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TACOS: TAble of COntents Service in the hospital library.

TACOS is an acronym for TAble of COntents Service. It provides recipients with photocopies of the contents pages of journals selected from the hospital's list of serials. The service enables users to augment their journals by scanning additional tables of contents. TACOS coexists with and complements computer, SDI and other current awareness services. Growth over a five-year period is evident by an increased number of both TACOS requesters and TACOS journals requested. User satisfaction, as measured by a survey and willingness to pay, is high. TACOS is a simple, viable concept well worth implementing even in times of tight budgetary constraints.

Chicago↗

Book prices and costs for a small-hospital library: a subject analysis.

An analysis of the Brandon/Hill lists has provided individual price figures to assist the librarian of a small hospital in calculating book costs associated with establishing and maintaining an up-to-date collection suited to institutional needs. For the fifty-three subject categories analyzed, the following were calculated over the past twenty-two years: average price per title, size and cost of the category, number of new titles or editions, percentages price increases, and cost of maintaining a basic collection. Used in conjunction with local purchasing data, these figures can be useful in budget preparation.

Book Prices↗

Zero-based print journal collection development in a community teaching hospital library: planning for the future.

OBJECTIVES: The paper describes and evaluates the success of a zero-based collection development approach to print serials in a community teaching hospital. METHODS: The authors first assessed the environmental factors that would determine future needs of the medical library and its customers. Liaisons to various departments and constituencies were substantially involved in the data-gathering phase. Using newly defined collection parameters, a list of journals to consider was compiled and each journal was categorized justifying its inclusion. Any title not having a strong fit in at least one category was eliminated from further consideration. RESULTS: Overall, 21 subscriptions were cancelled and 34 were added. Despite a 15% increase in total subscription costs, mostly due to normal annual journal price increases, the average cost per journal went down from $344 to $327. Journal usage went up over 30%, interlibrary loan lending went down 25%, and borrowing went up 20%. CONCLUSION: As resources available to libraries decline, it becomes critical that collections and services are continually and systematically reviewed with a view to keeping them aligned with the mission of the organization, needs of the customers, and emerging trends. Zero-based collection development can be a valuable tool in bringing a print journal collection into closer alignment with the needs of library customers.

Budgets↗

A new hospital library in San Diego: planning and construction.

A new library building at the University of California Medical Center, San Diego provides 7,100 net square feet, seating for 100 readers, and a stack capacity of 23,000 volumes. The building contains three split-level floors with conventional reference and circulation services, a combination of group and single seating, rapid copying machines, audiovisual facilities, a public elevator, and an electronic security system for the protection of library materials. The library, intended primarily for the use of health care professionals and students in their third and fourth years of medical school, serves a teaching hospital and its associated research facilities.

Architecture↗

One small community hospital library's successful outsourcing of document delivery: an ongoing study.

When DOCLINE was implemented in 1985, community hospital librarians were beginning to feel the economic pressures of the changing health care arena. However, staff and resources were often sufficient or plentiful. Now, fifteen years after the creation of DOCLINE, many existing small hospitals either no longer have a librarian, an assistant is managing the library, the librarian is managing one or more libraries of an integrated system, or the number of librarians has been reduced. A system that is heavily staff dependent is no longer feasible. In addition, as the role of the community hospital librarian evolves into one of instructor and patient education liaison, a system that does not permit the librarian to expand such services will be detrimental to the entire library program. Following is a discussion of one small community hospital's decision to outsource document delivery services as a result of staffing changes and the expansion of additional library programs.

Baltimore↗

From bench to bedside: research and testing of Internet resources and connections in community hospital libraries.

Access to information becomes more valuable with the continuing proliferation of medical knowledge and the increasing economic pressure being experienced by health care organizations. This is particularly so for community hospitals in rural or isolated areas, where the economic pressures are at least as great as in urban areas and where access to information is often inadequate. These conditions have implications for the quality of patient care and for economic viability. In response to this, the National Library of Medicine, the University of Washington, and seven community hospitals in five Pacific Northwest states have joined forces in a broad-scale technology diffusion project to facilitate the application of research work to clinical care. There are three components to the project: 1) a pilot connections component to extend Internet access to the community hospitals, 2) a research component to test the performance of a client/server model for network access to anatomical text and images, and 3) a clinical component to develop a registry of DNA diagnostic laboratories facilitating the provision of genetic information to clinicians. The pilot connections component is described and preliminary findings are reported.

Computer Communication Networks↗

GRATEFUL MED searching: a hospital library perspective.

The Health Sciences Information Center of Cedars-Sinai Medical Center implemented an end user search service utilizing NLM's GRATEFUL MED software. A librarian-taught seminar is required of all end users. The course's teaching strategies are described. A survey of users was conducted and results are shared.

Computer User Training↗

A problem-oriented approach to journal selection for hospital libraries.

This paper describes a problem-oriented approach to journal selection (PAJS), including general methodology, theoretical terms, and a brief description of results when the system was applied in three different hospitals. The PAJS system relates the objective information which the MEDLARS data base offers about the universe of biomedical literature to objective, problem-oriented information supplied by the hospital's medical records. The results were manipulated quantitatively to determine (1) the relevance of various journals to each of the hospital's defined significant information problems and (2) the overall utility of each journal to the institution as a whole. The utility information was plotted on a graph to identify the collection of journal titles which would be most useful to the given hospital. Attempts made to verify certain aspects of the whole process are also described. The results suggest that the methodology is generally able to provide an effective library response. The system optimizes resources vis-a-vis information and can be used for both budget allocation and justification. It offers an algorithm to which operations researchers can apply any one of a variety of mathematical programming methods. Although originally intended for librarians in the community hospital environment, the PAJS system is generalizable and has application potential in a variety of special library settings.

Libraries, Hospital↗

The contribution of hospital library services to continuing medical education.

Much of the literature relating to continuing medical education programs laments the lack of effectiveness of traditional lecture-based format, the most often used method of presentation in hospitals. A gap exists between the content taught in lectures and the application of that knowledge in actual patient care. The services of the medical librarian, already employed in most hospitals, can help ameliorate this problem. Further, libraries help to support quality improvement efforts. These three functions (library services, continuing medical education, and quality improvement) are interdependent. Each lends strength to the other, and, ideally, all are coordinated within the hospital structure.

Accreditation↗

Psychiatric resources: a core list for the small psychiatric hospital library.

There is a dearth of core lists for the mental health librarian and materials must be selected from several sources. This list is described as "basic," but it does provide a core collection of books, journals and Web sites which can be used by mental health librarians to build or evaluate collections. "Classics" not contained in this list should also be included in library collections as well as a comprehensive handbook, Tasman's Psychiatry, to which mental health practitioners can refer for a quick answer to a question. Most importantly, the library collection should reflect the purposes and philosophy of the medical staff and institution it supports.

Books↗