Carolyn's quest to get a copy of this article illustrates one type of failure that can plague health care and potentially affect patient care. What if this instance had been connected with a direct patient care emergency? What if it had been a clinician trying to find something after hours, just didn't have the time to figure out why access was denied, or didn't colleagues (like those on med-lib) that would get him/her what they needed quickly? It might be a informative exercise to do a bit of proactive analysis of this situation to see what we might learn from it and teach our organizations about failures in the line of information access / knowledge transfer. I've been working with colleagues at the VA's National Center for Patient Safety to develop a use of the failure modes and effects analysis model [ http://www.va.gov/ncps/SafetyTopics/HFMEA/HFMEA_JQI.pdf ] to help us understand these types of problems. But -- in the quest for safer patient care -- others should explore them as well. Lorri Lorri Zipperer, Cybrarian Zipperer Project Management: Helping Experts Excel [log in to unmask] 847-328-5075 phone 847-859-4008 fax www.zpm1.com http://patientsafetylib.blogspot.com/ https://librariansptsafetycop.wikispaces.com/ D.H. Lawrence If only we could have two lives: the first in which to make one's mistakes, which seem as if they have to be made; and the second in which to profit by them. -----Original Message----- From: Carolyn Baker [mailto:[log in to unmask]] Sent: Tuesday, July 24, 2007 8:44 AM Subject: CHAT: What am I missing I am trying to get an article for one of our faculty members from a journal called Tobacco Control. It is one of the BMJ family of journals. When I found it in PubMed, there is a link that says the article is free. Clicked on it and the website says my library has no subscription. We do have a subscription to BMJ, but not Tobacco Control. I then go to Docline and input the PMID number. Docline comes back and says that I can get this article for free and click here to go to the publisher site. I click and go to the website for Tobacco Control. But, of course, I still can't get the article and it still says that my library has no subscription. Tried to activate using my BMJ customer number, but screen says that number has already been activated. Any help greatly appreciated. Carolyn Baker, MLS Head Medical Librarian Baptist Health Little Rock 501-202-1109 (Phone) 501-202-1318 (FAX) [log in to unmask] ----------------------------------------- IMPORTANT NOTICE - The information (both of the message and any attachments) contained in this message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or an agent responsible for delivering it to an intended recipient, or has received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this message and any such actions are strictly prohibited. If you have received this message in error, please notify the sender immediately and destroy the transmitted information.