David C. Duggar

Initial Entry of Knowledge-Based Information (KBI) Into the Electronic Health Record and Internal Medicine Residents' Perceptions of KBI Resources in the Record

A teaching hospital was using a hybrid electronic health record (EHR) system with no links to point-of-care tools other than Micromedex. The librarians saw a need to integrate knowledge-based information into the institutions EHR to aid clinical decision making. The decision was made to start simply with links to a few point-of-care resources. A ticket was opened with Computer Services and the request to add links to library resources was approved. After implementation, focus groups were held with internal medicine residents regarding their perceived value of the library resources linked in the record system. Feedback was useful and served to spur further requests for additions to the EHR, which were also subsequently approved.

Librarians' Role in Reach Out and Read

ABSTRACT Librarians serving pediatricians have an opportunity to participate in establishing and/or maintaining a Reach Out and Read (ROR) program at their workplace. Reach Out and Read is a pediatric preliteracy program that targets at-risk children living in poverty. It addresses the link between poverty and illiteracy by equipping pediatricians with the tools they need to incorporate literacy counseling information into pediatric primary care visits so that these children enter school ready to learn to read. The purpose of this article is to illustrate by example how librarians can support their institutions ROR program.

Connecting with Hospital Nurses Through MINE

Evidence-based practice in health care is a constant focus for most hospitals and health care facilities in this country. Although connecting health care research to clinical practice sounds straightforward, the health care industry as a whole has found it a difficult task to accomplish. Studies in the library and health science literature cite numerous barriers to implementing evidence-based practice, regardless of the level or setting of health care being provided. These barriers include time, resistance to changing or updating practice models, and access to evidence (1–4). Combined with the rate at which new information is published, it often proves difficult for clinicians to keep abreast of recent developments (3). The field of nursing presents an interesting application of evidencebased practice. Nurses are a critical part of every health care workforce, and often form one of the largest blocks of health care workers at an institution. However, there are significant differences in education and training between nursing degrees. Although the majority of nurses in the United States do not enter the profession at the Bachelor of Science in Nursing level, it is at this level, or higher, that research courses are consistently offered. As a result, many nurses lack familiarity with research concepts, and are unable to make, or feel uncomfortable making, a value judgment on a research article that may influence practice (4). It is because of this gap in training that nurses of every level also have the potential to be a major user group of library resources (5). There is significant demand for the information found

Does Providing Onsite Immediate Access to Electronic Resources Using a Laptop and Wireless Network Improve Resident Participation in Morning Report

ABSTRACT Since 2003, librarians have attended Morning Report twice weekly, conducting searches related to the case presented. Over the years, several formats have been used and refined. In one, a house officer was assigned to work with the librarians in the library to find two papers that answered one question related to the assigned case. Because the ability of house officers to come to the library varied greatly, the feasibility of providing a laptop in the Internal Medicine conference room where the cases were presented was explored. This project involved providing a laptop computer using a wireless network to Internal Medicine residents immediately at the conclusion of Morning Report.