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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

A clinical librarian program in the intensive care unit.

R J Veenstra¹, E H Gluck

¹Health Science Libraries, Hartford Hospital, CT.

Critical Care Medicine

|July 1, 1992

Summary

Clinical librarians provide valuable, cost-effective patient information in intensive care units (ICUs). This resource aids diagnosis, therapy understanding, and patient management, demonstrating a significant impact.

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Area of Science:

Medical Informatics
Information Science
Healthcare Management

Background:

Intensive care unit (ICU) decision-making relies on timely access to patient-specific information.
Physicians traditionally use colleagues, personal resources, or libraries for information retrieval.
Clinical librarian services offer an alternative information support system.

Purpose of the Study:

To evaluate the effectiveness of an established clinical librarian program within an ICU setting.
To assess the impact of clinical librarian support on medical decision-making.

Main Methods:

A 3-month prospective study involving house officers in medical and coronary ICUs.
House officers submitted 66 patient-care questions to a clinical librarian.
A questionnaire assessed the application of retrieved information.

Main Results:

A 65.1% response rate was achieved for the questionnaire.
Information provided aided diagnosis (37.2%), therapy understanding (51.2%), and patient management (30.2%).
Average cost per question was $45, including personnel and computer charges.

Conclusions:

Clinical librarian programs can deliver patient-specific information efficiently and cost-effectively.
This service positively impacts clinical decision-making and patient care in ICUs.