Introduction: Studies have shown that as many as 15-20 questions per day can go unanswered as a clinician is seeing patients either due to lack of time or expertise in finding literature. The clinical librarians at the Eccles Health Sciences Library at the University of Utah aimed to address this issue by partnering with the Neurology Consult Service to join clinical rounds in order to provide evidence for any clinical questions that arise around patient care, diagnosis, treatment, outcomes, and standards.

Description: The clinical librarians join table rounds as well as bedside rounds 2-3 times per week in the main hospital, rehabilitation hospital, and cancer hospital. They send an email with search strategies, a summary of the evidence, and relevant full text articles to the entire rounding team consisting of attendings, residents, and medical students.

Results/outcomes: The librarians saw immediate success with over 150 questions answered during the first year of the service and created a searchable repository in a secured shared site so dissemination can reach the entire Neurology department. Clinical staff have added quotes and citations directly into the patient chart notes. Librarians analyzed the clinical questions for themes and duplicates in order to uncover knowledge gaps.

Discussion: Feedback has been overwhelmingly positive, and the responses have helped fulfill the institution’s mission of advancing knowledge and well-being. The librarians were invited to present at Neurology Grand Rounds on the knowledge gap analysis as well as the overall rounding experience. The librarians hope the analysis can lead to changes in the curriculum.

Introduction : This paper describes the development process, implementation steps, service structure, and outcomes of the library’s evidence request service embedded in the electronic health record (EHR).

Methods/Description: At the Eccles Health Sciences Library, clinical librarians have embedded their Expert Evidence Consult Service (EECS) into the hospital's EPIC system using the existing messaging feature. Librarians worked with Epic analysts to develop an alert that generates an email notifying the team of a submission. Clinical librarians with EHR access (granted after EPIC training and permission from system administrators) can log in to view the message which includes clinical question, patient record number, and priority level. This EHR access permits the librarians to view the relevant patient record, enabling a patient-specific tailored response that includes a summary of the literature, attached articles, and/or links to collections of PubMed citations.

Results: The EECS debuted in EPIC in Fall of 2020. Statistics collected include how many questions answered, repeat users, and department. Various marketing pushes have been implemented to varying success. A feedback survey was first implemented in RedCap in the Fall of 2024. Questions ask about satisfaction of the material, timeliness, impact on practice, and the likelihood to use the EECS in the future.

Discussion: Feedback from the survey has been uniformly positive. Satisfaction with the timeliness, accuracy, and relevance of the librarian-provided evidence is also demonstrated by the existence of repeat users. Outreach strategies include invited presentations to c-suite meetings, classes, orientations and clinical faculty meetings, and a proposed marketing push with a polished service flyer.