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1.
Inf Serv Use ; 42(2): 193-203, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35720427

RESUMO

Donald A.B. Lindberg M.D., Director of the U.S. National Library of Medicine (NLM) from August 1984 to March 2015, had a remarkable vision for NLM's scope, goals, and function. This vision resulted in many external partnerships and initiatives with the publishing industry, commercial and non-profit, journal editors, and professional organizations. These partnerships ranged from ongoing collaboration and dialogue, such as the NLM Publisher's Committee and the International Committee of Medical Journal Editors (ICMJE). to the more practical, such as the creation of HINARI and the Emergency Access Initiative (EAI). Dr. Lindberg fostered partnerships outside the NLM to expand the use and reach of Library resources, including MEDLINE and ClinicalTrials.gov to support innovations in the processes that build them, and to improve the quality of biomedical journals. Dr. Lindberg also encouraged the use of technology to enhance medical information and supported the early development of fully interactive publications. Attitudes that contained a measure of skepticism and distrust faded as collaborators came to have a better understanding of both NLM and their partners. This chapter discusses these relationships and accomplishments that NLM achieved working with publishers and other creators and disseminators of medical information under Dr. Lindberg's leadership.

2.
Stud Health Technol Inform ; 288: 201-212, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-35102841

RESUMO

Donald A.B. Lindberg M.D., Director of the U.S. National Library of Medicine (NLM) from August 1984-March 2015, had a remarkable vision for NLM's scope, goals, and function. This vision resulted in many external partnerships and initiatives with the publishing industry, commercial and non-profit, journal editors, and professional organizations. These partnerships ranged from ongoing collaboration and dialogue, such as the NLM Publisher's Committee and the International Committee of Medical Journal Editors (ICMJE). to the more practical, such as the creation of HINARI and the Emergency Access Initiative (EAI). Dr. Lindberg fostered partnerships outside the NLM to expand the use and reach of Library resources, including MEDLINE and ClinicalTrials.gov to support innovations in the processes that build them, and improve the quality of biomedical journals. Dr. Lindberg also encouraged the use of technology to enhance medical information and supported the early development of fully interactive publications. Attitudes that contained a measure of skepticism and distrust faded as collaborators came to have a better understanding of both NLM and their partners. This chapter discusses these relationships and accomplishments that NLM achieved working with publishers and other creators and disseminators of medical information under Dr. Lindberg's leadership.


Assuntos
Editoração , Comunicação Acadêmica , Coleta de Dados , MEDLINE , National Library of Medicine (U.S.) , Estados Unidos
3.
J Am Med Inform Assoc ; 25(12): 1657-1668, 2018 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-30371862

RESUMO

This White Paper presents the foundational domains with examples of key aspects of competencies (knowledge, skills, and attitudes) that are intended for curriculum development and accreditation quality assessment for graduate (master's level) education in applied health informatics. Through a deliberative process, the AMIA Accreditation Committee refined the work of a task force of the Health Informatics Accreditation Council, establishing 10 foundational domains with accompanying example statements of knowledge, skills, and attitudes that are components of competencies by which graduates from applied health informatics programs can be assessed for competence at the time of graduation. The AMIA Accreditation Committee developed the domains for application across all the subdisciplines represented by AMIA, ranging from translational bioinformatics to clinical and public health informatics, spanning the spectrum from molecular to population levels of health and biomedicine. This document will be periodically updated, as part of the responsibility of the AMIA Accreditation Committee, through continued study, education, and surveys of market trends.


