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SEA Currents

Newsletter of the NN/LM Southeastern/Atlantic Region

Archive for the ‘For The Region’ Category

August NIH News in Health Now Available

Monday, August 11th, 2014

NIH News in Health: A monthly newsletter from the National Institutes of Health, part of the U. S. Department of Health and Human Services
Check out the August issue of NIH News in Health, the monthly newsletter bringing you practical health news and tips based on the latest NIH research:

Can You Recognize a Heart Attack or Stroke?
What To Do When Every Moment Counts
Read more about Heart Attack and Stroke.

 

 

 

 


Surviving Sepsis
Taming a Deadly Immune Response
Read more about surviving sepsis.

 

 

Health Capsules:

Click here to download a PDF version for printing.Visit our Facebook page to suggest topics you’d like us to cover, or let us know what you find helpful about the newsletter. We’d like to hear from you!Please pass the word on to your colleagues about NIH News in Health. We are happy to send a limited number of print copies free of charge for display in offices, libraries or clinics. Just email us or call 301-402-7337 for more information.

 

What I Learned – Summer Institute in Nursing Informatics (SINI) 2014, Baltimore

Thursday, August 7th, 2014

Written By: PJ Grier, Outreach/Access Coordinator, National Network of Libraries of Medicine, Southeastern/Atlantic Region

Contact PJ at: pgrier@hshsl.umaryland.edu.

Last month I attended The University of Maryland, Baltimore – School of Nursing’s conference entitled the Summer Institute in Nursing Informatics (SINI): Informatics enabling patient-centered care across the continuum. This event is a nationally recognized forum that is focused on the informatics needs of nurses. This conference interested me as nurses represent a significant outreach population for the Regional Medical Library. This action-packed conference is in its 24th year and the planning committee was stacked with leaders in the nursing profession. The SINI educational tracks and objectives were fourfold:

  • Describe ways of using informatics tools to support patient engagement and patient-centered care.
  • Identify new and evolving roles for clinicians and informaticians in providing patient-centered care across the continuum.
  • Address ongoing challenges in achieving interoperability, with consideration for devices and apps individuals and families use to monitor and manage their health.
  • Address ongoing challenges in using data from diverse sources to improve patient care and health outcomes and to control costs.

Those familiar with the Technology Informatics Guiding Education Reform (TIGER) initiative will be pleased to know that during the general session it was announced that the Healthcare Information and Management Systems Society (HIMSS) would now lead TIGER’s efforts. TIGER’s vision was to enable nurses to use informatics and emerging technologies to make healthcare safer, more effective, efficient, patient-centered, timely and equitable by interweaving evidence and technology seamlessly into practice, education and research.

The opening plenary speaker was Philip Fasano – Executive Vice President and Chief Information Officer, Kaiser Permanente (KP), who spoke on “Teaming to transform healthcare.” He felt that consumers demanded transparency, affordability and convenience using accessible e-tools such as secure messaging and desired a care-anywhere experience in their homes, schools, hospitals, etc. Some technologies that addressed consumers’ needs included telehealth, mhealth, predictive analytics and EHR real-time analyses. Notably 84% of U.S. hospitals were still implementing EHRs, however, all KP hospitals were at Stage 7 of EHR adoption (a HIMMS electronic medical record adoption model).

I attended a session that featured Patricia Dykes – Senior Nurse Scientist from Brigham and Women’s Hospital who presented “Participatory design and development of a patient-centered toolkit…in their plan of care.” Her program included a distillation of the research question, aims of the study, a review of the design methods used for the patient-centered toolkit, results and challenges. An outside foundation provided the demonstration funds used to develop and deploy the toolkit in the intensive care and acute care oncology units of the hospital. Interestingly, Dr. Dykes mentioned MedlinePlus in a positive way multiple times during her session. Engaging patients in the design process, having an awareness that patients wanted to be knowledgeable about their health conditions, plus a desire to have the appropriate tools for communication were valuable lessons learned.

