A Rapid Evidence-Based Service By Librarians Provided Information To Answer Primary Care Clinical Questions

Background:A librarian consultation service was offered to 88 primary care clinicians during office hours. This included a streamlined evidence-based process to answer questions in fewer than 20 min. This included a contact centre accessed through a Web-based platform and using hand-held devices and computers with Web access. Librarians were given technical training in evidence-based medicine, including how to summarise evidence.Objectives:To describe the process and lessons learned from developing and operating a rapid response librarian consultation service for primary care clinicians.Methods:Evaluation included librarian interviews and a clinician exit satisfaction survey.Results:Clinicians were positive about its impact on their clinical practice and decision making. The project revealed some important 'lessons learned' in the clinical use of hand-held devices, knowledge translation and training for clinicians and librarians.Conclusions:The Just-in-Time Librarian Consultation Service showed that it was possible to provide evidence-based answers to clinical questions in 15 min or less. The project overcame a number of barriers using innovative solutions. There are many opportunities to build on this experience for future joint projects of librarians and healthcare providers.