Assuntos
Acreditação , Educação de Pós-Graduação/normas , Informática Médica/educação , Competência Profissional , Currículo , Política Organizacional , Sociedades Médicas , Estados Unidos
4.
AMIA Annu Symp Proc ; 2018: 480-489, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30815088

RESUMO

This paper focuses on value sets as an essential component in the health analytics ecosystem. We discuss shared repositories of reusable value sets and offer recommendations for their further development and adoption. In order to motivate these contributions, we explain how value sets fit into specific analytic tasks and the health analytics landscape more broadly; their growing importance and ubiquity with the advent of Common Data Models, Distributed Research Networks, and the availability of higher order, reusable analytic resources like electronic phenotypes and electronic clinical quality measures; the formidable barriers to value set reuse; and our introduction of a concept-agnostic orientation to vocabulary collections. The costs of ad hoc value set management and the benefits of value set reuse are described or implied throughout. Our standards, infrastructure, and design recommendations are not systematic or comprehensive but invite further work to support value set reuse for health analytics. The views represented in the paper do not necessarily represent the views of the institutions or of all the co-authors.


Assuntos
Ciência de Dados , Interoperabilidade da Informação em Saúde , Vocabulário Controlado , Armazenamento e Recuperação da Informação , Web Semântica
6.
J Med Libr Assoc ; 102(3): 201-5, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25031562

RESUMO

How do clinical questions emerge and move toward resolution in the intensive care setting over the course of 24 hours? In a 20-bed surgical intensive care unit in a large, tertiary-care teaching hospital, informationists shadowed clinicians for 2 48-hour periods to record questions, noting when they were asked and whether they were answered. Thirty-eight percent of 112 recorded questions remained unanswered. Some unanswered questions persisted across shifts, and clinicians' information-seeking behaviors changed over time. Clinical information services can be improved and integrated more fully into clinical workflows based on a fuller understanding of the life cycle of clinical inquiry.


Assuntos
Eficiência Organizacional , Comportamento de Busca de Informação , Unidades de Terapia Intensiva , Relações Interprofissionais , Corpo Clínico Hospitalar/organização & administração , Humanos , Internato e Residência , Erros Médicos/prevenção & controle , Estudos Observacionais como Assunto , Projetos Piloto
7.
Ann Emerg Med ; 62(3): 212-23.e1, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23561463

RESUMO

STUDY OBJECTIVE: We determine whether prescription information or services improve the medication adherence of emergency department (ED) patients. METHODS: Adult patients treated at one of 3 EDs between November 2010 and September 2011 and prescribed an antibiotic, central nervous system, gastrointestinal, cardiac, or respiratory drug at discharge were eligible. Subjects were randomly assigned to usual care or one of 3 prescription information or services intervention groups: (1) practical services to reduce barriers to prescription filling (practical prescription information or services); (2) consumer drug information from MedlinePlus (MedlinePlus prescription information or services); or (3) both services and information (combination prescription information or services). Self-reported medication adherence, measured by primary adherence (prescription filling) and persistence (receiving medicine as prescribed) rates, was determined during a telephone interview 1 week postdischarge. RESULTS: Of the 3,940 subjects enrolled and randomly allocated to treatment, 86% (N=3,386) completed the follow-up interview. Overall, primary adherence was 88% and persistence was 48%. Across the sites, primary adherence and persistence did not differ significantly between usual care and the prescription information or services groups. However, at site C, subjects who received the practical prescription information or services (odds ratio [OR]=2.4; 95% confidence interval [CI] 1.4 to 4.3) or combination prescription information or services (OR=1.8; 95% CI 1.1 to 3.1) were more likely to fill their prescription compared with usual care. Among subjects prescribed a drug that treats an underlying condition, subjects who received the practical prescription information or services were more likely to fill their prescription (OR=1.8; 95% CI 1.0 to 3.1) compared with subjects who received usual care. CONCLUSION: Prescription filling and receiving medications as prescribed was not meaningfully improved by offering patients patient-centered prescription information and services.


