BackgroundCare providers and surgeons prepare for cardiac surgery using case conferences to review, discuss, and run through the surgical procedure. Surgeons visualize a patient’s anatomy to decide the right surgical approach using magnetic resonance imaging and echocardiograms in a presurgical case planning session. Previous studies have shown that surgical errors can be reduced through the effective use of immersive virtual reality (VR) to visualize patient anatomy. However, inconsistent user interfaces, delegation of view control, and insufficient depth information cause user disorientation and interaction difficulties in using VR apps for case planning.ObjectiveThe objective of the study was to evaluate and compare the usability of 2 commercially available VR apps—Bosc (Pyrus Medical systems) and Medical Holodeck (Nooon Web & IT GmbH)—using the Vive VR headset (HTC Corporation) to evaluate ease of use, physician attitudes toward VR technology, and viability for presurgical case planning. The role of medical libraries in advancing case planning is also explored.MethodsAfter screening a convenience sample of surgeons, fellows, and residents, ethnographic interviews were conducted to understand physician attitudes and experience with VR. Gaps in current case planning methods were also examined. We ran a usability study, employing a concurrent think-aloud protocol. To evaluate user satisfaction, we used the system usability scale (SUS) and the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). A poststudy questionnaire was used to evaluate the VR experience and explore the role of medical libraries in advancing presurgical case planning. Semistructured interview data were analyzed using content analysis with feedback categorization.ResultsParticipants were residents, fellows, and surgeons from the University of Washington with a mean age of 41.5 (SD 11.67) years. A total of 8 surgeons participated in the usability study, 3 of whom had prior exposure to VR. Users found Medical Holodeck easier to use than Bosc. Mean adjusted NASA-TLX score for Medical Holodeck was 62.71 (SD 18.25) versus Bosc’s 40.87 (SD 13.90). Neither app passed the mean SUS score of 68 for an app to be considered usable, though Medical Holodeck (66.25 [SD 12.87]) scored a higher mean SUS than Bosc (37.19 [SD 22.41]). One user rated the Bosc usable, whereas 3 users rated Medical Holodeck usable.ConclusionsInterviews highlighted the importance of precise anatomical conceptualization in presurgical case planning and teaching, identifying it as the top reason for modifying a surgical procedure. The importance of standardized user interaction features such as labeling is justified. The study also sheds light on the new roles medical librarians can play in curating VR content and promoting interdisciplinary collaboration.

Purpose:Medical libraries need to actively review their service models and explore partnerships with other campus entities to provide better-coordinated clinical research management services to faculty and researchers. TRAIL (Translational Research and Information Lab), a five-partner initiative at the University of Washington (UW), explores how best to leverage existing expertise and space to deliver clinical research data management (CRDM) services and emerging technology support to clinical researchers at UW and collaborating institutions in the Pacific Northwest.Methods:The initiative offers 14 services and a technology-enhanced innovation lab located in the Health Sciences Library (HSL) to support the University of Washington clinical and research enterprise. Sharing of staff and resources merges library and non-library workflows, better coordinating data and innovation services to clinical researchers. Librarians have adopted new roles in CRDM, such as providing user support and training for UW’s Research Electronic Data Capture (REDCap) instance.Results:TRAIL staff are quickly adapting to changing workflows and shared services, including teaching classes on tools used to manage clinical research data. Researcher interest in TRAIL has sparked new collaborative initiatives and service offerings. Marketing and promotion will be important for raising researchers’ awareness of available services.Conclusions:Medical librarians are developing new skills by supporting and teaching CRDM. Clinical and data librarians better understand the information needs of clinical and translational researchers by being involved in the earlier stages of the research cycle and identifying technologies that can improve healthcare outcomes. At health sciences libraries, leveraging existing resources and bringing services together is central to how university medical librarians will operate in the future.

Purpose The purpose of this paper is to establish a data mining model for performing sentiment analysis on open-ended qualitative LibQUAL+ comments, providing a further method for year-to-year comparison of user satisfaction, both of the library as a whole and individual topics. Design/methodology/approach A training set of 514 comments, selected at random from five LibQUAL+ survey responses, was manually reviewed and labeled as having a positive or negative sentiment. Using the open-source RapidMiner data mining platform, those comments provided the framework for creating library-specific positive and negative word vectors to power the sentiment analysis model. A further process was created to help isolate individual topics within the larger comments, allowing for more nuanced sentiment analysis. Findings Applied to LibQUAL+ comments for a Canadian mid-sized academic research library, the model suggested a fairly even distribution of positive and negative sentiment in overall comments. When filtering comments into affect of service, information control and library as place, the three dimensions’ relative polarity mirrored the results of the quantitative LibQUAL+ questions, with highest scores for affect of service and lowest for library as place. Practical implications The sentiment analysis model provides a complementary tool to the LibQUAL+ quantitative results, allowing for simple, time-efficient, year-to-year analysis of open-ended comments. Furthermore, the process provides the means to isolate specific topics based on specified keywords, allowing individual institutions to tailor results for more in-depth analysis. Originality/value To best account for library-specific terminology and phrasing, the sentiment model was created using LibQUAL+ open-ended comments as the foundation for the sentiment model’s classification process. The process also allows individual topics, chosen to meet individual library needs, to be isolated and independently analyzed, providing more precise examination.

In 2016, the University of Washington Health Sciences Library (HSL) launched the Translational Research & Information Lab (TRAIL) in collaboration with four partners from across the campus. Capitalizing on each partner's skills, TRAIL coordinates data and innovation services focused on the needs of medical researchers through clinical data management, research data collection, cohort discovery, and emerging technologies. It includes a renovated, technology-enhanced space that has supported creative projects using virtual reality. Cross-partner collaboration has provided HSL librarians with opportunities to spread their proverbial wings beyond the confines of the library, providing key professional development opportunities and benefiting UW's clinical research community. The chapter will discuss and detail how HSL and its TRAIL partners have developed support models harnessing the skills of librarians to provide core support for clinical and biomedical tools laid the foundation for creative and mutually beneficial projects using new and emerging technologies and learning practices.