In the last decade, online databases in the field of women and gender studies have matured. There are now a variety of bibliographic and full text databases available, both free on the Internet and through fee-based subscriptions. This article provides an in-depth analysis of three major fee-based databases: Women's Studies International, Contemporary Women's Issues, and GenderWatch. The author compares the databases by searching a core list of scholarly journals and feminist magazines to determine the coverage in each system including dates, number of citations for each periodical title, and whether full text is available for each title. The author also analyzes article coverage from those periodical titles common to all three systems for a specific year to determine which database provides the most comprehensive coverage. This analysis will provide libraries with a means to determine which of these databases will be most beneficial to their clientele, and it will encourage librarians with responsibility for selecting women's studies online resources to advocate for more comprehensive inclusion of women's studies journals in key databases.
Background
Surgical transfusion has an outsized impact on hospital‐based transfusion services, leading to blood product waste and unnecessary costs. The objective of this study was to design and implement a streamlined, reliable process for perioperative blood issue ordering and delivery to reduce waste.
Study Design and Methods
To address the high rates of surgical blood issue requests and red blood cell (RBC) unit waste at a large academic medical center, a failure modes and effects analysis was used to systematically examine perioperative blood management practices. Based on identified failure modes (e.g., miscommunication, knowledge gaps), a multi‐component action plan was devised involving process changes, education, electronic clinical decision support, audit, and feedback. Changes in RBC unit issue requests, returns, waste, labor, and cost were measured pre‐ and post‐intervention.
Results
The number of perioperative RBC unit issue requests decreased from 358 per month (SD 24) pre‐intervention to 282 per month (SD 16) post‐intervention (p < .001), resulting in an estimated savings of 8.9 h per month in blood bank staff labor. The issue‐to‐transfusion ratio decreased from 2.7 to 2.1 (p < .001). Perioperative RBC unit waste decreased from 4.5% of units issued pre‐intervention to 0.8% of units issued post‐intervention (p < .001), saving an estimated $148,543 in RBC unit acquisition costs and $546,093 in overhead costs per year.
Discussion
Our intervention, designed based on a structured failure modes analysis, achieved sustained reductions in perioperative RBC unit issue orders, returns, and waste, with associated benefits for blood conservation and transfusion program costs.
The article attempts to discover the availability of print newsletters created by women's and gender organizations in libraries, as well as to reveal whether text versions of these newsletters exist in commercial online databases and on the Web sites of women's and gender studies organizations. The author researched a sample set of newsletters produced by twenty-nine national and international organizations to find answers to the following questions: How many libraries hold print copies of these newsletters? Do any women's and gender studies databases include these newsletters, and if so, do any databases provide access to the texts of these publications? Do the Web sites of these organizations provide online access to the newsletters, and if so, are the Web sites archiving any part of them? Organizations were chosen based on several criteria. The results of the study revealed that such newsletters are not systematically being preserved. The author provides several solutions to counter this problem so that this vital literature will not be lost.
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