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 [ ] to help us
understand these types of problems. But -- in the quest for safer
patient care -- others should explore them as well.


Lorri Zipperer, Cybrarian
Zipperer Project Management: Helping Experts Excel
[log in to unmask]
847-328-5075 phone
847-859-4008 fax

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

Any help greatly appreciated.

Carolyn Baker, MLS
Head Medical Librarian
Baptist Health Little Rock
501-202-1109 (Phone)
501-202-1318 (FAX)
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