Assuntos
Serviço Hospitalar de Emergência , Adesão à Medicação , Alta do Paciente , Educação de Pacientes como Assunto/métodos , Prescrições , Adolescente , Adulto , Serviço Hospitalar de Emergência/organização & administração , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Humanos , Masculino , Adesão à Medicação/estatística & dados numéricos , Pessoa de Meia-Idade , Alta do Paciente/estatística & dados numéricos , Prescrições/normas , Prescrições/estatística & dados numéricos , Adulto Jovem
8.
J Med Libr Assoc ; 99(3): 237-46, 2011 07.
Artigo em Inglês | MEDLINE | ID: mdl-21753916

RESUMO

OBJECTIVE: The research sought to evaluate whether providing personalized information services by libraries can improve satisfaction with information services for specific types of patients. METHODS: Adult breast cancer (BrCa) clinic patients and mothers of inpatient neonatal intensive care unit (NICU) patients were randomized to receive routine information services (control) or an IRx intervention. RESULTS: The BrCa trial randomized 211 patients and the NICU trial, 88 mothers. The BrCa trial showed no statistically significant differences in satisfaction ratings between the treatment and control groups. The IRx group in the NICU trial reported higher satisfaction than the control group regarding information received about diagnosis, treatments, respiratory tradeoffs, and medication tradeoffs. BrCa patients posed questions to librarians more frequently than did NICU mothers, and a higher percentage reported using the website. Questions asked of the librarians by BrCa patients were predominantly clinical and focused on the areas of treatment and side effects. CONCLUSIONS: Study results provide some evidence to support further efforts to both implement information prescription projects in selected settings and to conduct additional research on the costs and benefits of services.


Assuntos
Acesso à Informação , Bibliotecas Médicas , Educação de Pacientes como Assunto/organização & administração , Satisfação do Paciente , Neoplasias da Mama , Feminino , Humanos , Unidades de Terapia Intensiva Neonatal , Mães
9.
Health Informatics J ; 16(3): 177-88, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20889848

RESUMO

Patient care based on best available evidence is increasingly viewed as the hallmark of good quality medical diagnosis and treatment, yet its uptake is often slow and uneven and the reasons underlying the slow diffusion of evidence-based guidelines remain elusive. The authors report a qualitative study conducted at a major US teaching hospital which sought to discover the reasons why an evidence-based anticoagulation guideline appeared to be applied irregularly, with problematic results. Using a theoretical framework derived from Rogers' work on the diffusion of innovation, this article describes the ways in which a group of residents evaluated and applied evidence in the context of caring for their patients. Future work in evidence-based practice can benefit from a greater emphasis on studies that use multi-method, qualitative designs to explore the complex ways in which people interact with information and the changes that ensue from its use.


Assuntos
Anticoagulantes/uso terapêutico , Atitude do Pessoal de Saúde , Fidelidade a Diretrizes , Heparina/uso terapêutico , Medicina Interna , Internato e Residência , Centros Médicos Acadêmicos , Difusão de Inovações , Medicina Baseada em Evidências , Humanos , Estudos de Casos Organizacionais , Guias de Prática Clínica como Assunto , Padrões de Prática Médica , Pesquisa Qualitativa , Estados Unidos
10.
AMIA Annu Symp Proc ; : 891, 2008 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-18998984

RESUMO

Despite speculation that Telemicroscopy and Digital Microscopy will follow the same diffusion curves as their counterparts in the world of Radiology - Teleradiology and Filmless Radiology, no study has offered definitive evidence in support of this hypothesis. To address this gap in the informatics knowledge base, dual survey instruments were created to measure current opinions on both technologies among Pathologists and Radiologists and disseminated to Pathologists and Radiologists at two major academic medical centers.


Assuntos
Atitude do Pessoal de Saúde , Difusão de Inovações , Médicos/estatística & dados numéricos , Telepatologia/estatística & dados numéricos , Telerradiologia/estatística & dados numéricos , Centros Médicos Acadêmicos/estatística & dados numéricos , Maryland , Projetos Piloto
11.
Health Info Libr J ; 25(1): 13-22, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18251908

RESUMO

PURPOSE: To increase understanding of the information needs and use of public health practitioners. SETTING: From June 2005 to May 2006, the library offered a course in public health information resources to eighteen practitioners in two counties, access to the library's licensed electronic resources through a tailored web portal, and consulting services. EVALUATION METHOD: We combined usage statistics from the web portal, self-report and observational data collected during training and shadowing of participants. CONCLUSIONS: The data from this project indicate that usage of licensed information resources and services is infrequent but broad ranging. A few users register at the high end of the usage range, but one use of one high quality article can have a significant impact on policy decisions. Time and competing responsibilities often constrain the retrieval and use of resources for evidence-based decision making and an informationist or power-user model may be more appropriate than training all practitioners to integrate searching into their workflow. This study indicates (i) that evidence-based public health practice requires seamless and broadly based information access; and (ii) that the currently existing patchwork does not support the level of use or take into account the time constraints of information needs for public health practice.


