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1.
BioSYNTHESIS is a prototype intelligent retrieval system under development as part of the IAIMS project at Georgetown University. The aim is to create an integrated system that can retrieve information located on disparate computer systems. The project work has been divided in two phases: BioSYNTHESIS I, development of a single menu to access various databases which reside on different computers; and BioSYNTHESIS II, development of a search component that facilitates complex searching for the user. BioSYNTHESIS II will accept a user's query and conduct a search for appropriate information in the IAIMS databases at Georgetown. For information not available at Georgetown, such as full text, it will access selected remote systems and translate the search query as appropriate for the target system. The search through various computer systems and different databases with unique storage and retrieval structures will be transparent to the user. BioSYNTHESIS I is complete and available to users. The design work for BioSYNTHESIS II is under development and will continue as a multiyear technical research effort of the proposed Georgetown IAIMS implementation project. 相似文献
2.
N C Broering 《Bulletin of the Medical Library Association》1991,79(3):276-281
The intent of the MAClinical Workstation Project is to develop computer workstations for medical students of the sort they will use in future medical practice. The idea is to instill information query habits in the daily clinical activities of these young physicians-in-training. The Georgetown University Medical Center Library spearheads the project in conjunction with the School of Medicine. The library handles technical support, including software development, user training, equipment maintenance, and network installations. The project began in 1988 with nine Macintosh computers; today thirty machines are distributed throughout the Georgetown University Hospital conference rooms, faculty and resident offices, and at four affliated hospitals. The Macintosh computers are connected to the medical center's local area network (LAN) with access to the Integrated Academic Information Management System (IAIMS) and Library Information System (LIS) databases. The MAClinical workstations serve multiple educational purposes in the clinical setting. Primarily, students gain experience in medical informatics by using a variety of software systems installed at the stations: the H&P Writer, a history and physical system written in the C programming language, can be used by students to prepare the admission record on patients they examine; also, students can keep patient records, check findings against a diagnostic system, look up drugs and treatment protocols, develop medical sketches, and find additional information when needed in the medical literature. 相似文献
3.
N C Broering 《Bulletin of the Medical Library Association》1986,74(3):249-256
The strategic planning process and the pilot phase projects undertaken by Georgetown University for an Integrated Academic Information Management System (IAIMS) are described. Emphasis is placed on core services such as a local area network, an academic information management center in the library, and expansion of health sciences databases for improved access to biomedical information. Special applications in education and clinical care are highlighted. The library, a key to IAIMS activities, has emerged in a leadership role at Georgetown. 相似文献
4.
The mission of the ACOG IAIMS project is to identify the core of knowledge necessary for the practice of obstetrics and gynecology, structure it and put it in electronic form, integrate it into a national ob-gyn information network, prepare ACOG members to use it, and disseminate this core of knowledge to members in appropriate forms. This mission will be accomplished through four project objectives: educational programs on computers and information use; definition of a prototype ob-gyn knowledge base; automated access to ACOG and NAACOG membership services; and integration of ACOG IAIMS activities with other organizations. The ACOG IAIMS model phase project is a model for the role of a national specialty society in meeting the information needs of its members and for the integration of national specialty IAIMS programs with locally-developed programs. 相似文献
5.
Background: Pharmacy is an information intensive profession and a pharmacist has to be proficient in health care information management. The advance in information technology and the use of computers to access, retrieve and analyse this information is increasingly important. Yet little is known about pharmacists’ computer literacy or information technology skills. Objectives: To gain a better understanding of pharmacists’ basic computer skills and their ability to use standard software. Methods: Self‐administered postal survey to 747 registered pharmacists residing in two counties of England. Results: A total of 386 (52%) pharmacists responded after two mailings. Most responding pharmacists used computers at work and at home. They believed their basic computing skills to be high, although acknowledged that they were skill deficient in using certain software packages. Internet use at work was low (43%) as too was awareness and use of online medical databases; this was reflected in online medical database training being identified as of greatest need. Conclusions: Pharmacists were confident in operating computer systems but identified a training need for particular software applications. Of concern is the limited knowledge they possessed and access they had on medical databases. 相似文献
6.
N C Broering 《Bulletin of the Medical Library Association》1983,71(3):317-323
Georgetown University's Library Information System (LIS), an integrated library system designed and implemented at the Dahlgren Memorial Library, is broadly described from an administrative point of view. LIS' functional components consist of eight "user-friendly" modules: catalog, circulation, serials, bibliographic management (including Mini-MEDLINE), acquisitions, accounting, networking, and computer-assisted instruction. This article touches on emerging library services, user education, and computer information services, which are also changing the role of staff librarians. The computer's networking capability brings the library directly to users through personal or institutional computers at remote sites. The proposed Integrated Medical Center Information System at Georgetown University will include interface with LIS through a network mechanism. LIS is being replicated at other libraries, and a microcomputer version is being tested for use in a hospital setting. 相似文献
7.
