Download presentation
Presentation is loading. Please wait.
Published byAbraham Blankenship Modified over 9 years ago
1
The Clinical Librarian in an Emergency Department Professor Tim Coats Professor of Emergency Medicine Leicester University, UK
2
Objectives To identify information needs in emergency care To look at current models Speculate on the future
3
Knowledge needs UK emergency model - based on junior doctors -FY2, ST level - often not aware of their own ignorance! Types of condition different from previous experience -Common conditions and rare conditions Often isolated working Time pressure -acuity of patient’s needs -volume of patients
4
Knowledge needs In summary, the challenge is: Very rapidly getting the right bit of information to a clinician who may not be aware that they need it
5
Levels of information needed Patient based - past medical notes “What was found last time this patient had a TIA?” Local procedures - “How do I refer this patient to the TIA clinic?” National guidelines - “How do I treat my patient who has a TIA?” Specialised question - “How do I treat this patient with haemophilia who also has a TIA?” Educational overview - “I don’t know much about TIA, where can I find out about it?”
6
Time available Total of 20 to 30 minutes per patient -(history,examination, explanation, treatment, recording) Finding information - ?10% of this? Certainly no more than 5 mintues
7
Current systems Books - ‘How to do it guides’ ‘Google it’ - works well! Phone a friend Clinical Librarian
8
Clinical Librarian in Emergency Care Cardiac arrest - get me a librarian stat Role: -Understanding the language and clinical and practical issues of emergency care -Saving clinicians time by assisting in literature searches -Enabling painless access to evidence / published material -Supporting evidence based patient care at the bedside -Providing tailored training in searching (aimed at junior staff) -Maintaining close links with clinical teams to understand their information needs -Developing future information systems
9
Practical examples Safer treatment for cyanide poisoning - preparation of evidence based case to Hospital Therapeutics Committee. Learning how to search the literature for the FCEM exam ‘Clinical Topic Review’ Preparing a Cochrane review looking at the administration of heliox to children with croup Looking at the evidence base for a local guideline on management of the acute red eye
10
Future Systems Electronic patient record Series of ‘Knowledge’ buttons -Local procedures -National guidelines -Systematic reviews -‘Textbook’ material -Relevant literature search Context based red flags -Information presented without active seeking -? Connection to user level of knowledge
11
Summary Emergency Physicians have particular information needs Current systems do not fit the bill A clinical librarian can enhance the system The EPR presents an opportunity for the future
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.