The 2006 JCAHO Manual is now available on the Affinity Intranet

Follow this path : Affinity Intranet > Library > General Reference Links > JCAHO Resources (on the right) > JCAHO Manual

Or just type “JCAHO Manual” into the search box at the top of all the Affinity Intranet pages.

Also known as The Comprehensive Accreditation Manual for Hospitals (CAMH), the above link offers full-text access to this important regulatory source.

LactMed : A New NLM Database on Drugs and Lactation

LactMed, a free online database with information on drugs and lactation, is one of the newest additions to the National Library of Medicine's TOXNET system, a Web-based collection of resources covering toxicology, chemical safety, and environmental health.

LactMed may be searched at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT
Or take the following path :
Affinity Intranet > Library > Find Drug Info > LactMed

Geared to the healthcare practitioner and nursing mother, LactMed currently contains over 450 drug records. It includes information such as maternal levels in breast milk, infant levels in blood, potential effects in breastfeeding infants and on lactation itself, the American Academy of Pediatrics category indicating the level of compatibility of the drug with breastfeeding, and alternate drugs to consider. References are included, as is nomenclature information, such as the drug's Chemical Abstract Service's (CAS) Registry number and its broad drug class.

LactMed was developed by a pharmacist who is an expert in this subject. Three other recognized authorities serve as the database's scientific review panel. Ancillary resources, such as a glossary of terms related to drugs and lactation, and breastfeeding links are also offered.

LactMed can be searched together with TOXNET's other databases in a multi-database environment, to obtain other relevant information about drugs. As a work in progress, LactMed will continue to expand with additional drugs and be enhanced with other substances, such as industrial chemicals and radiation.

--From the National Library of Medicine

Affinity Library Services Welcomes Margo Lambert, MLS

Margo Lambert is the new consumer health librarian working at the Resource Café in the newly remodeled St. Elizabeth Hospital entrance. Margo received her Master’s Degree in Library and Information Science in 1999. Since that time she has worked as a reference librarian, a children’s librarian, and most recently as manager of the Algonquin Area Public Library, Eastgate Branch in Algonquin, Illinois.

Margo and her husband recently moved from Illinois to Wisconsin because they enjoy the lifestyle here. She considers Wisconsin residents to be warm and friendly and she is happy to have the opportunity to serve them as a consumer health librarian. As a public librarian, she most enjoyed having contact with a variety of library users and creating a library collection that would meet their informational needs. The move to consumer health librarianship is a natural one for Margo, as it allows her to continue to serve people while gaining experience with a different, vibrant aspect of the library profession.

Margo is excited to work in a health care environment during a time in which medical information is becoming available in formats accessible to lay people. She feels honored to be in a position to help people as they educate themselves about their health and she looks forward to representing Affinity Health System by providing library service to members of this community.

Margo can be reached at 920-738-2857.

Featured Resource : The Asian and Pacific Islander Cancer Education Materials (APICEM)

The Asian and Pacific Islander Cancer Education Materials (APICEM)
http://www.cancer.org/apicem

This new website makes it easier for physicians and other health-care providers to communicate cancer prevention and early detection messages to patients by providing one-stop access to patient education materials written in 12 languages.

The Asian and Pacific Islander Cancer Education Materials Web Tool (APICEM) is designed to help Asians and Pacific Islanders with limited English-speaking abilities gain access to authoritative information on how to reduce their risks of preventable malignancies, including cancers of the breast, cervix, colon, liver, lung and stomach.

The new database catalogs and provides links to patient handouts written in the following 12 Asian and Pacific languages: Khmer, Chamorro, Chinese, Hawaiian, Hmong, Ilokano, Korean, Samoan, Tagalog, Tongan and Vietnamese, as well as English-language materials culturally tailored for Native Hawaiian populations. Additional languages and topics will be added as more materials become available.

The Asian American Network for Cancer Awareness, Research and Training (AANCART) and the American Cancer Society (ACS) launched this searchable online database of Asian language cancer materials. This effort is supported by the National Cancer Institute (NCI).

****
There are 2 ways to find this link on the Affinity website.

Method 1 : Use the Search Box at top of the Affinity Intranet Pages.
Type in “Asian” or “non-English” or "other than English"
(Patient Education brings up hundreds of items.)

