North Shore Long Island Jewish Health Sys Unified EML

描述(由申请人提供)： 北岸-长岛犹太人健康系统寻求创建和评估一个电子医疗图书馆，该图书馆在其拥有、赞助和附属的18家医院中向各地的工作人员开放。它寻求从国家医学图书馆信息系统赠款计划获得为期三年的赠款，以通过现场和远程访问在其拥有的9家医院和5家赞助医院之间共享对战略选择的电子资源的访问。在一个集中访问点与免费的基于网络的电子教育资源(包括国家医学图书馆提供的资源)一起，这些专有资源将成为临床医生统一电子医学图书馆的开端。卫生系统也寻求这样的赠款，以探索将该项目扩展到其四家附属医院的潜力--远罗克韦的半岛医院中心，以及长岛东区的南安普顿医院、萨福克中央医院和长岛东部医院。 以下内容可作为该项目的目标：1)在保健系统拥有或赞助的14家医院的工作人员中创建一个集团化的、基于网络的资源“虚拟图书馆”，由为全系统需求评估而组成的焦点小组或面谈选定。2)探索该项目的潜力，并为将该项目扩展到卫生系统的四家附属医院奠定基础。3)在实施该项目的医院促进循证医疗(EBHC)，使临床医生依赖现有的最新和相关的临床信息(“最佳证据”)，而不是只依赖自己的经验、合议建议或在没有UEML的情况下可以获得的较小范围的文献。4)对照综合需求评估得出的基线信息，跟踪整个卫生系统两个群体的资源利用情况：a)与较大的医疗图书馆有较近距离的临床医生，以及b)没有如此近距离的临床医生。5)确定是否、如何以及在多大程度上将提高b)组的利用率，这一组以前获得三级保健医院现有的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.