Transcript Document
Handheld Computers in Medicine Christopher A. Sarley Lehigh Valley Hospital Allentown, Pa. HeSCA 2002, Winnipeg Handheld Computers HeSCA 2002, Winnipeg 20% - 40% Physicians using handheld computers Estimated that 85% will be using handhelds by 2003 Potential time saver Potential money saver Potential for reduced errors Clinical Applications HeSCA 2002, Winnipeg Clinical drug references Electronic prescription tools Clinical textbooks Patient tracking Evidence based reference ePocrates ePocrates, Inc. www.epocrates.com HeSCA 2002, Winnipeg Available for Palm OS 2600+ medications Adult & Peds dosing Packaging & Pricing info Rx – Automatically updated DocAlerts – product updates MultiCheck drug interactions Formulary available for AK, CA, DE, GA, MA, MN, OR, TX, WA, AZ, CT, FL, KN, MI, MO, OH, PA, VA Alternative medication application in development Mobile Micromedex Free to Micromedex Healthcare series subscribers Available for Palm and Win CE Consists of: HeSCA 2002, Winnipeg Acute Care Info Alt Med Info (> 265 herbal supplements) Drug Info (> 1400 monographs) Toxicology Info Drug interaction tool available at additional cost Updated Quarterly Must download and reinstall to update Micromedex www.micromedex.com Other Medication References Tarascon’s ePharmacopoeia Franklin Pocket PDR Lexidrugs (www.lexi.com) Physicians Drug Handbook (www.handheldmed.com) The Medical Letter Adverse Drug Interactions database HeSCA 2002, Winnipeg Electronic Prescription Tools iScribe ePhysician HeSCA 2002, Winnipeg Available for Palm OS Prints prescription via Infrared Integrates with practice management system Point of care charge capturing Sends prescription directly to pharmacy Clinical Texts HeSCA 2002, Winnipeg Harrison’s Principles of Internal Medicine 5 Minute Clinical Consult 5 Minute Pediatric Consult Merck Manual Washington Manual of Medical Therapeutics Physicians Drug Handbook Reference Tools HeSCA 2002, Winnipeg Ovid @hand Available for Palm OS Windows CE version in development HeSCA 2002, Winnipeg Ovid @hand HeSCA 2002, Winnipeg Ovid @hand HeSCA 2002, Winnipeg AvantGo HandHeld Med Channels Up-To-Date Point of care information Available for Handheld by end of 2002 Windows CE Estimated 1GB memory HeSCA 2002, Winnipeg Patient Tracking HeSCA 2002, Winnipeg Patient Tracker Available for Palm and Windows CE Integrates with desktop application Beam data to other Patient Tracker users Beam info to Ir equipped printer HeSCA 2002, Winnipeg Patient Keeper Available for Palm OS devices Integrates with a variety of health management systems HeSCA 2002, Winnipeg Security / HIPAA Protect data in multiple ways HeSCA 2002, Winnipeg Require hardware password Require application password Validate user and device separately when synching institutional data Encrypt Pt. Data stored Follow established internal HIPAA / security guidelines EBM Tools InfoRetriever HeSCA 2002, Winnipeg Includes 5 minute clinical consult w/ images 1200 abstracts from Cochrane Database of Systematic Reviews Clinical prediction rules Evidence based treatment guideleines Windows CE & Palm Calculators HeSCA 2002, Winnipeg MedMath More than 30 Common clinical formulas Selectable units of measure Sorted by category HeSCA 2002, Winnipeg Other calculators HeSCA 2002, Winnipeg Med Calc PregPro Pregnancy Wheel TPN Reference Education HeSCA 2002, Winnipeg AvantGo Eye Module Digital Camera HeSCA 2002, Winnipeg Additional Uses HeSCA 2002, Winnipeg Active ECG FDA Approved cardiac monitor Available for Palm based devices Emergency settings Clinical Office setting Home Health Care HeSCA 2002, Winnipeg Prehospital R-EMStat www.med-media.com HeSCA 2002, Winnipeg Prehospital Emergency Medical System Fire Emergencies HeSCA 2002, Winnipeg Patient information Emergency Field Guide Incident Tracking Emergency Field Guide Integrates with base station computer Which Device is better? Determine which applications you will need Use different devices if possible before purchasing Prominence of a particular device in your environment Memory Running programs from expansion cards Windows CE HHPC v PPC Device specific applications Both Palm and Windows CE platforms offer a variety of excellent choices HeSCA 2002, Winnipeg Resources educ.ahsl.arizona.edu/pda/art.htm HeSCA 2002, Winnipeg Resources Web Sites Listserv HeSCA 2002, Winnipeg www.pdamd.com www.handhledmed.com Palm-Med (Univ. Michigan) Med-Ed (AAMC)