The future of the National Library of Medicine will be shaped by a number of scientific, technical, and social influences. Among these are the continuing rapid development of computer technology and storage systems. Artificial intelligence techniques, factual databases, the emergence of medical informatics as a formal discipline, and the development of Integrated Academic Information Management Systems (IAIMS) are also important influences on the direction of the library. Public policy issues will influence the future of NLM--among them, sharing of scientific information between nations and the role of federal agencies in dissemination of information domestically. The formal, long-range plan now being prepared for the library by panels of expert advisers will be a guide for future programs and goals. 相似文献
8.
The future of the National Library of Medicine will be shaped by a number of scientific, technical, and social influences. Among these are the continuing rapid development of computer technology and storage systems. Artificial intelligence techniques, factual databases, the emergence of medical informatics as a formal discipline, and the development of Integrated Academic Information Management Systems (IAIMS) are also important influences on the direction of the library. Public policy issues will influence the future of NLM--among them, sharing of scientific information between nations and the role of federal agencies in dissemination of information domestically. The formal, long-range plan now being prepared for the library by panels of expert advisers will be a guide for future programs and goals. 相似文献
9.
Recent progress in library automation and networking is redefining the library's traditional role. The Georgetown University Medical Center Library, developer of the Library Information System (LIS), has been involved in automation for nearly a decade, and was one of the first institutions to receive an NLMIAMS grant. The two projects have evolved together. New LIS modules, such as Document Delivery and the ALERTS/CURRENT CONTENTS Search System, have been designed in a reciprocal LIS/IAIMS environment. BioSYNTHESIS, a current IAIMS research project, is a prototype information tool for tomorrow. 相似文献
10.
The University of Cincinnati Medical Center has combined five existing units into a new organization responsible for initiating an Integrated Academic Information Management System (IAIMS). This new organization, Medical Center Information and Communications, was reorganized into nine departments, which now provide a variety of information services. Ultimate goals for IAIMS include a patient-centered database, a decision-support system, and a knowledge network. The IAIMS prototype, currently under development for the University of Cincinnati Hospital's Internal Medicine Service, consists of components representative of the IAIMS model's ultimate goals. A major premise of this IAIMS effort is that it is patient-centered. 相似文献
11.
P L Miller J A Paton J I Clyman S M Powsner 《Bulletin of the Medical Library Association》1992,80(3):281-287
The paper describes a prototype information environment designed to link network-based information resources in an integrated fashion and thus enhance the information capabilities of an academic medical center. The prototype was implemented on a single Macintosh computer to permit exploration of the overall "information architecture" and to demonstrate the various desired capabilities prior to full-scale network-based implementation. At the heart of the prototype are two components: a diverse set of information resources available over an institutional computer network and an information sources map designed to assist users in finding and accessing information resources relevant to their needs. The paper describes these and other components of the prototype and presents a scenario illustrating its use. The prototype illustrates the link between the goals of two National Library of Medicine initiatives, the Integrated Academic Information Management System (IAIMS) and the Unified Medical Language System (UMLS). 相似文献
12.
Julie J McGowan J Marc Overhage Mike Barnes Clement J McDonald 《Journal of the Medical Library Association》2004,92(2):179-187
In 2001, the Regenstrief Institute for Health Care and the Indiana University School of Medicine (IUSM) began an IAIMS planning effort to create a vision and a tactical plan for the first Integrated Advanced Information Management Systems (IAIMS) implementation to cross a large area and include unaffiliated institutions. A number of elements made this planning effort unique. Among these elements were the existence of a network infrastructure that supported the Indianapolis Network for Patient Care, the existence of a mature medical informatics program at the Regenstrief Institute, and the existence of a wide-area knowledge network fostered by the IUSM libraries. However, the leadership for a strong information technology role in the IUSM that could promote collaboration in support of education and research across the diverse Indianapolis hospital systems had been lacking. By bringing together various groups, each with a commitment to improve health care quality and public health across the Indianapolis metropolitan area, regardless of individual institutional affiliation, the strategic directions for I3-Indianapolis IAIMS Initiative have been defined and the foundations for a third generation IAIMS construct have been laid in Indianapolis, Indiana. 相似文献
13.
Boissin FG 《Health information and libraries journal》2005,22(3):173-181
BACKGROUND: Numerous studies deal with the use of computers and the Internet in the health sector. Most of these studies show an increase in the use of the new technologies in searching for medical information-particularly by patients--but these uses remain very heterogeneous and depend on the studies. AIMS: The aim of this work was to consider the use of computers by French general practitioners (GPs) and to analyse the impact that computerization could have on their information-seeking behaviour. METHODS: The nature of the approach used is qualitative using interviews. RESULTS: Most of the GPs interviewed are equipped with a computer. The policies of the government were supposed to give financial incentives for GPs to start using computers for the management of administrative procedures, but many physicians do not know how to use the new tools properly. Their computers are, in most cases, underused for searching for medical information. Most of the time, the Internet sources are thought to be unreliable. CONCLUSION: This study sheds light on the use of computers and the preferences of GPs in searching for medical information. 相似文献
14.
