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The new Health Sciences Library at the State University of New York at Buffalo.

The new Health Sciences Library at the State University of New York at Buffalo is a harmonious and functional blend of the old and the new. The old is a renovated Georgian style building with formal rooms containing fireplaces, carved woodwork and English oak paneling. The new is a contemporary four-story addition. Through the arrangement of space and the interior design, the new library offers users easy access to services and resources; accommodates the heavy daily flow of users and library materials; provides an environment of comfort, quiet, and safety; and promotes efficient communication among all segments of the library staff. This was accomplished through sound architectural design which included close consultation with the library director and staff during the planning process. The new library is equipped to face the challenge of meeting the needs of biomedical education, research, and clinical programs of the institution and its constituents in the years to come.

Facility Design and Construction↗

Summary recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, The Computer-based Patient Record Institute, The Medical Library Association, The Association of Academic Health Science Libraries, The American Health Information Management Association, and The American Nurses Association.

Clinical software systems are becoming ubiquitous. A growing literature documents how these systems can improve health care delivery, but concerns about patient safety must now be formally addressed. In 1996, the U.S. Food and Drug Administration (FDA) called for discussions on regulation of software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. These recommendations were revised and approved by the American Medical informatics Association Public Policy Committee and Board. Other organizations reviewed, modified, and approved the recommendations, and the Boards of Directors of most of the organizations in the consortium endorsed the guidelines. The consortium proposes four categories of clinical system risk and four classes of monitoring and regulatory action that can be applied on the basis of the risk level. The consortium recommends that most clinical software systems be supervised locally and that developers of health care information systems adopt a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively; therefore, the FDA should exempt most clinical software systems and focus on systems that pose high clinical risk and provide limited opportunity for competent human intervention.

Clinical Medicine↗

The J. Otto Lottes Health Sciences Library and the Microcomputer Learning Laboratory.

Opened in 1985, the J. Otto Lottes Health Sciences Library at the University of Missouri-Columbia has adapted to changes in information technology by installing a fiber optic backbone, establishing local area networks and file servers with databases and software programs, establishing a microcomputer learning laboratory, and responding to the needs of a problem-based learning curriculum. The library works cooperatively with the Medical Informatics Group, which is housed in the library and runs the micro laboratory, to support student and faculty computing.

CD-ROM↗

Tracing technology in the Association of Academic Health Sciences Libraries.

From the beginning of the association, technology and the Association of Academic Health Sciences Libraries (AAHSL) have been intertwined. Technology was the focus of one of the first committees. Innovative applications of technology have been employed in the operations of the association. Early applications of mini-computers were used in preparing the Annual Statistics. The association's use of network communications was among the first in the country and later applications of the Web have enhanced association services. For its members, technology has transformed libraries. The association's support of the early development of Integrated Advanced Information Management Systems (IAIMS) and of its recent reconceptualization has contributed to the intellectual foundation for this revolution.

Cooperative Behavior↗

Study of the Information Dissemination Service--Health Sciences Library, State University of New York at Buffalo.

The Information Dissemination Service at the Health Sciences Library, State University of New York at Buffalo, was established June 1970 through a three-year grant from the Lakes Area Regional Medical Program, Inc. Analysis of two samples of user request forms yielded results which significantly substantiate findings in prior biomedical literature utilization studies. The findings demonstrate comparable utilization patterns by user group, age of material, journal titles, language, time to process request, source of reference, and size of institution.

Books↗

Quality markers and use of electronic journals in an academic health sciences library.

OBJECTIVES: Patterns of use of electronic versions of journals supplied by an academic health sciences library were examined to determine whether they differed from patterns of use among corresponding print titles and to relate the applicability of print collection development practices to an electronic environment. METHODS: Use data supplied by three major vendors of electronic journals were compared to reshelving data for corresponding print titles, impact factors, and presence on Brandon/Hill Lists. RESULTS: In collections where one-click access from a database record to the full text of articles was possible, electronic use correlated with print use across journal pairs. In both versions, Brandon/Hill titles were used more frequently than non-Brandon/Hill titles, use had modest correlations with journals' impact factors, and clinical use appeared to be higher than research use. Titles that had not been selected for the library's print collections, but which were bundled into publishers' packages, received little use compared to electronic titles also selected in print. CONCLUSIONS: Collection development practices based on quality and user needs can be applied with confidence to the electronic environment. Facilitating direct connections between citation databases and the corresponding journal articles regardless of platform or publisher will support scholarship and quality health care.

Academic Medical Centers↗

Renovation and expansion of an academic health sciences library.

Planning is described for the renovation, expansion, and principal design features of the Health Sciences Library at the University of North Carolina at Chapel Hill. The three-and-a-half-year construction project resulted in the addition of three floors over the existing building and a complete renovation of the original floor space. An architectural summary provides statistics on project costs and building capacities.

Facility Design and Construction↗

Evaluation of a clinical medical librarianship program at a university Health Sciences Library.

An evaluation of the clinical medical librarianship program at the University of Washington Health Sciences Library was undertaken to determine the benefits of the program to patient care and to the education of the recipients of the service. Results of a questionnaire reflected overwhelming acceptance of the clinical medical librarianship program. Guidelines for the establishment of a limited clinical medical librarianship program are described. A statistical cost analysis of the program is included.

Evaluation Studies as Topic↗

Paraprofessional staff: a review and report on current duty assignment in academic health sciences libraries in North America.

