Impact of a Six Month Clinical Librarian Trial in a Tertiary Care Centre: a Controlled Study...
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Transcript of Impact of a Six Month Clinical Librarian Trial in a Tertiary Care Centre: a Controlled Study...
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.
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
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
• 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