Susan Matney – Informaticist from 3M Health Information Systems gave a talk on “Coding nursing assessments using Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) and Logical Observation Identifiers Names and Codes (LOINC) to support national standards for interoperability.” Because Meaningful Use drove the adoption of comprehensive terminologies, Dr. Matney’s approach crystallized the need to use the Office of the National Coordinator for Health Information Technology’s (ONC) approved standard terminologies to bridge nursing vocabularies in various healthcare settings. As a useful tool to assist with terminology mapping, she discussed the Nursing Problem List Subset of SNOMED CT, which is available through National Library of Medicine’s Unified Medical Language System.

Several speakers delivered their perspectives on “Health IT adoption in home health agencies”. Home health agencies (HHAs) did not receive financial incentives through the Health Information Technology for Economic and Clinical Health (HITECH) Act. As a result, many struggled to adopt new health information technology solutions. HHAs must correctly identify challenges to reduce costs, improve quality, and optimize health outcomes. It was also important for HHAs to define clear procedures that enumerated their IT needs and created structured assessments for evaluating vendor products and services.

Lastly I listened to Heather Carter-Templeton’s presentation “Using mobile devices to access evidence-based information in a rural health clinic.” According to Heather, the literature contained few reports of systematic roll-outs of mobile devices providing evidence-based resources and offered little guidance for teaching nurses how to use mobile devices within the clinical setting. Thus the need for this qualitative descriptive study conducted in a rural Alabama health clinic with seven nurses recruited as subjects. Preliminary findings suggested: (a) perceptions that nurses demonstrated limited use of electronic evidence-based information programs (EEIBP) via mobile devices, (b) differences in interpretations of information literacy and evidence-based practice, and (c) past experience with mobile devices was an indicator of how enthusiastically EEIBP was embraced.

I gained a better understanding of the challenges nurses undergo while adopting new approaches to patient-care delivery and in furthering their reporting and research needs. I observed that their challenges and opportunities are not that different from our own. For network members having nursing constituencies, you may want to put the Summer Institute in Nursing Informatics on your “to-do” list (funds permitting) or make sure that institutional nurse “champions” are aware that this conference exists. If you, or your colleagues desire greater detail on any of these sessions please let me know, as I am happy to share.

Beyond the SEA: August 20, 2014 – Can You Trust Figure 7? and a PubMed Update – Recording Now Available

Tuesday, August 5th, 2014

Recording: https://webmeeting.nih.gov/p80w6akgwtx/

Date and Time: Wednesday, August 20, 2014, Noon to 1:00 pm (EST)

Presentation 1: Can You Trust Figure 7?  – Using Library Promotion to Build the Profile of the Hospital Library by Hosting a Symposium.

Presenter: Jan Orick, Director of Biomedical Library, St. Jude Children’s Research Hospital, Memphis, TN.

Jan T. Orick, MLS, AHIP received her degree in Library and Information Science from Louisiana State University. After working as a solo librarian in Lafayette, LA and then Methodist Hospitals in Memphis, TN, she began work at St. Jude Children’s Research Hospital as the Biomedical Librarian in 1995. She serves in her current position as Director of the Biomedical Library since 1998 where she manages a staff of 4 and a library collection of over 4,000 electronic journals, books and multiple databases.  Jan is a member of the Medical Library Association (MLA) and served as an officer of the Hospital Libraries Section. She is also active in the Southern Chapter of the MLA.

Summary: Jan Orick will share her approach in communicating the value of the St. Jude Biomedical Library (TN) through a yearly symposium targeted to pique the interest of her customers. Jan utilized funds received from the National Network of Libraries of Medicine, Southeastern/Atlantic Region (NN/LM SE/A) Express Hospital Library Promotion Award to promote a symposium on plagiarism and scientific misconduct and remind their customer base of the library’s services.

