The Clinical Librarian’s Answering Steps to Emergency Medicine Faculties’ and Residents’ Clinical Questions in 7th Tir Martyrs Hospital, Tehran, Iran

Shokraneh, Farhad The Clinical Librarian’s Answering Steps to Emergency Medicine Faculties’ and Residents’ Clinical Questions in 7th Tir Martyrs Hospital, Tehran, Iran., 2010 Master Thesis thesis, Iran University of Medical Sciences, School of Management and Medical Information Science. [Thesis]

[thumbnail of Shokraneh's MS Thesis.pdf] Text
Shokraneh's MS Thesis.pdf
Download (3MB)

English abstract

Introduction: One of the medical librarians’ roles linked to evidence-based medicine is clinical librarianship. Clinical librarian gives the related answers to the clinical questions asked by clinicians relying on evidence-based medical information. This study aimed to assess the clinical librarian's answering steps to emergency department doctors’ clinical questions as a result of first clinical librarianship pilot project of Iran. Methods: A clinical librarian, six academic members and eighteen residents of emergency medicine participated in this descriptive cross-sectional study during a 3 months period (1 February to 30 April 2010) in Emergency Department, 7th Tir Martyrs Hospital. Related data were collected using the clinical question forms. Results: One hundred twenty six clinical questions in five types (84 therapeutic/interventional, 25 diagnostic, 8 frequency/rate, 6 prognostic/prediction and 3 etiologic) were asked and all answered by clinical librarian. PICO elements were variable from one question to another one and just 5 questions were fully adoptable with PICO framework. PIO and PO patterns (respectively for 61 and 34 question) were used more than other patterns. Some of patterns were used by certain type(s) of questions. Mean times needed for each of 4 answering steps (ask, PICO, answer, and verify) were 1.1, 1, 9.22 and 3.11 minutes. Mean time needed for answering steps for each question was 14.42 minutes. Satisfaction of clinicians was very high for 53 (42%), quite for 45 (36%), high for 24 (19%), and moderate for 4 (3%) answers. Discussion: Clinical questions are more than 4 types and PICO elements vary in different questions of different types. There are many PICO patterns for each type of questions. Mean time of Answering steps in this study is close to the other similar researches and according to the location of this project the time is appropriate. High satisfaction of clinicians in clinical librarianship project may be affected by many factors. As this project was the first experience of Iran, it has some weak and power points that can be a guide to the future large-scale project.

Item type: Thesis (UNSPECIFIED)
Keywords: Clinical Librarianship, Evidence-Based Medicine, Question Formulation, Clinical Questions, PICO, Search Strategy, Answering Steps
Subjects: D. Libraries as physical collections. > DK. Health libraries, Medical libraries.
J. Technical services in libraries, archives, museum. > JZ. None of these, but in this section.
Depositing user: Farhad Shokraneh
Date deposited: 15 Mar 2015 10:33
Last modified: 15 Mar 2015 10:33
URI: http://hdl.handle.net/10760/24756

References

1. Davidoff F, Haynes B, Sackett D, Smith R. Evidence based medicine. BMJ 1995; 310: 1085-6.

2. Glasziou P. Why bother with evidence-based practice? Second International Workshop for Evidence-Based Medicine, 4-6 November 2008; Iran, Eastern Azerbaijan, Tabriz, Tabriz University of Medical Sciences.

3. Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence-based medicine: what it is and what it isn't? BMJ 1996; 312: 71-2.

4. Straus ES, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine: how to practice and teach EBM. 3rd ed. London: Elsevier Churchill Livingstone; 2005.

5. زارع گاوگانی وحیده. رویکرد پزشکی مبتنی بر شواهد در میان اعضای هیات علمی بالینی. مجله پزشکی دانشگاه علوم پزشکی تبریز 1385؛ 28 (1): 61-6.

6. امینی میترا و همکاران. بررسی میزان آگاهی و استفاده از پزشکی مبتنی بر شواهد در بین دستیاران تخصصی دانشگاه علوم پزشکی شیراز. گام های توسعه در آموزش پزشکی 1386؛ 4 (1): 30-5.

7. Scherrer CS, Dorsch JL. The evolving role of the librarian in evidence-based medicine. BMLA 1999; 87 (3): 322-8.

8. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. NEJM. 1991; 324: 370-376.

9. Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000; 38: 261-71.

10. Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.

11. جدائی اصغر. آمارها پرده بر می دارند. قم: سازمان تبلیغات اسلامی، پژوهشکده باقرالعلوم(ع)، نورالسجاد؛ 1383.

12. محدث راد عباس. کتابداری پزشکی بالینی (CML). ویژه نامه دومین همایش کتابداری و اطلاع رسانی پزشکی دانشگاه علوم پزشکی شهید بهشتی. تهران: دانشگاه علوم پزشکی شهید بهشتی، دانشکده پیراپزشکی؛ 23-21 آذر 1386: 4.

13. Coats TJ, Sutton S, Vorwek C, Cooke MW. In an emergency call the clinical librarian! Emerg Med J 2009; 26: 321-3.

14. Derek F. Evidence-based health care. International Journal of Evidence-Based Health Care 2005; 3(1): 1.

15. وزارت بهداشت، درمان و آموزش پزشکی. مشخصات کلی، برنامه، سرفصل دروس و نحوه ارزشیابی برنامه آموزش دوره کارشناسی پیوسته رشته کتابداری در شاخه پزشکی. مصوب بیست و هشتمین جلسه شورای عالی برینامه ریزی علوم پزشکی مورخ 25/4/1384.- تهران: وزارت بهداشت، درمان و آموزش پزشکی؛ 1384.

