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January 2, 1981, Vol 245, No. 1 >
ARTICLE | January 2, 1981

Case-Related Use of the Medical Literature: Title and subTitle BreakClinical Librarian Services for Improving Patient Care FREE

Georgia Scura, MLS; Frank Davidoff, MD
[+] Author Affiliations

Reprint requests to the Reference Department, Medical Library, University of Connecticut Health Center, Farmington, CT 06032 (Ms Scura).


JAMA. 1981;245(1):50-52. doi:10.1001/jama.1981.03310260028023
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References

Clinical librarian services provide highly specific, case-related medical literature searches in a manner that permits the information obtained to influence ongoing case management. We have measured the impact of such services on actual case management and on diagnostic thinking in a random sample of 50 searches over five months provided to house officers on medical and pediatric services of a university hospital. Patient management was affected in 20% of cases, and diagnostic thinking was influenced in an even higher percentage of instances. In comparison with information generated by other ancillary services such as clinical laboratories, clinical librarian services appear to be highly effective at an acceptable cost. Since the information generated by such searches may often result in further cost savings to patients, the potential overall efficiency of such services may be great.

(JAMA 1981;245:50-52)

REFERENCES

1 +
Arcari R, Lamb G:  The librarian in clinical care . Hosp Med Staff 1977;;6:8-23.
2 +
Lamb G, Jefferson A, White C:  And now, clinical librarians on rounds . Hartford Hosp Bull 1975;;30:77-86.
3 +
Cochrane AL: Effectiveness and Efficiency: Random Reflections on Health Services . London, Nuffield Provincial Hospital Trust, 1972;.
4 +
Greenberg B, Battison S, Kolisch M, et al:  An evaluation of a CML program at the Yale Medical Library . Bull Med Libr Assoc 1978;; 66:319-326.
5 +
Schnall JG, Wilson JW:  Evaluation of a clinical medical librarianship program at a University Health Sciences Library . Bull Med Libr Assoc 1978;;66:310-326.
6 +
Staudt C, Halbrook B, Brodman E:  A clinical librarian's program—an attempt at evaluation . Bull Med Libr Assoc 1976;;64:236-238.
7 +
Dixon RH, Laszlo J:  Utilization of clinical chemistry services by medical house staff . Arch Intern Med 1974;;134:1064-1067.
8 +
Bartlett RC:  The health care value of laboratory tests . Conn Med 1979;;43:354-363.
9 +
Griner PF, Liptzin B:  Use of the laboratory in a teaching hospital . Ann Intern Med 1971;; 75:157-163.
10 +
Korvin CC, Pearce RH, Stanley J:  Admissions screening: Clinical benefits . Ann Intern Med 1975;;83:197-203.
11 +
Bates B, Yellin JA:  The yield of multiphasic screening . JAMA 1972;;222:74-78.
12 +
Durbridge TC, Edwards F, Edwards RG, et al:  Evaluation of benefits of screening tests done immediately on admission to hospital . Clin Chem 1976;;22:968-971.
13 +
Belliveau RE, Fitzgerald JE, Nickerson DA:  Evaluation of routine profile chemistry screening of all patients admitted to a community hospital . Am J Clin Pathol 1970;;53:447-451.
14 +
Griner PF, and the Medical House Staff, Strong Memorial Hospital:  Use of laboratory tests in a teaching hospital: Long term trends: Reductions in use and relative cost . Ann Intern Med 1979;;90:243-248.
15 +
Schroeder SA, Kenders K, Cooper JK, et al:  Use of laboratory tests and pharmaceuticals: Variation among physicians and effect of cost audit on subsequent use . JAMA 1973;;225:969-973.
16 +
Lusted LB: A Study of the Efficacy of Diagnostic Radiologic Procedures: Final Report on Diagnostic Efficacy . Chicago, Committee on Efficacy Studies, American College of Radiology, 1977;.

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Interactive Graphics

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Arcari R, Lamb G:  The librarian in clinical care . Hosp Med Staff 1977;;6:8-23.
2 +
Lamb G, Jefferson A, White C:  And now, clinical librarians on rounds . Hartford Hosp Bull 1975;;30:77-86.
3 +
Cochrane AL: Effectiveness and Efficiency: Random Reflections on Health Services . London, Nuffield Provincial Hospital Trust, 1972;.
4 +
Greenberg B, Battison S, Kolisch M, et al:  An evaluation of a CML program at the Yale Medical Library . Bull Med Libr Assoc 1978;; 66:319-326.
5 +
Schnall JG, Wilson JW:  Evaluation of a clinical medical librarianship program at a University Health Sciences Library . Bull Med Libr Assoc 1978;;66:310-326.
6 +
Staudt C, Halbrook B, Brodman E:  A clinical librarian's program—an attempt at evaluation . Bull Med Libr Assoc 1976;;64:236-238.
7 +
Dixon RH, Laszlo J:  Utilization of clinical chemistry services by medical house staff . Arch Intern Med 1974;;134:1064-1067.
8 +
Bartlett RC:  The health care value of laboratory tests . Conn Med 1979;;43:354-363.
9 +
Griner PF, Liptzin B:  Use of the laboratory in a teaching hospital . Ann Intern Med 1971;; 75:157-163.
10 +
Korvin CC, Pearce RH, Stanley J:  Admissions screening: Clinical benefits . Ann Intern Med 1975;;83:197-203.
11 +
Bates B, Yellin JA:  The yield of multiphasic screening . JAMA 1972;;222:74-78.
12 +
Durbridge TC, Edwards F, Edwards RG, et al:  Evaluation of benefits of screening tests done immediately on admission to hospital . Clin Chem 1976;;22:968-971.
13 +
Belliveau RE, Fitzgerald JE, Nickerson DA:  Evaluation of routine profile chemistry screening of all patients admitted to a community hospital . Am J Clin Pathol 1970;;53:447-451.
14 +
Griner PF, and the Medical House Staff, Strong Memorial Hospital:  Use of laboratory tests in a teaching hospital: Long term trends: Reductions in use and relative cost . Ann Intern Med 1979;;90:243-248.
15 +
Schroeder SA, Kenders K, Cooper JK, et al:  Use of laboratory tests and pharmaceuticals: Variation among physicians and effect of cost audit on subsequent use . JAMA 1973;;225:969-973.
16 +
Lusted LB: A Study of the Efficacy of Diagnostic Radiologic Procedures: Final Report on Diagnostic Efficacy . Chicago, Committee on Efficacy Studies, American College of Radiology, 1977;.

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