Presentation 2: PubMed Update

Presenter: Rebecca Brown, Trainer/Curriculum Content Specialist, National Library of Medicine Training Center, Salt Lake City, UT.

Rebecca Brown has worked for the National Network of Libraries of Medicine since 2007. She started as the Kansas Technology and Outreach Coordinator for the MidContinental Region and then became a trainer for the National Library of Medicine Training Center in 2011.

Summary: Rebecca will provide an update of changes and features available in PubMed, showcasing MeSH on Demand and share additional user tips.

Upon completion of the Beyond the SEA Webinar, each participant will receive 1 hour of continuing education credit awarded by the Medical Library Association. Certificates will be available electronically following completion of the online survey supplied at the end of the webinar.

What do you need to join these conferences?
• A computer (with Flash installed)
• A telephone

How do I connect?

Go to this URL: http://webmeeting.nih.gov/beyondthesea
• Enter as a Guest
• Sign in with your first and last name.

Follow the instructions in the meeting room to have Adobe Connect call your phone or call 1-800-605-5167 and enter the participant code 816440 when prompted.

Finding an Evidence-Based Medicine Study in PubMed

Thursday, July 31st, 2014

Written by Tony Nguyen, Outreach/Communications Coordinator, National Network of Southeastern/Atlantic Region

Contact Tony at: tnguyen@hshsl.umaryland.edu

If you’re familiar with Evidence-Based Medicine, you are aware of the acronym PICO. For those unfamiliar with the term, it is a convenient way to organize a well-built and answerable clinical question. This is important for medical and health professionals in formulating a search strategy prior to investigating the vast amount of available medical and scientific literature. PICO is broken down as follows:

          P Patient, Population, or Problem
          I Intervention, Prognostic Factor, or Exposure
         C Comparison, Control, Context, or Intervention (if appropriate)
         O Outcome you would like to measure or achieve
        (T) Time, Therapy, or Type of Article (This could be optional)

As you become more familiar with PICO, note the different types of studies available within medical literature: Therapy, Diagnosis, Prognosis, Etiology, Prevention, and Quality Improvement. Once the study type is determined, choose the best study design or methodology to address a clinical question.

     Type of Question      Best Type of Study/Methodology
     Therapy
  • Systematic Review
  • Meta-Analysis
  • Double-Blind Randomized Controlled Trial
     Diagnosis
  • Controlled Trial
     Prognosis
  • Cohort Studies
  • Case Control Studies
  • Case Series
     Etiology
  • Cohort Studies
  • Case Control Studies
  • Case Series
     Prevention
  • Randomized Controlled Trial
  • Cohort Studies
     Quality Improvement
  • Randomized Controlled Trials

After using PICO to determine an answerable clinical question and the potentially highest level of study to look for, the next step is to search PubMed for the various studies. How do you locate each of the different studies?

A simple search in PubMed allows access a side bar of options to target specific article types.

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Scrolling through these options, you’ll locate Case Reports, Comparative Studies, Guidelines, Meta-Analyses, Randomized Controlled Trials, and Systematic Reviews. Selecting these study types prior to executing a search string may cause confusion when they disappear in PubMed results. It simply means that your search string located Randomized Controlled Trials but no Systematic Reviews, for example.

Publication Type [PT] is another option in locating both study characteristics and publication types. A full list of Publication Characteristics (Publication Types) can be found here: http://www.nlm.nih.gov/mesh/pubtypes2006.html.

