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Impact of a Six Month Clinical Librarian Trial in a Tertiary Care Centre: a Controlled Study. Elizabeth Aitken [email protected] International Clinical Librarians Conference June 14, 2011. Beginnings. Paradigm Shifts Clinical Librarian programs Intervention pilot in W21C - PowerPoint PPT Presentation
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Impact of a Six Month Clinical Librarian Trial in a Tertiary Care
Centre: a Controlled Study
Elizabeth Aitken [email protected]
International Clinical Librarians ConferenceJune 14, 2011
Beginnings
• Paradigm Shifts
• Clinical Librarian programs
• Intervention pilot in W21C• Hypothesis: Even with information literacy
education and the moving of systems toward easy interfaces, improved access and evidence-based medicine synthesis services, a clinical team can benefit from a clinical librarian intervention.
Health Information Network
Service Points
Rockyview General HospitalKnowledge Centre
Alberta Children’s HospitalKnowledge Centre
Peter Lougheed Knowledge Centre
Women's Health Knowledge Centre
Health Sciences Library(UofC)
Tom Baker Cancer Knowledge Centre
Setting & Subjects
• Ward of the 21st Century
• Yellow & Blue Teams
• Attendings
• Schedules
Intervention
• Morning handover, Intake, Review Patient List• Formal Education opportunities• Being present• Three roles:
– Education & mentorship to encourage independent ebm information retrieval
– Expedited search support and full-text delivery on request
– Anticipatory info provision based on attendance at bedside
Process & Methods• To Provide Clinical Information
– fast turnaround – patients don’t stay long – usually (IM is complex), physician changes often
– aim was ebm at bedside quickly – mixed results
– process – POC tools, clinical queries, medline/embase
• To Measure the Intervention– Pre and post survey
Survey Results
• Figure 1 • Agreement with a statement that clinical librarian
can be helpful in clinical areas
Qualitative comments made by the intervention group participants
• Useful to have someone dedicated to lit searches• We are more likely to use resources as w/o librarian +
resources available, we forget to look things up
• We just don't have the time, [to search] esp @ our clerk stage Finding evidence to help direct clinical decision making
And from the blue team:• Looked like the other team was learning a lot!
Study Characteristics
• Limitations– Single centre, single service, small sample– Self-reported behaviours– Teaching environment– Potential for “contamination” of control team
• What does this study add?– Large tertiary care centre, representative MTU– Controlled study– Impact on diagnosis & treatment plans
Reviewer’s Comments
• Informationist versus Clinical Librarian
Reviewer’s Comments
• Does a change in treatment plan or diagnosis automatically infer better patient care?
Donabedian A. 1980. Methods for deriving criteria for assessing the quality of medical care. Medical Care Review 37(7):653–698.Donabedian A. 1988. The quality of care. How can it be assessed? Journal of the American Medical Association 260(12):1743–1748.
What’s next?
• Article
• Multi- pre-appraised search tool
• How can we create a clinical librarianship program to work across Calgary Zone
Questions