Assuntos
Acesso à Informação , Conhecimentos, Atitudes e Prática em Saúde , Disseminação de Informação/métodos , Armazenamento e Recuperação da Informação/métodos , Administração em Saúde Pública/estatística & dados numéricos , Informática em Saúde Pública/organização & administração , Prática de Saúde Pública/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Maryland , Pessoa de Meia-Idade , Pesquisa Qualitativa , Estudos Retrospectivos
12.
AMIA Annu Symp Proc ; : 1171, 2007 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-18694267

RESUMO

In the information portal environment, user profiles helps librarians to better understand users' needs and build individualized services. We have used a locally developed UMLS-based MeSH indexer to process and extract MeSH concept terms from the contents of individuals' usage files on our library's portal system (MyWelch). The algorithm was also developed to refine these extracted terms and assign weights to individual terms. This process yielded a weighted MeSH term set for each individual user that can be considered to define the individual user's areas of research interest profile.


Assuntos
Indexação e Redação de Resumos , Medical Subject Headings , Algoritmos , Internet , Bibliotecas Médicas , Processamento de Linguagem Natural , Unified Medical Language System
13.
Health Informatics J ; 12(1): 41-8, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17023397

RESUMO

Current information is a critical component of good healthcare. In this article we offer a definition of a new health professional, the 'informationist', whose function it is to ensure evidence-based health practice. We describe the literature and discussions that led to the proposal of this new role, and offer a description of the steps being taken to further elaborate this career. In particular, we describe efforts at Johns Hopkins to train informationists and informaticists and to offer services that lead to the integration of these and other information professionals into clinical care, public health and research.


Assuntos
Bibliotecários , Bibliotecas Médicas , Medicina Baseada em Evidências , Humanos , Serviços de Informação , Relações Interprofissionais , Papel Profissional , Estados Unidos
14.
Biomed Digit Libr ; 3: 6, 2006 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-16790049

RESUMO

The changing landscape of scholarly publication and increasing journal costs have resulted in a need for proactive behavior in libraries. At Johns Hopkins University in Baltimore, Maryland, a group of librarians joined forces to bring these issues to the attention of faculty and to begin a dialog leading to change. This commentary describes a comprehensive program undertaken to raise faculty awareness of scholarly communications issues. In addition to raising faculty interest in the issues at hand, the endeavor also highlights an area where library liaisons can increase their communication with the units they serve.

15.
AMIA Annu Symp Proc ; : 1157, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17238776

RESUMO

One of the important procedures during the operation of an Institutional Repository System (IRS) is to categorize and index the submitted digital objects. Based on current practice, human catalogers are frequently involved in this process to make accurate categorization. Funded by NLM development grant, we are developing an UMLS-based indexing tool. The tool will be integrated or plug-in into most IRS, and categorize and assign MeSH headings and keywords to text-based digital objects automatically.


Assuntos
Indexação e Redação de Resumos/métodos , Processamento de Linguagem Natural , Unified Medical Language System , Medical Subject Headings
16.
J Med Libr Assoc ; 93(2): 199-205, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15858622

RESUMO

OBJECTIVE: The article offers a current perspective on medical informatics and health sciences librarianship. NARRATIVE: The authors: (1) discuss how definitions of medical informatics have changed in relation to health sciences librarianship and the broader domain of information science; (2) compare the missions of health sciences librarianship and health sciences informatics, reviewing the characteristics of both disciplines; (3) propose a new definition of health sciences informatics; (4) consider the research agendas of both disciplines and the possibility that they have merged; and (5) conclude with some comments about actions and roles for health sciences librarians to flourish in the biomedical information environment of today and tomorrow. SUMMARY: Boundaries are disappearing between the sources and types of and uses for health information managed by informaticians and librarians. Definitions of the professional domains of each have been impacted by these changes in information. Evolving definitions reflect the increasingly overlapping research agendas of both disciplines. Professionals in these disciplines are increasingly functioning collaboratively as "boundary spanners," incorporating human factors that unite technology with health care delivery.


