Use of Handheld devices in clinical practices

Click to edit Master subtitle style

5/1/12

Content

Introduction

Features Brands Benefit Case

study

Conclusion

5/1/12

introduction
Ahandheld

device is a pocket-sized computing device, typically having a display screen withtouch input and a miniature keyboard. devices store clinical data at the point of care, for transferring information between different health entities including hospitals, doctors, technicians, public health organizations, enable tele and videoconferencing etc.
5/1/12

Handheld Used

Examples
Personal Smart Enterprise RFID, smart tablet ultra

digital assistant(PDA). digital assistants likebarcode,

phones,

cardreaders, , PC,

mobile PC.

5/1/12

statistics
Number

of Physicians who use handheld computers increased from 15 percent in 1999 to 26 percent in 2001 and concluded that 60 percent of all physicians will use a handheld by 2012.

LaRochelle, B. (2008) Health Management Technology 23(10):67-68

5/1/12

Features
Have Use

and Operating System. to perform basic tasks.

handwriting recognition, or keyboards. a display or viewing screen. devices (i.e. cradle, wireless modems)

Software Have Have Are Can Can Can

battery operated. connect to a PCs serial port (USP) be Synchronized with a desktop. be locked for security issues i.e. Only Me
5/1/12

BRANDS

Cingular Treo 650 GSM

5/1/12

Tungst en C

PamOne Tungsten T5

5/1/12

Zire 72

iPAQ h5555

5/1/12

HP iPaq H5550

5/1/12

Physician can
Read

the complete medical records of patients. Lab reports. illnesses. with Nursing staff. prescriptions.

Check

Diagnose Write

Communicate ICD-9

Clear Coder :Physicians can enter their own codes at the point of care, improving coding accuracy and reimbursement rates.
5/1/12

General Uses of PDA for HCP

Store

reference material Function as specialized calculators Aid in the billing process Control hospital inventory Track & collect patient data Perform organizational tasks & scheduling Access the Internet Provide patient education material Read medical journals Transmit electronic prescriptions Voice recording. 5/1/12

Case study
Objective Methodology Workflow Result Advantages conclusion

& Disadvantages

5/1/12

Objective
Adoption The

and use of PDA devices by the physician. aim of this study was to implement high quality bed side documentation by using handheld devices without purchasing expensive system. size=50 physician Hospital,

Sample

Venue=Eureka

California
5/1/12

Methodology
Hospital

provide window based PDA device with digital dictation device to physician. computer saved the files under Notes of the windows CE operating system. can enter progress notes in the PDA by using their handwriting or display keyboard, defined text blocks can be used.
5/1/12

Handheld Physician

pre

5/1/12

Result
One

to four weeks were needed to gain experience with the handheld computers and dictating machines. user were able to use the devices for dictation and could synchronies them with the network. user preferred to enter data into the PDA by using handwriting recognition function. the PDAs could be used to write emails using Microsoft outlook. more, medical literature, drug lists,
5/1/12

The

No

Additionally, Further

Advantages & Disadvantages

Advantages
Good

documentation of workload progress note

Reduction Legible

Integration Memory

of progress notes into digital patient record function for appointments & dates

Disadvantages
Insufficient Difficult

memory
5/1/12

to type

conclusion
PDAs

will soon take full advantage of wireless communication technology. EMR, EBM, medical references, guideline implementation & allow coordination of clinical communications. PDAs improve the quality & continuity of patient care. to be essential as stethoscope

Integrate

Using PDAs

5/1/12

references
Manhattan

Research LLC. Data Highlights: Physician PDA Users. 2009; 2010: W and Hofman, D. An improvisational model for change management: the case of groupware technologies. Sloan Manage Rev. 2008; 11-21. A and Vency, J. Types of change and hospital planning strategies. Am J Health Plann. 2010; 1:13-19. D and Kaluzny, A. The White Labyrinth. Chicago, IL: Health Administration Press; 2005. 5/1/12

Orlikowski,

Kaluzny,

Smith,

5/1/12