributions realized after the results were known. However, in 115 cases, the test contributed more than expected. Physicians predicted that 13% of the tests would contribute nothing to patient care. After the results were known, they felt that 38% had made no contribution. Physicians tend to overestimate the potential impact of the SEP but are occasionally surprised by a result that contributes more than expected. Thus, there is considerable pretest uncertainty about treatment decisions and normal results appear to have a substantial impact.