G O Barnett R A Greenes R D Zielstorff 《Bulletin of the Medical Library Association》1988,76(3):226-230
The long-range goal of this IAIMS development project is to achieve an Integrated Academic Information Management System for the Harvard Medical School, the Francis A. Countway Library of Medicine, and Harvard's affiliated institutions and their respective libraries. An "opportunistic, incremental" approach to planning has been devised. The projects selected for the initial phase are to implement an increasingly powerful electronic communications network, to encourage the use of a variety of bibliographic and information access techniques, and to begin an ambitious program of faculty and student education in computer science and its applications to medical education, medical care, and research. In addition, we will explore means to promote better collaboration among the separate computer science units in the various schools and hospitals. We believe that our planning approach will have relevance to other educational institutions where lack of strong central organizational control prevents a "top-down" approach to planning. 相似文献
15.
Short MW 《Bulletin of the Medical Library Association》1999,87(2):206-210
A survey of 131 eastern Washington rural family physicians showed that 59.5% owned a personal computer with a CD-ROM drive. There was an inverse correlation between the physicians' years in practice and computer ownership: 10 years or less (80.6%), 11 to 20 years (72.2%), 21 to 30 years (55.6%), and more than 30 years (32.4%). Those physicians who owned a computer used their CD-ROM for entertainment (52.6%), medical textbooks (44.9%), literature searching software (25.6%), drug information (17.9%), continuing medical education (15.4%), and journals on CD-ROM (11.5%). Many rural doctors who owned computers felt that CD-ROM software helped them provide better patient care (46.8%) and kept them current on new information and techniques (48.4%). Indications for medical education, libraries and CD-ROM publishers are noted. 相似文献
16.
Hartmann J 《Medical reference services quarterly》1998,17(3):25-34
The Medical College of Ohio and three rural hospitals co-sponsored three educational programs in the medical applications of computers for rural physicians in Northwest Ohio. The College's Outreach Librarian played a major role in the programs. These programs were significant and possibly unique because of the comprehensiveness of the material presented and their focus on training rural physicians. Topics covered in the programs included: basic computer skills; online catalogs; online databases; CD-ROMs; the World Wide Web; and e-mail. 相似文献
17.
M S Klein 《Bulletin of the Medical Library Association》1989,77(4):357-365
The Children's Hospital of Michigan Medical Library has adapted several of the Integrated Academic Information Management Systems (IAIMS) concepts and implemented them at a hospital library level. These have included features of network development, electronic interfacing and interlinking, and implementing an integrated information system in the library. The library has incorporated several information systems into library operations, including a variety of in-house, local, and national automated systems and telecommunication networks. Hospital libraries can incorporate IAIMS features and promote an institutional framework of interconnecting communication systems and electronic linkages. 相似文献
18.
The concept of "one-stop information shopping" is becoming a reality at Columbia-Presbyterian Medical Center. Our goal is to provide access from a single workstation to clinical, research, and library resources; university and hospital administrative systems; and utility functions such as word processing and mail. We have created new organizational units and installed a network of workstations that can access a variety of resources and systems on any of seventy-two different host computers/servers. In November 1991, 2,600 different individuals used the clinical information system, 700 different individuals used the library resources, and 900 different individuals used hospital administrative systems via the network. Over the past four years, our efforts have cost the equivalent of $23 million or approximately 0.5% of the total medical center budget. Even small improvements in productivity and in the quality of work of individuals who use the system could justify these expenditures. The challenges we still face include the provision of additional easy-to-use applications and development of equitable methods for financial support. 相似文献
19.
互联网上存在大量医学信息资源,对网络医学信息资源进行整合,提供有序化的医学信息服务,可提升网络医学信息资源的价值。分析网络医学信息资源的类型及分布,提出图书馆网络医学信息资源整合的思路。 相似文献
20.
Medical information needs were examined in a survey of sixty-seven physicians selected from the faculty and housestaff at Johns Hopkins Hospital. A standardized questionnaire was administered personally by a medical informatics physician to collect data on information needs, attitudes, and previous experience with computers. The types of information most frequently required by both faculty and housestaff were treatment recommendations and differential diagnosis. The sources of reference information most commonly used were textbooks and colleagues. The information needs of housestaff differed significantly in several categories from those of faculty physicians. Housestaff more frequently needed information for patient care (P less than 0.05), and preferred the use of textbooks (P less than 0.01) and handbooks (P less than 0.001) as information sources. Faculty more frequently needed information for activities unrelated to patient care (P less than 0.01) and placed greater importance on basic science information (P less than 0.01). When asked to suggest references for online access, the respondents named 143 journals and textbooks, with journals overwhelmingly preferred over textbooks. Only one reference, the New England Journal of Medicine, was requested by a majority of the respondents. The importance of a broad understanding of physician information needs through improved data-collection techniques is discussed as a means of increasing the use of medical information systems. 相似文献