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Willow: a uniform search interface.

The objective of the Willow Project is to develop a uniform search interface that allows a diverse community of users to retrieve information from heterogeneous network-based information resources. Willow separates the user interface from the database management or information retrieval system. It provides a graphic user interface to a variety of information resources residing on diverse hosts, and using different search engines and idiomatic query languages through networked-based client-server and Transmission Control Protocol/Internet Protocol (TCP/IP) protocols. It is based on a "database driver'' model, which allows new database hosts to be added without altering Willow itself. Willow employs a multimedia extension mechanism to launch external viewers to handle data in almost any form. Drivers are currently available for a local BRS/SEARCH system and the Z39.50 protocol. Students, faculty, clinicians, and researchers at the University of Washington are currently offered 30 local and remote databases via Willow. They conduct more than 250,000 sessions a month in libraries, medical centers and clinics, laboratories, and offices, and from home. The Massachusetts Institute of Technology is implementing Willow as its uniform search interface to Z39.50 hosts.

Computer Communication Networks↗

Know your library.

Explore the source record for details and available documents.

Libraries, Nursing↗

Clinical trials in cancer. Part I. Biomedical, complementary, and alternative medicine: finding active trials and results of closed trials.

Most cancer CAM clinical trials are treatment or supportive care trials in phase I, II, or III status. A recent search showed that, at present, a very limited number of retrievable pharmaceutical- or industry-sponsored cancer CAM clinical trials is listed in publicly accessible databases. Two databases, Center Watch and Trial Check, focus on industry, healthcare providers, and patient advocate groups and have fees or limited access. As more clinical trials are imported from NLM's Clinical Trials.gov to NCI's PDQ database, more cancer CAM trials will be accessible and free to the public. Published results from clinical trials are available in multiple locations and retrievable with advanced searching but remain of limited access to most of the public because of academic or hospital library subscription services. All cancer clinical trial results are not likely to be housed in one location (either via database or in print); thus, cancer CAM clinical trial results likely will not be either. Because PDQ currently is the central location for cancer CAM clinical trial listings in the United States, the database should be expanded to include published results that are retrievable by healthcare professionals and the lay public free of charge. In clinical and research roles, oncology nurses are compelled to keep abreast of advances in cancer care, especially in the realm of cancer clinical trials. Keeping abreast of results of cancer CAM clinical trials is vital for oncology nurses in patient education, advocacy, and advancement of evidence-based practice.

Clinical Trials as Topic↗

Evolution of a mature clinical informationist model.

Achieving evidence-based practice will require new approaches to providing information during health care delivery and to integrating evidence and informatics at the point of care. To support evidence-based practice, Vanderbilt University Medical Center's Eskind Biomedical Library (EBL) introduced the role of clinical informationist, an information specialist with sufficient knowledge and insight to function as a true partner in the health care team. To further disseminate evidence-based knowledge, the Vanderbilt University Medical Center's (VUMC) electronic medical record system and pathway development processes integrate advanced information synthesis capabilities provided by clinical informationists. Combining clinical informationist expertise with informatics tools is an effective strategy for delivering the evidence needed to support patient care decisions.

Academic Medical Centers↗

Barriers to evidence-based decision making among Polish healthcare managers.

The 1999 reform of the Polish healthcare system revealed deficiencies in the research base and a lack of organized systems of information provision. Professionals who most need effective information systems are policymakers and healthcare managers. The main aim of the described study was to obtain data describing the needs, preferences and limitations of healthcare managers as information users, and to identify environmental factors influencing their information behaviour. A national postal survey was conducted and supplemented with information collected during focus groups, semi-structured interviews and through analysis of relevant policy documents. The target population included hospital chief executives, medical directors, head nurses and directors of the institutions responsible for health services planning and purchasing. Target institutions were drawn systematically from official lists, stratified by regions of the country and hospital reference level. The interviews were conducted with primary care unit managers and with Ministry of Health officials. National health strategy and directives, cost-effectiveness analyses of interventions and clinical practice guidelines emerged as information of primary importance to respondents. The main barriers to effective information behaviour were found to be: attitudes towards research activity, lack of appropriately processed data, lack of skills enabling information seeking and appraisal, inappropriate format of publications, ineffective dissemination of information and absence of services facilitating access to evidence. The current information environment of healthcare managers, together with their attitude towards information and deficiencies in information skills, appear to serve as a barrier to evidence-based practice in the Polish healthcare system.

Administrative Personnel↗

Analysis of reference transactions using packaged computer programs.

Motivated by a continuing education class attended by the authors on the measurement of reference desk activities, the reference department at Scott Memorial Library initiated a project to gather data on reference desk transactions and to analyze the data by using packaged computer programs. The programs utilized for the project were SPSS (Statistical Package for the Social Sciences) and SAS (Statistical Analysis System). The planning, implementation and development of the project are described.

Computers↗

Online LATCH.

The LATCH program developed as a means of expanding the library's circle of communication. Online LATCH was initiated to save time, reduce paperwork and to provide information that impacts directly on patient care. Initiated at the unit by physicians or nurses, the LATCH request is typed onto the CRT, relayed through the Hospital Information System (HIS), and is picked up by the library staff who forward the literature directly to the unit to be attached to the patient record. Eighty-nine per cent of LATCH requests are answered the same day. Online LATCH demonstrates a shift in identification of the library as an isolated unit to an interactive resource center.

Hospital Bed Capacity, 300 to 499↗

MEDIS: a user's perspective.

MEDIS, an online full-text and bibliographic medical retrieval system, was introduced by Mead Data Central to the health community in May 1985. A general description of the service is offered covering the database content, search commands and strategies, equipment, cost and support services. Strengths and weaknesses of this new end user system are reviewed from a user's perspective. Comparisons among MEDIS, BRS/Saunders Colleague, and PaperChase are drawn.

Boston↗

Business information sources for health sciences librarians.

As the health care industry becomes more business oriented, health sciences librarians will encounter more patrons seeking business information. Administrators and managers of health care facilities are primarily in need of business information. This paper discusses those resources with which health sciences librarians must be familiar to successfully meet the challenges of these new demands. It identifies traditional and online sources, and emphasizes business sources geared to the health care industry. The business managers of the health care facility represent a new patron market for the health sciences librarian.

Bibliographies as Topic↗

The librarian as consultant and educator for personal file management software.

Librarians are encouraged to extend their information managing skills to include familiarity with personal file management software. Knowledge of automated solutions to overgrown manual reprint files can be valuable to the institution that a librarian serves. The capabilities of REFERENCE MANAGER, PRO-CITE, ASKSAM, and SCI-MATE are compared in a series of classes given for faculty and staff by the Medical College of Wisconsin Libraries reference staff.

Consultants↗