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The impact of librarians on patient safety

When I wrote my article on the role of librarians in patient safety for QSHC the editors made me take this comment out (see below) because it was anecdotal - even though I had a reference to an earlier interview from Lucian.

This is the example I use all the time about the importance - as tough as it is - for librarians to concern themselves with and figure out a way to track and measure the effect of the work they do. This story helps to illustrate why their management should be interested - in the IMPACT of the information and knowledge exchanges they facilitate rather than their focus how many. On a sheet of paper about how many searches did you do this month? it would only be one tick mark. But look at the long term consequence!

Bravo to Bob Wachter and Lucian for sharing this story!

***************

From an interview with Lucian Leape. Complete interview here: http://webmm.ahrq.gov/perspective.aspx?perspectiveID=28.
RW = RobertWachtler, the interviewer, LL = Dr. Leape.

RW: As you were in the middle of that study, what was your sense of its potential?

LL: We always were convinced it was an important study, if nothing else,because of its magnitude. Looking at 30,000 patients gives you someclout. None of us had really thought much about the preventabilityissue, and nobody knew anything about systems, of course. We weren tcompletely surprised by our results, because earlier work had shownsimilar findings. But we were, shall we say, dismayed to find that 4% ofpatients had adverse events. The surprise for me was that two thirds ofthem were caused by errors. I ll never forget-I went to the library oneday and did a literature search on what was known about preventingerrors, and I didn t find anything. And I went to the librarian andsaid, I m interested in how you prevent medical errors, and I ve foundpapers about complications, but nothing much about errors. And I asked her to look over my search strategy because I was not finding anything.She looked at it and she said, Well, your strategy looks all right.Have you looked in the humanities literature? And I sort of looked ather and said, The what? I know what humanities are, mind you. But itreally never occurred to me. So she tried the same search strategy inthe humanities literature, and boom, out came 200 papers. I started toread them and discovered James Reason and Jens Rasmussen and all thosepeople. A year later, I came up for air and realized that we in healthcare could use this. If I didn t know how errors happen, most otherpeople wouldn t know it either. So I decided to write a paper.

RW: So, a medical school librarian set off the modern patient safetymovement?

LL: Ergo, there we go.

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Don t forget that there are many aspects of going to work for others that you may be overlooking because of current stresses or worries. Will you be content to sit at home alone in your home office day in and day out? Will you miss the commaraderie of conversations around the water cooler or over lunch?

Maybe you want to stay home with your young children. Will you miss having adult conversations?

What I m suggesting here, is to look beyond the lure of the quick dollar and pay attention to the details of what you will actually be doing every day in any online business. If you don t see it in print, ask! Ask those who are already working the business. Ask the owner.

Maybe what you are looking for is what is called the intellectual distribution business. It s the next trillion dollar industry. It s all about educating consumers about products and services that will improve their lives, that they didn t even know existed; products and services they already need and use which may be safer, healthier, more convenient alternatives; it s about wholesale prices, ordering online or on the phone, and deliveries right to their door.

Do you also want a system you can just plug in to, simple enough for beginners? Even if you know nothing about personal websites, live online conference rooms, or how to identify prospects interested in your products or services, you want to be successful and to have those tools and talents at your disposal. You have the will to learn and earn, the persistence and the ability to follow directions. If you are a beginner, expect to find a business that will train you completely for free.

Which takes us to costs. If you pay nothing, you will get something that is worth just that. You must expect to have to make an investment, but just don t pay for training. Every legitimate business, both online and offline, needs startup cash. You should be able to get training for free, however. Find a business that fits your budget. I ve tried many things, and I know that $100 a month is reasonable; I wouldn t pay much more, however.

Not to say that it might not be easier to start with more money, but it is possible to earn as you learn. There are many ways to substitute time for money; learn what they are.

So if you read a website and think this sounds too good to be true or this sounds suspicious , then probably it is! Learn what you want, and trust your instincts. If you want to work with others, find an opportunity that allows you to do just that.

Shop around, do your due diligence, but remember, ultimately this is your decision. Make it based on concrete knowledge of what you want and what is out there. You will find something that fits you; just believe that you deserve it!

Kathryn Beach is a member of the Internet Marketing Genius team. She offers solutions for today s health and financial challenges that make a positive difference in the lives of those she mentors.http://www.7affiliatecentral.com/healthyhome.html

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