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Full-Text Articles in Library and Information Science

Barriers And Facilitators To Use Of A Clinical Evidence Technology For Management Of Skin Problems In Primary Care: Insights From Mixed Methods, Marianne Burke Phd, Alan Rubin Md, Liliane Savard Dpt, Benjamin Littenberg Md May 2019

Barriers And Facilitators To Use Of A Clinical Evidence Technology For Management Of Skin Problems In Primary Care: Insights From Mixed Methods, Marianne Burke Phd, Alan Rubin Md, Liliane Savard Dpt, Benjamin Littenberg Md

Larner College of Medicine Faculty Publications

Background: A previous cluster-randomized controlled trial tested the effectiveness of a clinical evidence technology (CET), VisualDx, for skin problems seen by Primary Care Providers (PCPs). Based on patient report, there was no effect on time to problem resolution or return appointments.

Objective: To explain, from the provider perspective, why the CET did not make a difference in the clinical trial and to identify barriers and facilitators to use.

Methods: Mixed methods study design. Providers from both arms completed a survey about their use of VisualDx and information-seeking during and after the trial. Active arm providers participated in interviews to explore …


The Goldilocks Method: Demonstrating Your Value In Small, Medium, And Large Bites, Heather J. Martin May 2019

The Goldilocks Method: Demonstrating Your Value In Small, Medium, And Large Bites, Heather J. Martin

Heather J Martin, MISt, AHIP

Background : In an era of financial constraint hospital libraries are facing closer scrutiny and must prove their value in order to survive. Leadership at a large health system library found the traditional written annual report lacked the impact needed to capture the attention and the imagination of administration. Taking different approaches over the years, this library has found a solution that is “just right”, creating three very different documents – small, medium, and large – to demonstrate its worth.

Description : Library leadership moved away from the traditional written annual report toward a one-page infographic that depicted the library’s …


Building A Health System Institutional Repository: Setting Yourself Up For Success From The Start, Heather J. Martin, Basia Delawska-Elliott, Daina Dickman May 2019

Building A Health System Institutional Repository: Setting Yourself Up For Success From The Start, Heather J. Martin, Basia Delawska-Elliott, Daina Dickman

Heather J Martin, MISt, AHIP

Background : While more common in university settings, institutional repositories (IR) have a place within hospitals and healthcare systems too, though the challenges in creating them may be different. This paper looks at the development of a Digital Commons institutional repository at Providence St. Joseph Health. The authors present the necessary steps for a successful initiative beginning with the planning process and building from there. Highlighted are some of the different challenges faced in non-academic settings; considerations when selecting a platform and designing and structure; and recommendations for doing outreach and promotion to unique user groups.

Description : Library staff …


Hospital Libraries: A Path Forward, Basia Delawska-Elliott, Wm. Brian Elliot Mar 2019

Hospital Libraries: A Path Forward, Basia Delawska-Elliott, Wm. Brian Elliot

Basia Delawska-Elliott, MLIS, AHIP

Program Description: Despite our profession’s constant evolution to address the changing needs of our users, many health sciences libraries, particularly hospital libraries, are under scrutiny by their institutions. Many of these libraries are facing closure. In fact, a recent study of health sciences library closings [Schwartz, Elkin 2017] found that from 1989-2006 approximately 23-34% of US health sciences libraries closed. Furthermore, between 2011 and 2015, 613 libraries closed, for an average of 115 closings per year [Thibodeau, Funk 2009]. But why? What was the rationale for these closings? Was the decision based solely on economic reasons, or were there other …


Clinical Evidence Technologies And Patient Care, Marianne D. Burke Jan 2019

Clinical Evidence Technologies And Patient Care, Marianne D. Burke

Graduate College Dissertations and Theses

ABSTRACT

Clinical evidence technologies (CETs) are information sources derived from medical research literature that may assist health care providers in continued learning, decision-making, and patient care. Examples of CETs include: MEDLINE/PubMed and Cochrane Reviews, research journal literature, print and electronic medical texts, clinical topic summaries, guidelines, and interactive decision tools. Clinicians utilize CETs to find answers to questions that arise during patient care. However, it was unclear if CETs had a measurable impact on provider practice or patient outcomes.

A literature review identified twenty-two articles evaluating CETs’ impact. Study designs included surveys, observational studies, randomized controlled trials and quasi-experimental methods. …