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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
PubMed
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.

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  • 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.