Method 2 :
Affinity Intranet Homepage > Library > Find Patient Education Handouts > Hmong OR Other Languages

We welcome your questions, comments, and suggestions.
Contact Affinity Library Services :
MMC Library 3-0342 and STE Library 8-2324

How do I find the online version of the PDR?

Looking for the electronic version of The Physician’s Desk Reference?

How to Find the PDR Online is a tutorial with step-by-step screenshots to help you find this valuable drug reference on the Affinity intranet website.

Many physicians and staff still want to use the PDR to look up medications. The updated book version is no longer routinely available in most departments, as the access is more widely available online now.

The Find Drug Information for Health Professionals link on the Library website will lead you to several other online sources for clinical drug information. These include the following :
* Clinical Pharmacology
* MDConsult (Mosby’s Drug Consult)
* Micromedex
* Online Books on Drugs and Medications
* Drug Information for Patients and Families

You might even find something you like better than the PDR!

If you have any questions or concerns, please contact Michele Matucheski (920)223-0340 or via Outlook.

What's the difference between MEDLINE and PubMed?

Medline is a subset of about 5,000 biomedical journals indexed in PubMed. All the journals indexed in Medline were chosen for inclusion. Think of Medline as indexing "the cream of the crop" for medical journals.

PubMed is a much larger database that includes the MEDLINE subset, as well as indexing info from other "worlds" such as aerospace medicine, toxicology, some out-of-scope citations in astrophysics and plate tectonics.

You will find links for both Medline (Ovid) and PubMed on the Affinity Libraries website. If you use PubMed link on the Library Website, you'll get the added benefit of having our print and some online holdings incorprated into the search results.

For more information, see the following fact sheet from The National Library of Medicine :

NLM Fact Sheet : What's the Difference between Medline and PubMed?
http://www.nlm.nih.gov/pubs/factsheets/dif_med_pub.html

The Ebling Health Science Library at The University of Wisconsin Madison has a useful handout comparing both versions of Medline. MEDLINE : Ovid vs. PubMed.
(Please be aware that Ovid access info will differ through Affinity.)

What about MedlinePlus? MedlinePlus provides quality consumer health and patient education information.

Feel free to contact the Libraries if you have any questions on this.
MMC Library (Oshkosh) 3-0340
STE Library (Appleton) 8-2324

What's the difference between Medline and MedlinePlus?

MEDLINE is the database that indexes over 5,000 clinical medical, nursing and dental journals back to 1966. It is produced by The National Library of Medicine. Medline is available in many formats including Medline Ovid and PubMed. Even MDConsult offers a searchable version of Medline. MEDLINE is the standard place to begin researching clinical medical topics for physicians and health professionals. Many patients today also use MEDLINE because it is so freely available.

MedlinePlus is the consumer health side of The National Library of Medicine (NLM). This is a wonderful website that indexes and makes available patient education and consumer health information to anyone with internet access. This is an excellent place to start researching a health topic because all of the sites included have passed rigorous quality tests. None of the sites included will try to sell you anything, or ask for personal information. Their main objective is to provide qood, quality information with the patient's best interests at heart.

For more information, see the following Fact Sheets from The National Library of Medicine :

MEDLINE Fact Sheet
http://www.nlm.nih.gov/pubs/factsheets/medline.html

MedlinePlus Fact Sheet
http://www.nlm.nih.gov/pubs/factsheets/medlineplus.html

A Friendly Reminder on Stewardship

Library Journals (bound and single issues) are to be used on-site only.
Journals are NOT to be removed from the Libraries.

We’ve discovered several missing issues of key journals in recent weeks.

Do you have any of the following titles? If so, please return them no questions asked.
Seminars in Oncology (missing 6 issues July – Dec. 2005)
New England Journal of Medicine (missing 4 issues from September 2005)

COPY the articles you need and leave the journal for the next person.
These are very difficult to replace when they do disappear.

Books may be checked out as usual for 2 weeks at a time.

We also offer a Table of Contents Service to keep you informed of the latest developments in your favorite journals. Just ask if you want to sign up!

MMC Library 3-0342
SEH Library 8-2324

How to Find the Full-Text of Journal Articles

Many of the databases to which Affinity subscribes contain at least some full-text journal articles. We have access to over 7,000 full-text titles in our many online databases.

Some examples :
OVID Medline - full-text of 300+ journals / indexes over 5,500 journals
MDConsult - full-text of 50 journals
HealthSource : Nursing - full-text of 550 journals / indexes 850 journals

But how do you know where to find the full-text for the rest without wasting time or money?