Examples of Study Characteristics within Publication Type [PT]
  • Case Reports
  • In Vitro
  • Clinical Conference
  • Meta-Analysis
  • Clinical Trial +
  • Multicenter Study
  • Comparative Study
  • Scientific Integrity Review
  • Census Development Conference
  •  Twin Study
  • Evaluation Studies
  •  Validation Studies

Utilizing MeSH (Medical Subject Headings) is another way to locate studies not retrieved when searching for a Publication Type or Study Characteristic. These items are not listed within the filters or the [PT] field. In MeSH, you’ll be able to locate:

  • Crossover Studies
  • Cohort Studies
  • Random Allocation
  • Placebos
  • Treatment Outcome

Knowing that “Cohort Studies” is a MeSH term will give you the chance of locating the potential Prognosis, Etiology, and Prevention studies not found in the Article Type or [PT] section. Try searching with MeSH if you’re having a difficulty locating an article type or characteristic.

Finally, one last option would be to add a keyword within the search string and look at the “Search Details” section to see how PubMed interpreted the keyword entry.

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Locating a particular study or study type characteristic can be tricky in PubMed. However, we’re happy to provide tips and suggestions to help you navigate PubMed and other NLM resources. If your organization is interested utilizing PubMed to locate evidence-based medicine resources, NN/LM SE/A is pleased to offer PubMed and the Evidence-Based Universe. This course is available as a 2 hour and 4 hour course. To schedule this course, please contact Tony Nguyen at tnguyen@hshsl.umaryland.edu.

 

 

 

Register for the PubMed® for Trainers Class – It’s free!

Tuesday, July 29th, 2014

Offered by the

National Library of Medicine Training Center (NTC)

and the National Library of Medicine (NLM)

I would highly recommend this course to anyone who teaches PubMed.”

“You all did an amazing job of (1) modeling instructional design by providing a very well-designed course; and, (2) demonstrating how online instructional environments can still provide engaging learning experiences.”

“I really learned a lot of new information about how to search PubMed and good ideas for how to best teach that to my students.

–Comments from recent “PubMed for Trainers” participants

 

Would you like to gain new skills, brush up on existing PubMed skills and collaborate with colleagues to help create effective training strategies? The NTC is offering PubMed® for Trainers (PMT) in two locations of interest to our region: at the University Of Tennessee Health Science Center in Memphis, TN (in November 2014) and at the National Library of Medicine, Bethesda, MD (in October 2014).

PMT is held in 4 sessions; 3 online and 1 in person session (attendance in all is expected). The last of the four sessions is an in-person class.

This hands-on course consists of 9 presentations created by the National Library of Medicine, live demonstrations, hands-on exercises, group work and discussions, and networking opportunities over the course of four sessions. You can expect an additional 2-3 hours of independent homework. Upon completion of the class, participants receive 15 hours of MLA CE credit.

By the end of the course, you should:

  • Have a functional knowledge of the MEDLINE® database
  • Understand behind the scenes details of how PubMed translates your search
  • Know how to use Medical Subject Headings (MeSH)
  • Increase your knowledge of how to more effectively search for drugs, diseases, and patient centered research.

The dates and times for the four class sessions for the Bethesda location are:

  1. Tuesday, October 21, 2014, 11 am – 1 pm ET (online via Adobe Connect)
  2. Thursday, October 23, 2014, 11 am – 1 pm ET (online via Adobe Connect)
  3. Tuesday, October 28, 2014, 11 am – 1 pm ET (online via Adobe Connect)
  4. Thursday, October 30, 9 am -4:30 pm ET (in-person in Bethesda, MD)

The dates and times for the four class sessions for the Memphis location are:

  1. Monday, October 20, 2014, 10 am – 12 noon CT (online via Adobe Connect)
  2. Monday, November 3, 2014, 10 am – 12 noon CT (online via Adobe Connect)
  3. Monday, November 10, 2014, 10 am – 12 noon CT (online via Adobe Connect)
  4. Thursday, November 13, 9 am -4:30 pm CT (in-person in Memphis, TN)

For more information and to register, visit http://nnlm.gov/ntcc/classes/class_details.html?class_id=359.

Last updated on Friday, 22 November, 2013

Funded by the National Library of Medicine under contract HHS-N-276-2011-00004-C with the Health Sciences and Human Services Library of the University of Maryland