Document Type

Article

Publication Date

6-23-2025

Abstract

Costs for UpToDate, the library’s primary point of care clinical tool, had increased to half of the acquisitions budget but without user affiliation data to facilitate cost sharing. A working group led by librarians was formed to review alternatives. Surveys indicated users preferred UpToDate and renewal was recommended by the working group, with costs being shared between the academic unit and the hospital. These results showed that the library can effectively lead analysis projects with this level of visibility, but persuading users to consider alternatives to a trusted tool can be challenging.

Appendix 1 is a general survey meant to learn more about how UpToDate is used, to gauge its importance to researchers, measure the intensity of use, and to learn if there are any products that are considered comparable.

Appendix 2 was a follow up survey we designed to encourage users to review a point of care tool independently, learn about how useful it is to the user, and to gauge how quickly they could arrive at the answer sought.

Appendix 3 is the clinical question template we developed for faculty and other clinicians to test individual point of care tools to determine currency and accuracy.

Appendix 4 is a library evaluation of Dynamed, to determine if improvements made to the product have resulted in one that is superior to UpToDate.

Comments

The abstract and additional data files accompany the forthcoming article: Analyzing Point of Care Tools Through Faculty, Resident, and Stakeholder Buy-In: Promises and Pitfalls, to be published in Medical Reference Services Quarterly.

Appendix1_UpToDate User Survey_blinded.pdf (114 kB)
Appendix 1: Up to Date User Survey (blinded)

Appendix2_Review a Point of Care Resource.pdf (35 kB)
Appendix 2: Review a Point of Care Resource

Appendix3_ClinicalQuestions.pdf (53 kB)
Appendix 3: Clinical Questions

Appendix4_Library Evaluation of Dynamed_blinded.pdf (460 kB)
Appendix 4: Library Evaluation of Dynamed (blinded)

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