Use the A-Z Journals : Full-text Electronic & Print Journal Holdings

Use A-Z Journals if you want to :
* Determine if a journal article you want is available online in full-text
* Determine if the Affinity Libraries have the journal on the shelf in print format
* Determine which databases contain the content for particular journals of interest
* Browse the contents of favorite journals online

When NOT to use it :
* If you need to do a literature search where you identify many citations on a topic.
The A-Z Journals List works better when you already have a known citation in hand.
In this case, you would be better off starting with a database like Medline or CINAHL.
The difference : The A-Z Journals List indexes ejournals and where they are accessible for Affinity. Medline and CINAHL index the articles in those journals whether we have access to them or not.

How to use it :
1. Look for the A-Z Journals link on the Library Webpage. (First under Most Popular Links.)
Click to open.
2. Use the Search Box to type in a journal title
OR use the A-Z alphabet to browse through the Journal Title Lists.
3. A sample entry looks like this :

New England Journal of Medicine (1533-4406)
From 01/01/1993 to present in Journals@Ovid Fulltext
From 1957-1959, 1962 to present in STE Journal Holdings in Print
From 10 years ago to present in MMC Journal Holdings in Print

4. In most cases, you will be able to click on the hyperlinked full-text collection (In this case, Journals@Ovid) to open it and go directly to the online journal holdings.
5. You can then look for the journal's corresponding volume, and issue number. Once there, you should be able to browse the "Table of Contents" until you find the desired article.

Tips :
* Note the dates-of-coverage for each Journal Title entry. Sometimes the electronic version doesn't go back far enough in time to cover the issue you need. We might have a print version on the shelf, or we may be able to borrow a copy from another library.

Let us know if you have any questions.
MMC Library (Oshkosh) 920-223-0340
STE Library (Appleton) 920-738-2324

Library Services Featured Resource : The eMedicine Clinical Knowledge Base, Institutional Edition

eMedicine is the largest peer-reviewed disease and condition knowledge base in the world. We have licensed eMedicine to provide our clinicians with additional resources and tools that can enhance patient care while saving time and effort.

To access eMedicine, follow this path :
Affinity Intranet > Library > eMedicine (under “Most Popular Links”)
or in the Search box at the top of the Affinity Intranet page, type in “eMedicine.”
You may need to type in the Account #561.

Key features of eMedicine include:
* 6,000 peer-reviewed clinical review articles covering virtually every known disease and condition
* Continually updated content
* Advanced integrated searching across 59 specialties and subspecialties
* More than 6,500 expert authors and editors from leading institutions
* 700 patient education articles
* MultiMedia Library of 30,000 illustrations, images, MPEGs, and photographs
* Drug database of more than 1,250 drugs and 20,000 indication-specific drug tables
* Clinical eTools – Interactive algorithms, calculators, decision rules, diagrams, and scores
* Differential Diagnosis Generator
* Stedman's® Medical Dictionary
* Guideline Wizard with direct links to National Guideline Clearinghouse
* Disease and Condition Resource Centers
* Print formatting function
* No advertising
* Discounted CME/CE for physicians, nurses, and optometrists with use of the discount code, IDC-561.

We hope you will take advantage of this service.
A brief self-running demo is available on the home page, in the lower left corner.

If you have any questions, please contact :
Your Librarians,
Michele Matucheski, MALS mmatuche@affinityhealth.org 920-223-0340
Mary Bayorgeon, MALS mbayorgeon@affinityhealth.org 920-738-2325.

Change in Affinity Access to MDConsult

As of Jan.11, 2006, Affinity access to MDConsult is now via IP Authentication. This means that you no longer need a username or password to access MDConsult from an Affinity computer.

This should simplify access for the occasional user who just wants to do a quick reference check in the online medical books, online journals, drug info, practice guidelines, or patient education handouts that comprise the MDConsult collection.

Everyone who previously registered for MDConsult through Affinity will still be able to access their personal account. On the MDConsult-Affinity page, look for “Click for Personal Login” on the upper right-hand side.

New to MDConsult? If Access is via IP, why should I register?
We recommend that you register for a Personal Login if:

• You want to access MDConsult outside Affinity (remote access at home, at the coffee shop, on vacation, etc. …)
• You want to personalize the Patient Handouts
• You want to use the PDA Resources

A step-by-step, detailed guide with screen shots on How to Register for MDConsult is available online.