Assuntos
Armazenamento e Recuperação da Informação/normas , Liderança , Bibliotecários , Bibliotecas Médicas/organização & administração , Automação de Bibliotecas/normas , Humanos , Associações de Bibliotecas/normas , Biblioteconomia/normas , Competência Profissional , Estados Unidos
17.
Med Ref Serv Q ; 24(1): 93-9, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15760836

RESUMO

Preparing librarians to meet the information challenges faced in the current and future health care environments is critical. At Johns Hopkins University, three NLM-funded fellowship programs provide opportunities for librarians to utilize the rich environments of the Welch Medical Library and the Division of Health Sciences Informatics in support of life-long learning.


Assuntos
Escolha da Profissão , Educação Continuada/economia , Bolsas de Estudo , Bibliotecas Médicas/organização & administração , Biblioteconomia/educação , Informática Médica/educação , Centros Médicos Acadêmicos , Baltimore , Mobilidade Ocupacional , Currículo , Humanos , Aprendizagem , Modelos Educacionais , National Library of Medicine (U.S.) , Estados Unidos
18.
Stud Health Technol Inform ; 107(Pt 2): 1096-100, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15360982

RESUMO

Systems developed through informatics methods can be evaluated at different levels, depending on the purpose of the evaluation. A key class of measures useful in relating information systems to the quality of patient care is benefit or out-come measures, which reflect differences in the health or welfare of the patient that result from the system being utilized. A framework for describing evaluation measures is presented, definitions are discussed, and the results of a literature review are presented to indicate outcome measures used in medical informatics over several decades. The conclusion suggests that more attention should be given to the standardization of terminology and to outcome measures and methods.


Assuntos
Estudos de Avaliação como Assunto , Sistemas de Informação , Avaliação de Resultados em Cuidados de Saúde , Sistemas Computacionais , Sistemas de Apoio a Decisões Clínicas
19.
Neurosurgery ; 54(2): 465-78; discussion 478-9, 2004 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-14744293

RESUMO

The William H. Welch Medical Library was founded in 1929 with the merger of three libraries, namely, the library of the School of Medicine, the library of the School of Hygiene and Public Health, and the library of the Johns Hopkins Hospital. Engendered by the dreams of Johns Hopkins University bibliophiles, such as founding Hopkins physicians William Osler, William Stewart Halsted, Howard Kelly, and William Henry Welch, the library flourished and expanded. At the same time as the founding of the central medical library, the Institute of the History of Medicine collection was established in the Welch Library building, with William H. Welch as its first director. Innovative leadership led to many exciting projects, such as the Welch Indexing Project, which was a prototype for the National Library of Medicine's medical subject headings, and the establishment of a laboratory for research into the application of information technologies to knowledge management. The Welch Library enters the 21st century as a dynamic library committed to the continuing delivery of information services, as well as ongoing research into the development of library services for the coming 100 years.


Assuntos
Centros Médicos Acadêmicos/história , Bibliotecas Médicas/história , Baltimore , História do Século XX , Humanos
20.
AMIA Annu Symp Proc ; : 1060, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-14728563

RESUMO

MyWelch is a medical library portal system that users can use to create customized web sites that reflect their research needs and personal interests. In the MyWelch environment, faculty and students are empowered to take a greater role in identifying their needs and determining their requirements in the electronic environment. The portal system also facilitates interaction among library users and staff.


Assuntos
Internet , Bibliotecas Médicas , Serviços de Biblioteca , Baltimore , Interface Usuário-Computador
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