Coordinating Medical Literature with Patient Care^[*)]

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Der Beitrag eines speziellen Bibliotheksprojektes zu einem automatisierten, problemorientierten medizinischen Informationssystem (PROMIS) wird erörtert. Die medizinische Information wird dem Behandelnden über berührungssensorische Terminals, die vom medizinischen Mitarbeiterstab von PROMIS entwickelt wurden, zugänglich gemacht. Im Rahmen des PROMIS-Projektes haben Mitarbeiter der Bibliothek zwei Informationsdienste entwickelt, einen, der sich mit dem Aufbau von medizinischen Bildschirmstationen befaßt, und einen ändern, dessen Aufgabe es ist, die angebotene Information auf dem laufenden zu halten. Informationen aus 88 medizinischen Zeitschriften werden an die Ärzte verbreitet, die an dem Aufbau des Systems beteiligt sind. Artikel, die festgelegten Auswahlkriterien entsprechen, werden referiert, und die Zusammenfassungen werden entweder durch unmittelbare selektive Yérbreitung oder durch ein problemorientiertes Register der Zusammenfassungen verfügbar gemacht. Die Informationen werden dadurch auf clem laufenden gehalten, daß die in den neu ausgewählten Artikeln enthaltene Information mit der in dem automatisierten medizinischen System auf dem betreffenden Gebiet bereits vorhandenen verglichen wird. Unstimmigkeiten werden den medizinischen Mitarbeitern von PROMIS zur Kenntnis gebracht, die die Information auswerten und erforderliche Änderungen im System vornehmen. Auf diese Weise wird eine Rückkoppelung gewährleistet, die die Vollständigkeit, Richtigkeit und Gültigkeit der automatisierten medizinischen Information sicherstellt. Die Entwicklung dieses Bibliotheksprojektes und seine Kopplung mit dem automatisierten Patientenbehandlungssystem soll die Probleme, die bei der Anfertigung, Wertung, Verbreitung und Anwendung medizinischer Literatur auftreten, überwinden helfen.

Key-Words

Medical Information - Computers - Information Services - Medical Library - Health Care Delivery System

Schlüssel-Wörter

Medizinische Information - Computer - Informationsdienste - medizinische Bibliothek - Patientenbehandlungssystem

^*) This project has been supported by U, S. Public Health Grant No. G08 LM 01697 from the National Library of Medicine and U. S. Public Health Service Grant No. R1S 00175 from the National Center for Health Services Research; The Robert Wood Johnson Foundation.

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