This paper reviews paraprofessional employment in libraries and examines the trend toward assigning increasingly complex duties to academic library paraprofessionals. During the spring of 1989, directors of academic health sciences libraries in the United States and Canada were surveyed to determine the duties assigned to paraprofessionals. The results show that paraprofessionals are assigned a wide range of duties, including supervising functional areas, such as circulation and interlibrary loan, and some tasks often considered professional, such as original cataloging and in-depth reference work. The findings illustrate the importance of the paraprofessional to librarianship.

Academic Medical Centers↗

Planning for end user search services in the health sciences library.

End user searching now has the potential for becoming a new reference service in health sciences libraries. No longer viewed simply as a fad, end user searching is contemplated by medical reference librarians for implementation within the information services department. For the most part these services have centered around educational and training sessions. Planning for a more detailed service program is discussed with an outline of issues and concerns. Items that should be discussed in the planning process include costs, searching environment, equipment, telephone, service placement, search system selection, policies, publicity and training. A case report is also presented as an example of implementing a limited end user search service.

Computer User Training↗

The University of Washington Health Sciences Library BioCommons: an evolving Northwest biomedical research information support infrastructure.

SETTING: The University of Washington Health Sciences Libraries and Information Center BioCommons serves the bioinformatics needs of researchers at the university and in the vibrant for-profit and not-for-profit biomedical research sector in the Washington area and region. PROGRAM COMPONENTS: The BioCommons comprises services addressing internal University of Washington, not-for-profit, for-profit, and regional and global clientele. The BioCommons is maintained and administered by the BioResearcher Liaison Team. The BioCommons architecture provides a highly flexible structure for adapting to rapidly changing resources and needs. EVALUATION MECHANISMS: BioCommons uses Web-based pre- and post-course evaluations and periodic user surveys to assess service effectiveness. Recent surveys indicate substantial usage of BioCommons services and a high level of effectiveness and user satisfaction. NEXT STEPS/FUTURE DIRECTIONS: BioCommons is developing novel collaborative Web resources to distribute bioinformatics tools and is experimenting with Web-based competency training in bioinformation resource use.

Academic Medical Centers↗

The ergonomics/human factors approach to health sciences libraries.

A review of the literature reveals scant information on the application of ergonomics to health sciences libraries. Ergonomics research has identified and validated many genuine health hazards in business offices and industrial settings. While appearing innocuous, the library environment is affected by these hazards. As sophisticated technology and machinery are introduced into libraries, the human factors must be considered. This paper examines the hazards of the library environment as identified through ergonomics research and makes recommendations for alleviating or eliminating these dangers.

Air Pollutants, Occupational↗

The Galter Health Sciences Library at Northwestern University: a library for the 21st century.

Initiated to increase space, renovation planning for Northwestern University's Galter Health Sciences Library evolved into a process for developing a more technology-centered library. Design focused on correcting structural problems and providing greater access to technology. Space was redesigned for functionality and flexibility. Design features included a new entrance, relocated and expanded learning resource center; certain limitations remained. The planning process involved all major groups on campus; construction will be phased.

Facility Design and Construction↗

Digital chat reference in health science libraries: challenges in initiating a new service.

Digital reference service adds a valuable new dimension to health science reference services, but the road to implementation can present questions that require carefully considered decisions. This article incorporates suggestions from the published literature, provides tips from interviews with practicing academic health science librarians, and reports on data from students' exploration of academic health science library Web sites' digital reference services. The goal of this study is to provide guidelines to plan new services, assess user needs, and select software, and to showcase potential benefits of collaboration and proactive and user-friendly marketing. In addition, tips for successful operation and evaluation of services are discussed.

Computer Communication Networks↗

Health science libraries in the United States: a five-year perspective.

Two surveys of the universe of health science libraries in the United States have been completed by the Medical Library Association's Committee on Surveys and Statistics over a five-year period. This paper compares, for 1969 and 1973, summary data on the universe, and the distribution of libraries, resources, personnel, and salaries.

Educational Status↗

Staff development planning in an academic health sciences library.

OBJECTIVE: A staff development committee (SDC) was convened to implement staff development opportunities for an academic health sciences library system comprised of three separate facilities. The charge for the SDC was to: (1) develop programs to enhance workplace skills and personal growth, (2) communicate the availability of existing programs at the university and medical center, and (3) encourage the staff to participate in these opportunities. PROGRAM: The committee created goals and objectives and developed a survey designed to give staff the opportunity to provide input for this initiative. With an 80% response rate, the survey results were used to plan 15 events based on staff needs and preferences. First-year attendance for SDC-sponsored events was 459. Committee members served as liaisons for each event. Two forms were developed to facilitate event planning. A monthly announcement sheet, email reminders, and the library's local area network are used to communicate upcoming SDC events and encourage attendance. CONCLUSION: This approach can serve as a useful model for similar program planning in any organization.

Academies and Institutes↗

The effect of DOCLINE on interlibrary loan volume and patterns among health sciences libraries in Michigan: preliminary analysis.

Six years of statistics on interlibrary lending and borrowing among basic unit health sciences libraries in Michigan are examined to determine the effect of the availability of an automated interlibrary loan system, DOCLINE, on interlibrary lending volume and patterns within Michigan. A trend analysis projection of expected volume is made and the predicted value compared with the actual value following the adoption of the DOCLINE system. Interlibrary loan (ILL) volume is tested to see if yearly volume increases are statistically significant. The number of libraries changing from net lender to net borrower or the reverse after the adoption of DOCLINE is tracked. Results fail to support the expectation that DOCLINE would produce major change in ILL volume or pattern.

Data Interpretation, Statistical↗