Request an MDConsult User’s Guide from Library Services at :
MMC Library STE Library
233-0342 738-2324

Need CME Credits in your Specialty? Try Audio-Digest on CD

The Affinity Libraries subscribe to Audio Digest on CD in the following specialties :

Anesthesiology (MMC)
Emergency Medicine (MMC)
Family Practice (MMC & STE)
Gastroenterology (MMC)
General Surgery (MMC)
Internal Medicine (MMC & STE)
Journal Watch (STE)
Obstetrics & Gynecology (MMC & STE)
Opthalmology (MMC)
Orthopedics (MMC)
Otolaryngology (MMC)
Pediatrics (MMC & STE)
Psychiatry (MMC & STE)
Urology (MMC)

For a flavor of available topics, check the Audio Digest website for Past Issues.

Our 2005 and current 2006 issues are now coming on CD. Older issues are available on audiotape. Many people have told us their newer cars don't have tape-players anymore, so we've changed the format to reflect what people will use.

Please feel free to request any CD or tape that you are interested in. We'll send them to you via inter-office mail. Let us know if you plan to apply for CME credits, so we can include the brief paperwork.

Journal Article Request Form
MMC Library mmclibrary@affinityhealth.org 920-223-0242
STE Library sehlibrary@affinityhealth.org 920-738-2324

A-Z Journal List now offers Alternate Title Searching

Quickly find online and print journals without knowing the exact official title.

Search for journals using all the alternative titles that a journal may have, including abbreviated titles.

For example, in the A-Z Journals List search box, typing any of the following :

JAMA
Journal of the American Medical Association
j am med assoc

Would return the following :

Journal of the American Medical Association
See: JAMA : the journal of the American Medical Association (0098-7484)
from 10 years ago to present in MMC Journal Holdings in Print
from 1952 to present in STE Journal Holdings in Print
from 269 -. Jan. 6, 1993 to present in Affinity Library Services Ovid Journals

For more info, please see the vendor pdf flier at http://www.serialssolutions.com/promotion/atsoverview.pdf

This should be a great time saver!

As always, let me know if you have questions or concerns on this new feature.
Your Librarian,
Michele Matucheski, MLS, AHIP
Voice 3-0340

PDA / iPAQ Offerings from Affinity Library Services

Wondering what the Affinity Libraries offer for your PDA, PocketPC, or iPAQ?
Find out on the following Research Guide

HandHeld Computers : PDAs, Pocket PCs, and iPAQs Research Guide
http://intranet.affinityhealth.org/library/Road_Maps/PDA.htm

Here's the path to get there :
Affinity Intranet > Library > Research Guides > HandHeld Computers

The first section lists things specifically for Affinity and Medical Staff.
The second section lists gateways collected by various sources, usually academic health science libraries. These are usually more wide-ranging links that you may decide to purchase yourself, though many things are available for free.
The third section lists Evidence-based practice tools.

Let me know if you discover anything that you think should be on the list.

CD Burners in the MMC & STE Libraries

By popular demand, CD-Burners are now available in both the MMC and STE Library computer labs for burning PowerPoint presentations, digital photographs, or other documents.

Affinity Library Services can provide “occasional” CDRs for people needing 1 or 2 blank CDRs on rare occasions.

Regular users will want to bring their own blank CDRs. Affinity Acquisitions can provide a spindle of 100 CDRs with the stock order # 5001439.

Winners of the National Medical Librarians Month Drawing

Guess how many books and audiovisuals (AV) (not counting journals) each library contains? That was the question we asked people to consider for last month’s drawing.

First place winners received a gift card to Barnes & Noble.

MMC Library : 4938 Books & AV
Winners :
1st Place Debra Reichenberger, Outpatient Rehab, Mercy Oakwood
2nd Place Karen Welch, Health Information
3rd Place Andrea Hill, School of Radiology

STE Library : 5425 Books & AV
Winners:
1st Place Sandy Sorenson, Nursing Administration
2nd Place Dee Dee Ebben, Medical Staff Office
3rd Place Sue Kneringer, EKG

YMCA Health & Wellness Resource Center : 299 Books & AV

We also have over 300 eBooks available online through the Library’s Electronic Bookshelf.

