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A specialized information center. The clinical neurology information center.

The history, philosophy, and methodology of a unique specialized medical information center are reported. The Clinical Neurology Information Center is an educational information service (giving its audience information which can be the basis for formulating their own questions) rather than an instructional information service (giving information in reply to questions). Clinical, as well as basic neuroscience, information is culled by professional neurologists from 855 medical periodicals. The essence of each article is summarized in a single sentence ("terse conclusions") or a bibliographic reference only is given; this material is published every two weeks in the Concise Clinical Neurology Review (CCNR). The format of the CCNR is such that the reader should be able to scan a very large amount of current literature by investing only twenty to thirty minutes every two weeks. The values of this system as well as some of its problems are discussed.

Abstracting and Indexing

Community, hospital and clinical pharmacists and drug information centers as physician drug information sources.

The use of drug information centers and clinical, hospital and community pharmacists by university and community practice physicians in North Carolina was examined. Questionnaires were sent to 674 nonfederal physicians with a response rate of 203 (35.5%). Approximately half of the sample were staff members of a university hospital. The questionnaire covered eight types of drug information. Significant results were reported at the p = 0.05 level. Physicians sought specific drug information approximately one to four times a month. University hospital-affiliated physicians rated clinical and hospital pharmacists significantly higher than community pharmacists for six subject areas, and they also ranked clinical pharmacists over hospital pharmacists on four subject areas and considered them more reliable than other pharmacy drug information sources. Physicians associated with community hospitals ranked hospital pharmacists over community pharmacists as sources of information for four areas and rated them more reliable than other pharmacy drug information sources; this group preferred to use community pharmacists for information on product availability. It appears that clinical pharmacists are used by university-associated physicians as drug information sources. Use in community hospitals of the hospital pharmacist as a drug information source is better than the literature might suggest.

Attitude of Health Personnel

Physician use and evaluation of a hospital-based drug information center.

The use of a hospital-based information center by physicians was investigated. A questionnaire was used to gather information from physicians using the services of the center. The study was conducted over a six-month period. Of the 126 questionnaires distributed, 115 (91.1%) were completed and returned. The number of physicians studied was 100. The five categories of drug information most frequently requested involved adverse reactions, dosage, therapeutic use, availability and toxicity. Physicians used information most frequently for purposes of direct patient care. Evaluations of the quality, accuracy and quantity of information provided by the center were high. Physicians using information for purposes of direct patient care felt the information was clinically significant. Although certain inadequacies were identified, it was concluded that the center serves as a reliable source of comprehensive and accurate drug information for physicians.

Attitude of Health Personnel

Analysis of a hospital-based drug information center.

The operation of a drug information center (DIC) was studied after it was relocated from a school of pharmacy to a teaching hospital. The output during the last eight months in the school of pharmacy (Period 1) was compared to the output during a three-month period after the DIC became established in the hospital (Period 2). Questions were classified by type and profession or requester. In addition, the number of judgmental questions processed was determined. The average number of questions per month in Period 1 was 58.1, while during Period 2 it was 146.3. There was a statistically significant increase in Period 2 in questions from each profession, with the exception of clinical pharmacists. In Period 2, 30.8% of the questions were asked by physicians, 27.6% by pharmacists, 24.1% by clinical pharmacists, 12.3% by nurses and 5.2% by other professionals. The largest number of questions was in the pharmacological category, with toxicities or side effects as the largest class. The majority of questions asked by nurses were pharmaceutical. Of the 439 questions received during Period 2, 28.0% were judgmental. Pharmaceutical questions were found to require the least amount of time to answer, while therapeutic questions required the greatest amount of time. Judgmental questions required more time than nonjudgmental questions. It was concluded that increased visibility and accessibility of the DIC after its relocation resulted in an increased work load.

Drug Information Services

Pharmacist-manned drug information centers in the United States.

Pharmacist-manned drug information centers (DICs) were surveyed in early 1976 to obtain current information concerning the status, availability and scope of their services. Eight-six institutions believed to be active in disseminating drug information were surveyed; 74 responses were usable. Descriptive information on the respondents is tabulated. It appears that DICs make constructive contributions to enhancing drug therapy. Respondents at 63 of the centers believed, and 31 DICs said they have demonstrated, that physicians who used their services often changed their drug therapy based on answers supplied by the centers.

Drug Information Services

The microcomputer in the emergency department: a clinical information center.

A microcomputer system was developed for the Tri-City Hospital Emergency Department to serve as a clinical information center. The system is being used to better allocate resources, both personnel and materials, to accurately assess the nature of the problems presenting to the emergency department, to aid in the diagnosis and laboratory test interpretation, to improve the quality of care, to serve as an epidemiological tool and to help in the education of emergency care personnel.

California

Information system, data bases, and on-line services of the Japan Information Center of Science and Technology (JICST).

The JICST information processing system consists of the data-base production system, authority file management system, bibliographic retrieval system, and printed issue compiling system. The bibliographic retrieval service based on the JICST On-line Information System (JOIS-I) has been available through leased line since 1976 and now also through dial-up line, which covers five data bases: the JICST bibliographic and on-going research information files, CA Condensates, MEDLARS, and TOXLINE files. The on-line output in Japanese kanji is also available. The newly revised JOIS-II system is now being developed.

Forecasting