The evolving role of the librarian in evidence-based medicine.

Librarians' participation in evidence-based medicine (EBM) is rooted in past practices, most notably in clinical medical librarianship. EBM extends the librarians' role beyond identification of the literature to involvement in practicing and teaching quality filtering and critical appraisal of the literature. These activities require librarians to acquire new knowledge and develop new skills. A professional development program for librarians at the Library of the Health Sciences (LHS) at the University of Illinois at Chicago (UIC) is described. The program's goals are to increase librarians' skills and support the EBM curricular initiative at the UIC College of Medicine (COM). The unique program has been a collaborative effort of the LHS and the COM. The locally developed classes provide librarians with instruction in clinical study designs, statistical concepts, and critical appraisal of the literature. Other interventions such as an EBM round table are also described. The programs' success is measured by librarians' growing involvement in EBM medical curricula, journal clubs, and morning reports. Additionally, librarians gained competence in new skills and professional satisfaction from working collegially with COM students, residents, and faculty.

Tools for improvement: a systematic analysis and guide to accreditation by the JCAHO.

By viewing the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO) standards in the context of current accreditation practice, hospital librarians can understand and clarify their role in realizing their organization's mission, goals, and objectives. By broadening their view of the information function as described in the accreditation standards, health sciences librarians can enhance their position in the hospital's management team, improve health information practice, and contribute to the overall performance of the health care organization. The role of the librarian and the library throughout the entire set of standards and interrelationships with other professionals and units are described. Examples of ways to demonstrate conformity to the standards are provide. Special emphasis is placed on Standard 9, Management of Information, to provide guidance to the librarian undergoing JCAHO accreditation.