Thanks for helping us celebrate!

Finding the Best Evidence

Are you charged with searching for evidence-based practice information? Wondering where to start?

Try the new and improved Find the Best Evidence : Evidence-Based Practice Tool Summary web page.
Affinity Intranet > Library > Find the Best Evidence

This new page presents many of the Evidence-based Practice (EBP) tools Affinity users can access, in an easy-to-use format.

Using the modified Haynes Pyramid9see above), I recommend that people start at the top and work down through the arrangement of evidence-based practice tools.

• Evidence at the top of the pyramid (ie: a Cochrane Systematic Review) will be easier to find and apply.
• Evidence at the bottom is closer to raw research data and requires more evaluation and interpretation on the part of the reader/researcher. You may need to ask yourself, “Is this a well-done clinical trial? Does the study structure have flaws? Do the statistics make sense? Does this apply to my patient(s)?”

The Cochrane Library is considered the gold standard of EBP. If you can find a Cochrane Review on your topic, you’re in luck. Keep in mind, though, that Cochrane is a relatively small database. Although new reviews are being added regularly, the review you need may not have been written yet, so you may need to move down the pyramid to find evidence that applies to your particular clinical question.

Visit Find the Best Evidence for more information.

Archives Week Oct 16-22, 2005

The Affinity Archives have been recently updated at both MMC and STE Libraries with many “new” items.
Stop in or visit us online :
Affinity Intranet > Library > Library Archives
We have many pictures, newspaper clippings, newsletters, scrapbooks, historical books in nursing & medicine and more ... Items are available for retirement parties, memorials, and other projects involving the local cultural history of Affinity hospitals and medical communities.

Here’s a taste of our Digital Archives :
Images from the Hallmarks of Mercy : History of Mercy Medical Center
Celebrating 100 Years of Caring : St. Elizabeth Hospital 1899-1999 (The Centennial Book in PDF)

Matching Game (Part 1)

This month we will be featuring books and videos that have been recommended by Affinity employees and medical staff who have helped build our great collections.

Matching Game (Part 1):
Can you guess who recommended what?
Match the title in the set 1 with your Affinity Colleague’s name in set 2. (Word Document - May be easier to play.)
Answers below.

Recommended Titles (Set 1)
A. Four Things that Matter Most
B. Healthy Mediterranean Cooking
C. Good to Great
D. Purpose-Driven Life [Audio-CD Set]
E. Developing Minds Video Library
F. If I Get to 5 : What Children Can Teach Us About Courage and Character
G. Super Size Me [DVD]
H. Freaks, Geeks & Asperger Syndrome
I. Crucial Conversations
Crucial Confrontations
J. I’m Turning on My Computer, Now What?
K. The Great Influenza
L. The Next Place

Names of Recommenders (Set 2)
1. Dr. Barbara Strand AMG Pediatrics
2. Mary Ellerbusch, Nurse, MMC ICU & Sue Demos, Nurse Manager, MMC PCU1
3. Laurie Raupp Coordinator, Employee Assistance Program
4. Lee Cleveland and Lori Deering, Dieticians, Endocrinology and Lifespan
5. Dr. Jennifer Norden AMG-Integrative Medicine
6. Bob Turner COO Northern Region
7. Rita Svatos Director, NurseDirect/Population Health
8. Dr. Nancy Homburg AMG Family Practice
9. Rev. Calvin Reyburn STE Spiritual Services
10. Lois Ziebell Recruiting Specialist, Human Resources
11. President George W. Bush
12. Deb Rodman Information Systems Training Analyst

If you have a recommendation for library purchase, please tell Library Staff. We’re open to your suggestions!

Answers : A-9, B-5, C-6, D-7, E-1, F-10, G-4, H-3, I-2, J-12, K-11. L-8

Enter our Drawing for October is Medical Librarians' Month

Celebrate with Affinity Library Services.

Enter our drawing by guessing :
How many Books and Audiovisuals (not counting journals)
in each respective library?

To enter the drawing, stop by the libraries at
Mercy Medical Center
St. Elizabeth Hospital
Or the 20th Ave Oshkosh YMCA.
Treats while they last!

Or enter your guess online by visiting the library website.
Contest ends October 31, 2005.

You could win a gift certificate to Barnes & Noble!
Other Door prizes will be available.

As always, it is our pleasure to serve you.