1. Joan C. Bartlett McGill University, School of Information Studies May 6, 2013

2. The Value Study was a partnership of the National Network of Libraries of Medicine, Middle Atlantic Region (NNLM/MAR) and the University of North Carolina at Chapel Hill (UNC). This project has been funded in part with federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract #N01-LM-6-3501 from New York University, NNLM/MAR. Additional support was provided by the Hospital Library Section of the Medical Library Association (MLA), the NY/NJ Chapter of MLA; the Philadelphia Chapter of MLA; the Upstate New York and Ontario Chapter of MLA; the New York State Reference and Research Library Resources Councils and the Donald Lindberg Research Fellowship from MLA. 2 J. Bartlett MLA 2013 May 6, 2013

3. NN/LM MAR Planning Team Julia Sollenberger, University of Rochester Medical Center Susan K. Cavanaugh, UMDNJ Camden Sharon Easterby-Gannett, Christiana Care Medical Libraries Sue Hunter, NN/LM MAR Mary Lou Klem, Health Sciences Library System, University of Pittsburgh Joanne Gard Marshall, UNC Lynn Kasner Morgan, Mount Sinai Medical Center Kate Oliver, NN/LM MAR Neil Romanosky, NN/LM MAR 3 UNC Research Team Joanne Gard Marshall, UNC Principal Investigator Cheryl A. Thompson, Project Manager Jennifer Craft Morgan Marshica Stanley Amber Wells J. Bartlett MLA 2013 May 6, 2013

4. Value of Library and Information Services in Patient Care Study ◦ National Network of Libraries of Medicine ◦ Middle Atlantic Region ◦ School of Information & Library Science, University of North Carolina at Chapel Hill Purpose: ◦ To understand the value and impact of the information services provided by the library and librarian on patient care 4 J. Bartlett MLA 2013 May 6, 2013

5. 4 libraries 1231 participants ◦ 371 physicians ◦ 135 residents ◦ 560 nurses/NPs J. Bartlett MLA 2013 May 6, 2013 5

6. 6 OverallPhysicianResidentNPNurse Patient misunderstanding of disease 209 (22.5%) 63 (18.8%) 31 (25.6%) 19 (40.4%) 81 (22.3%) Additional tests or procedures 164 (17.7%) 83 (24.8%) 35 (28.9%) 13 (27.7%) 21 (5.8%) Adverse drug reaction or interaction 114 (12.3%) 51 (15.2%) 17 (14.0%) 10 (21.3%) 29 (8.0%) Medication error 87 (9.4%) 29 (8.7%) 16 (13.2%) 2 (4.3%) 35 (9.6%) Patient mortality49 (5.3%) 22 (6.6%) 9 (7.4%) 1 (2.1%) 13 (3.6%) * Respondents could select all that applied, so column percent does not equal 100.

7. Semi-structured interviews with participating librarians ◦ Discussion of dataset and presentation material shared with participating librarians ◦ How has the information been used? ◦ What was the impact? 7 J. Bartlett MLA 2013 May 6, 2013

8. Public healthcare system Bilingual context Variation among provinces/territories No central health information service J. Bartlett MLA 2013 May 6, 2013 8