The North Shore Long Island Jewish Health Sys Unified Electronic Medical Library

描述（由申请人提供）： 北岸-长岛犹太人卫生系统力求建立和评估一个电子医学图书馆，使其18家自有、赞助和附属医院的工作人员能够普遍使用。它寻求国家医学图书馆信息系统赠款计划的三年赠款，通过现场和远程访问，在其9家自有医院和5家赞助医院之间共享战略选择的电子资源。在一个集中的接入点与免费的基于网络的电子教育资源（包括那些由国家医学图书馆提供），这些专有资源将开始为临床医生的统一电子医学图书馆。卫生系统还寻求这样一笔赠款，以探索将该项目扩大到其四家附属医院的潜力-法尔罗克威的半岛医院中心、长岛“伦敦东区”的南安普顿医院、萨福克郡中部医院和长岛东部医院。" 该项目的目标如下：1）在卫生系统14家自有或赞助医院的工作人员中建立一个集体化的网络资源“虚拟图书馆”，这些人员是通过重点小组或访谈选出的，是为了进行全系统的需求评估。2)探索将该项目扩大到卫生系统的四家附属医院的潜力并奠定基础。3)在实施项目的医院中促进循证医疗保健（EBHC），使临床医生依赖于最新和最相关的临床信息（“最佳证据”），而不是仅仅依赖于自己的经验，合议建议或在没有UEML的情况下可用的较小范围的文献。4)跟踪整个卫生系统中两个群体的资源利用情况，并与综合需求评估产生的基线信息进行比较：a）物理上接近大型医学图书馆的临床医生，以及B）没有这种接近的临床医生。5)确定B）组的利用率是否、如何以及在多大程度上增加，这类人以前在三级保健医院获得更多资源的机会有限。

DESCRIPTION (provided by applicant): The North Shore - Long Island Jewish Health System seeks to create and evaluate an electronic medical library that is universally accessible to staff everywhere throughout its 18 owned, sponsored and affiliated hospitals. It seeks a three-year grant from the National Library of Medicine Information System Grant Program to share access to strategically selected electronic resources among its nine owned and five sponsored hospitals, via both on-site and remote access. Together at a centralized access point with free web-based electronic educational resources (including those provided by the National Library of Medicine), these proprietary resources will be the inception of a Unified Electronic Medical Library for clinicians. The Health System also seeks such a grant to explore the potential to expand this project to its four-affiliate hospitals - Peninsula Hospital Center in Far Rockaway, and Southampton Hospital, Central Suffolk Hospital and Eastern Long Island Hospital on Long Island's "East End." The following may serve as objectives for the project: 1) To create a collectivized, "virtual library" of web based resources among the staff at the Health System's 14 owned or sponsored hospitals, as selected by focus groups or interviews formed for a system-wide needs assessment. 2) To explore the potential and lay the groundwork for expanding this project to the Health System's four affiliate hospitals. 3) To foster evidence-based healthcare (EBHC) in the hospitals where the project is implemented, so that clinicians rely on the most current and relevant clinical information available (the "best evidence"), rather than relying only on their own experience, collegial advice or the smaller range of literature that would be available in the absence of the UEML. 4) To track resource utilization by two groups across the Health System, in comparison with baseline information yielded by a comprehensive needs assessment: a) Clinicians with close physical proximity to a larger medical library, and b) Clinicians without such close proximity. 5) To determine whether, how and to what extent utilization will increase for group b), which previously had limited access to the greater resources available at a tertiary-care hospital.