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The place of the hospital library consortium in the National Biomedical Communications Network.

The National Library of Medicine has issued a policy statement outlining expectations of more self-sufficiency at the Basic Unit level than was required during earlier programs under the Medical Library Assistance Act. A consortium of hospital libraries is presented as one viable alternative for meeting NLM's expectations that hospital libraries serve the primary and most immediate information needs of their own constituencies. The Biomedical Communications Network is reviewed so that hospital administrators and librarians will have a more thorough understanding of the system which they should now enter as contributors rather than as recipients only. A Network configuration illustrating the interaction of Basic Units functioning in consortia relationships is presented, and general areas for sharing are discussed.

Biology↗

A descriptive study of ninety-two hospital libraries in Mexico.

This work reports on the existing situation of ninety-two hospital libraries, located at Mexico's Social Security Institute (IMSS). A descriptive, systems approach was used to explore the physical structure and space of the libraries, staff, furniture, equipment, collections, services, organization and management, and users. Structured interviews were applied to each hospital library, and a questionnaire was used as a tool to collect data. A "control" system, designed to measure the status of each library, was applied through the assignment of values to several indicators, derived from IMSS policy manuals. This procedure helped to identify which library was "more" or "less" adequate to IMSS standards. Within the rank of 10 to 1 (10 = optimum; 1 = minimum), the mean rank of IMSS hospital libraries was 6. The major deficiencies found were those related to furniture (ranked 4) and services (ranked 5) and the lack of library professionals found in 92% of the libraries.

Academies and Institutes↗

Adapting IAIMS to a hospital library level.

The Children's Hospital of Michigan Medical Library has adapted several of the Integrated Academic Information Management Systems (IAIMS) concepts and implemented them at a hospital library level. These have included features of network development, electronic interfacing and interlinking, and implementing an integrated information system in the library. The library has incorporated several information systems into library operations, including a variety of in-house, local, and national automated systems and telecommunication networks. Hospital libraries can incorporate IAIMS features and promote an institutional framework of interconnecting communication systems and electronic linkages.

Computer Communication Networks↗

Recommended core collection of Web sites for hospital libraries.

Core lists of recommended resources have long been used as selection tools for collection development in hospital libraries. However, hospital librarians now rely on the Internet for access to up-to-date information to supplement materials available within their libraries. Many libraries now either maintain a library Web page or provide input for their institution's Web page. The difficulty is determining what sites to include on their page. This article is a basic guide to recommended links for hospital libraries. It is intended as a starting place for hospital librarians who wish to create (or add to) a Web page of good links to be used for answering reference questions, or as a list for library users. The list is available as a link from the Sharp Health Science Library Web page where it will be updated at least annually. Links will be checked on a regular basis.

Guidelines as Topic↗

Cooperation strengthens small hospital libraries in a rural area of New England: a five-year experience.

Before 1970, library facilities and services at the small hospitals in rural Vermont were essentially nonexistent. Similar findings were later encountered along the Connecticut River in New Hampshire and in a small area of upstate New York. The Hospital Library Development Services program was established at the University of Vermont's Dana Medical Library to improve these conditions. Financial assistance was received from the National Library of Medicine, and by the end of 1974, thirty-three hospitals had staffed libraries. Earlier that year it has been decided to begin emphasing cooperation among the developing libraries, including the production of union lists and regular meetings of staff members from geographically proximate hospital libaries to plan and implement various activities. An additional one-year award from NLM was received in 1975. Results achieved during and after the period of grant support are reported. Cooperation among hospital libraries is seen as a feasible and beneficial undertaking provided that the participating libraries are internally supported and developing.

Financing, Government↗

Author! author!: creating a digital archive of publications in a hospital library setting.

Baptist Hospital of Miami has been honoring its staff authors annually during National Library Week since 1979, at the time the library was relocated. Upon "doing the math" and realizing that twenty-five years had passed, a special event was planned to celebrate the occasion in 2004. A merger of four hospitals in 1995 to form Baptist Health South Florida, and an addition of a fifth hospital in 2003 added into the complexity of these publications. Organizing the event led to the conclusion that there had to be a "better way" to manage the publication archive. This paper will include a look back at the event's past, present efforts to develop an archival database, and future plans to make articles available electronically to users, copyright permitting.

Databases, Bibliographic↗

Bibliographic instruction in the hospital library.

The nature of bibliographic instruction in this hospital library continues to evolve. As the library makes easy-to-master, menu-driven tools for online searching available to end users, the demand for this service and the accompanying training increases. The demand for formal sessions covering research techniques is also increasing. Upon request, the library offered an extended research orientation to the housestaff in Obstetrics and Gynecology in May of 1993. An introduction to the use of CD-ROM was included to highlight its usefulness for citation verification, author searches, and for periodic current awareness searches on a particular topic. The UMH Library staff strive to offer the most current and comprehensive facilities and services to their users. These include automated access to the library's book, journal, and audiovisual holdings using the Data Trek system; online bibliographic searching by library staff and end users using CD Plus MEDLINE on CD-ROM and Grateful MED software; participation in clinical rounds to provide research support for clinical care; and several types of bibliographic instruction. In addition to the informal teaching of library research techniques that the library staff offers on a daily basis, the Library at Union Memorial Hospital is pleased to be able to provide a formalized and evolving bibliographic instruction program.

Computer User Training↗

The contribution of hospital library information services to clinical care: a study in eight hospitals.

Hospital health sciences libraries represent, for the vast majority of health professionals, the most accessible source for library information and services. Most health professionals do not have available the specialized services of a clinical medical librarian, and rely instead upon general information services for their case-related information needs. The ability of the hospital library to meet these needs and the impact of the information on quality patient care have not been previously examined. A study was conducted in eight hospitals in the Chicago area as a quality assurance project. A total of 176 physicians, nurses, and other health professionals requested information from their hospital libraries related to a current case or clinical situation. They then assessed the quality of information received, its cognitive value, its contribution to patient care, and its impact on case management. Nearly two-thirds of the respondents asserted that they would definitely or probably handle their cases differently as a result of the information provided by the library. Almost all rated the libraries' performance and response highly. An overview of the context and purpose of the study, its methods, selected results, limitations, and conclusions are presented here, as is a review of selected earlier research.

Allied Health Personnel↗