16. Demner-Fushman D. Complex question answering based on a semantic domain model of clinical medicine [PhD dissertation]. Maryland: University of Maryland, Faculty of the Graduate School; 2006.

17. Wagner KC, Byrd GD. Evaluating the effectiveness of clinical medical librarian programs: a systematic review of literature. JMLA 2003; 92 (1): 14-33.

18. Oxman A, Sackett DL, Guyatt G. Evidence based medicine working group, user's guides to evidence based medicine. JAMA 1993; 270: 2093-5.

19. Glasziou P, Del-Mar C, Salisbury J. Evidence-based practice workbook: bridging the gap between health care research and practice. Massachusetts: BMJ; 2007.

20. گلوور ویوید، استرابریج شیلاف، توکل محمد. جامعه شناسی معرفت و علم. ترجمه شاپور بهیان و دیگران- تهران: سمت؛ 1383.

21. Klem ML, Weiss PM. Evidence-based resources and the role of librarians in developing evidence-based practice curricula. Journal of Professional Nursing 2005; 21 (6): 380-7.

22. Demas J, Ludwig L. Clinical medical librarian: the last unicorn? BMLA 1991; 79 (1):17-27.

23. Davidoff F, Florance V. The informationist: a new health profession? Annals of Internal Medicine 2000; 132 (12): 996-8.

24. Lipscomb CE. Clinical librarianship. BMLA 2000; 88 (4): 393-5.

25. Urquhart C, Turner J, Durbin J, Ryan J. Changes in information behavior in clinical teams after introduction of a clinical librarian service. JMLA 2007; 95 (1): 14-22.

26. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-Based Medicine: How to Practice and Teach EBM. 2nd ed. London: Churchill Livingstone; 2000.

27. Guessferd M. The Clinical librarian/informationist: past, present, future. Medical Reference Services Quarterly 2006; 6 (2): 76-84.

28. Richardson WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: A key to evidence-based decisions. American College of Physicians Journal Club 1995; 123 (3): A12–A13.

29. Huang X, Lin J, Demner-Fushman D. Evaluation of PICO as a knowledge representation for clinical questions. AMIA Annu Symp Proc 2006; 359-63.

30. Santos CMC, Pimenta CAM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev Latino-am Enfermagem 2007; 15 (3):508-11.

31. اسعدی شالی عادله. مطالعه امکان سنجی ارائه خدمات کتابداری بالینی در بیمارستان های وابسته به دانشگاه علوم پزشکی تبریز (پایان نامه کارشناسی ارشد کتابداری و اطلاع رسانی). تهران: دانشگاه تهران، دانشکده روانشناسی و علوم تربیتی؛ 1385.

32. Brassey J, Elwyn G, Price C, Kinnersley P. Just in time information for clinicians: a questionnaire evaluation of the ATTRACT project. BMJ 2001; 322: 529-30.

33. Lindberg DAB, Humphreys BL. 2015 - The future of medical libraries. NEJM 2005; 352 (11): 1067-70.

34. Weightman AL, Williamsont J. The value and impact of information provided through library services for patient care: a systematic review. Health Information and Libraries Journal 2005; 23: 4-25.

35. Schwartz A, Millam G. A web-based library consult service for evidence-based medicine: Technical development. BMC Medical Informatics and Decision Making 2006; 6: 16. Available from: URL: http://www.biomedcentral.com/1472-6947/6/16

36. Hospitals Libraries Section of the Medical Library Association. HLS needs assessment 2006 summary. Chicago, IL: The Section; 2006. Available from: URL: http://hls.mlanet.org/organization/needs.htm

37. Bandy M. Standards for hospital libraries 2007: hospital libraries section standards committee. JMLA 2008; 96 (2): 162-9.

38. McGowan J, Hogg W, Rader T, Salzwedel D, Worster D, Cogo E, et al. A rapid evidence-based service by librarians provided information to answer primary care clinical questions. Health Information and Libraries Journal 2010; 27 (1): 11-21.

39. Gorman PN, Helfand M. Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered. Med Decis Making 1995; 15 (2): 113-9.

40. PubMed Clinical Queries. 2010. Available from: URL: http://www.ncbi.nlm.nih.gov/sites/pubmedutils/clinical

41. Ely JW, Osheroff JA, Gorman PN, Ebell MH, Chambliss ML, Pifer EA, et al. A taxonomy of generic clinical questions: classification study. BMJ 2000; 321(7258): 429-32.

42. Cheng GY. A study of clinical questions posed by hospital clinicians. JMLA 2004; 92 (4):445-58.

43. Glasziou P. An introduction to prognosis? Third International Workshop for Evidence-Based Medicine, 20-23 April 2010; Iran, Eastern Azerbaijan, Tabriz, Tabriz University of Medical Sciences.

44. Verhoeven AA, Schuling J. Effect of an evidence-based answering service on GPs and their patients: a pilot study. Health Information and Library Journal 2004; 2: 27-35.

45. Hayward JA, Wearne SM, Middleton PF, Silagy CA, Weller DP, Doust JA. Providing evidence-based answers to clinical questions: a pilot information service for general practitioners. Medical Journal of Australia 1999; 171: 547-50.


Downloads

Downloads per month over past year

Actions (login required)

View Item View Item
Contact us
Send email Sponsors
Sponsor: AIMS Sponsor: D&P Sponsor: UniNa CAB Get connected
Facebook Facebook Twitter Twitter Linkedin LinkedIn RSS RSS