1 / 18

Librarians Improving Health Care :

Librarians Improving Health Care :. Making a Difference. Indiana Health Sciences Library Association April 9, 2013. Holly Ann Burt, MLIS NN/LM Greater Midwest Region. Making a Difference. Traditional Services Literature Searches Evidence Based Research Beyond the library Rounding

kiaria
Download Presentation

Librarians Improving Health Care :

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Librarians Improving Health Care: Making a Difference Indiana Health Sciences Library Association April 9, 2013 Holly Ann Burt, MLIS NN/LM Greater Midwest Region

  2. Making a Difference • Traditional Services • Literature Searches • Evidence Based Research • Beyond the library • Rounding • Patient Education • Electronic Medical Records • Share the Results • Annual Reports • Articles

  3. Traditional Services

  4. Traditional services 1 • Library Services • References materials – online and in-print • Just in time information • Literature searches – responsive & proactive • Evaluation and synthesis of the literature • Survey of health professionals • 16,122 physicians, residents and nurses in 118 hospitals served by 56 libraries • Health professionals involved in patient care or clinical research • Remember an event in the past six months where they used an information resource

  5. Traditional services2 • Impact of library services • 75% stated they definitely or probably handled some aspect of patient care differently • 48% Changed advice given to patient • Saved an average of 2.5 hours • 19% Eliminated additional tests • 13% Avoided misdiagnosis • 12% Prevented medication errors • 6% Prevented patient mortality Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013 Jan;101(1):38-46. PMID 23418404.

  6. Beyond the Library

  7. Participation at Morning Reports • Morning Report • Case-based conference in which house officers, attending physicians, and the program director or department chair met to discuss the care of newly admitted patients • Librarian attended and offered follow-up literature • Results of a six month case controlled study • Reduced length of stay by an average of 2 days • Reduced costs by nearly $1400 per person Banks DE, Shi R, Timm DF, et al. Decreased hospital length of stay associated with presentation of cases at morning report with librarian support. J Med Libr Assoc. 2007 Oct; 95(4):381-387.

  8. Participation on ICUMultidisciplinary Rounds • Librarian services • Participation on the hospital Intensive Care Unit Multidisciplinary Rounds team • Response to specific requests • Identifying of questions and providing research • Three case reports, selected queries revealed • Patient care processes improved • Outdated patient protocols identified and changed • Evidence-based protocols established Brandes S. Experience and outcomes of medical librarian rounding. Med Ref Serv Q. 2007 Winter; 26(4):85-92. PMID: 18086644.

  9. Participate in the Magnet process • ANCC Magnet Recognition Program® • Accreditation by the American Nurses Credentialing Center (ANCC), American Nurses Association (ANA) • 14 focused areas (“Forces”) to improve quality patient care, nursing excellence and innovations in professional nursing practice • Librarian services • Address six Forces • Include traditional services • Provide evidence-based training and resources • Partner with nursing staff and leadership

  10. Participate in the Magnet process 2 • Results • Renewal of Magnet status • Increased nursing research studies • Increased number of nurse authors • Use of evidence at the bedside addressing fall prevention Rourke DR. The hospital library as a "magnet force" for a research and evidence-based nursing culture: a case study of two magnet hospitals in one health system. Med Ref Serv Q. 2007 Fall;26(3):47-54. PMID: 17915630

  11. Partnering with/for Patients • 18-month program • Patient information requests rose form 3%-30% • 46% requests focused on prognosis or treatment • 21% of in-patients sought information on psychological issues related to their diagnosis • Results • Hospital-wide commitment to patient education • Improved patient satisfaction • Focus on performance improvement Tarby W, Hogan K. Hospital-based patient information services: a model for collaboration. Bull Med Libr Assoc. 1997 Apr;85(2):158–66. PMID: 9160153.

  12. Partnering with EHR/EMR/PHR • MyHealthatVanderbilt • Electronic Health Record (EHR) with a patient portal • Provide appropriate health information for patients • Librarians work closely with healthcare teams • Selected topics are vetted; links connect diseases to patient-oriented information • Results • July 2006, 15% of patients using the portal accessed the library-provided links Koonce TY, Giuse DA, Beauregard JM, Giuse NB. Toward a more informed patient: bridging health care information through an interactive communication portal. J Med Libr Assoc. 2007 Jan; 95(1):77-81. PMID: 17252070. See also: Welton NJ. The University of Washington electronic medical record experience. J Med Libr Assoc. 2010 Jul;98(3):217-219. PMID: 20648254

  13. Partnering to Address Health Literacy • Pilot project at Harvard Medical School (HMS) • Low health literacy is associated with poorer health outcomes and poorer use of health care services • Focus on the importance of plain language communication • Partnership • Librarians provided education on health literacy and information sources • Medical students developed and taught 10-minute courses on specific topics • Adult students from literacy program attended and provided evaluation

  14. Partnering to Address Health Literacy 2 • Results of the 2008 project • 44% of adult learners learned about a specific health topic • 88% of medical students learned how to improve physician/patient communication • An elective course is under development • Library recourses on health literacy are expanded Hess J, Whelan JS. Making health literacy real: adult literacy and medical students teach each other. J Med Libr Assoc. 2009 Jul;97(3):221-224. PMID: 19626149

  15. Supporting an Evidence-Based Database • Family Physicians' Inquiries Network (FPIN) • Database of clinical questions and answers focused for family physician medicine at the point of care • 600+ Clinical Inquiries published in Journal of Family Practice, American Family Physician, and Evidence-Based Practice and available online (inc. PubMed) • Librarian - health professional partnerships • Systematic, evidence-based expert search process • 100 librarians in 21 states Ward D, Meadows SE, Nashelsky JE. Role of expert searching in the Family Physicians' Inquiries Network (FPIN). J Med Libr Assoc. 2005 Jan; 93(1):88-96. PMID: 15685280. Also see: http://www.fpin.org/

  16. Share the Results Annual Reports Articles

  17. Librarians Making a Difference • Dr. Robert Wachter: So, a medical school librarian set off the modern patient safety movement? • Lucian Leape, MD: Ergo, there we go. Wachter R. In conversation with Lucian Leape, MD. WebM&M. 2006 Aug: Perspectives on Safety. http://webmm.ahrq.gov/perspective.aspx?perspectiveID=28

  18. Librarians Improving Health Care In Summary: All of the roles of the library ultimately support Patient Safety - Michelle Eberle, 2007

More Related