Transcript Tablet PCs: Are they the right medicine for you?

Tablet PCs:
Are they the right medicine for you?
Michele L. Hales
University of Alberta
Edmonton, AB CANADA
January 22, 2004
Chennai, India
Tablets
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Many systems out there
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Compaq Computer
Acer
Tatung
Fujitsu
NEC
Toshiba
Slate-like vs. convertible tablets
A PC that is virtually limitless
Will find its place as the most popular form of PC
Advantages of Tablets
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Portability
Can be used by large numbers of people who
cannot type
Lightweight (size of a legal file folder)
Large enough to show charts, graphs, and even
radiological images
It's faster, and more mobile a laptop
Some tablets can run 10-16 hours on a single
charge
Real-time mobility
Three Means of Data Input
1)
2)
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You can write notes that are
automatically converted to typewritten
text or saved as handwriting
You can dictate into the tablet, and your
speech is converted into text
If you want to type, fold back the tablet
screen to reveal a keyboard
“Rich Digital Ink”
Rich digital ink can be:
 Edited
 Searched
 Sent as email
 Manipulated the same way as word
processed text
Where is it going?
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Increase use by doctors and healthcare workers,
either as stand-alone tools or as an integrated
EPR/EMR system.
Evidence Based Medicine (EBM)
Will become an integral part of one’s practice.
Tablets will accelerate physician adoption of
EMRs
Applications/Software
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Electronic Medical Records (EMR)
EMR, Tablets & Mobility
Office
 Physicians, PAs, nurses and office staff have
easy access to add, edit or update patient
records
Home
 Freedom to view patient charts and search for
information without going to the office
Hospital
 Take your patient records with you to the
hospital using your Tablet and update patient
charts while at the hospital.
EMR Abilities
Taking notes
 Creating referral letter
 Printing medical prescriptions
 Generating patient reports
 Ordering lab tests
 Viewing results
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Benefits of EMR
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More efficient communication
Download appointment schedules
Transmit and access critical patient information
Facilitates more rapid response to clinical deterioration
Prevention of errors and adverse events
Refill prescriptions and reduce errors due to illegible
handwriting
Monitors dangerous drug contraindications
Capture photos of patient's condition and transmit them
to colleague for second opinion
Access to information when visiting housebound patients
Tracks billing data and charge captures
Tracks adverse events
Applications/Software
Electronic Medical Records (EMR)
 Billing Interface Software
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Applications/Software
Electronic Medical Records (EMR)
 Billing Interface Software
 Schedulers
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Scheduling Software
Manage your patient schedules.
Keep track of:
 Check-in time
 Time of visit
 Check-out times
 Exam rooms
 Patient cancellations
 Patient rescheduling
Applications/Software
Electronic Medical Records (EMR)
 Billing Interface Software
 Schedulers
 Guidelines & Protocols
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Applications/Software
Electronic Medical Records (EMR)
 Billing Interface Software
 Schedulers
 Guidelines & Protocols
 Drug Databases
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Applications/Software
Electronic Medical Records (EMR)
 Billing Interface Software
 Schedulers
 Guidelines & Protocols
 Drug Databases
 Medical Dictionaries
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Applications/Software
Electronic Medical Records (EMR)
 Billing Interface Software
 Schedulers
 Guidelines & Protocols
 Drug Databases
 Medical Dictionaries
 Medical Calculators
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Applications/Software
Electronic Medical Records (EMR)
 Billing Interface Software
 Schedulers
 Guidelines & Protocols
 Drug Databases
 Medical Dictionaries
 Medical Calculators
 Access your library database
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Survey: Tablet PCs Favoured at
Bedside January 2, 2004
Tablet PCs are the best mobile hardware for
clinicians at the point of care 58% of respondents said Tablet PCs
worked best at the bedside
 29% said PDAs are a better mobile
hardware choice for clinicians at the point
of care
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November 2003 Mobile Opinions survey by Mobile Health Data
Not just for Physicians
Hospitals’ nursing staff  Nurses have started using Tablet PCs
loaded with medication management
software to ensure proper dispensing of
medications to patients
 Within the hospital setting, errors have
been caught in the dispensing of
medication
Tablet PC's at RSNA
At the Radiological Society of North America (RSNA) 89th
Scientific Assembly and Annual Meeting in Chicago held
last December, Tablet PCs played a significant role with
multiple educational exhibits and presentations.
Educational Exhibits and Presentations include:
 Tablet PC for Wireless-Acute, Bedside-Acute Clinical
Image Distribution
 Pen-based Interaction for Workflow Optimization in a
High Throughput Imaging Environment
 Mobile Access to PACS through Secure Wireless Tablet
PC
 Wireless Tablets and PDAs as a Vehicle for Radiology,
Multimedia Report Information to Clinicians Anytime,
Anywhere
Research Environment
Rapidly collect information for clinical trials
 Ease of access to your research
databases
 Versatility, flexibility and mobility offered to
investigators
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Resources for the Healthcare
Professional
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Doctors Gadgets – www.doctorsgadgets.com
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Health·IT World - www.imakenews.com/healthitworld/
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Mobile Healthcare The Handheld
Healthcare Authority www.mobilehealthdata.com
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Windows XP Tablet PC Edition Healthcare
Case Studies www.microsoft.com/WindowsXP/tabletpc/evalu
ation/healthcarecs.asp
Benefits
Pen input
 Allows for the annotation
of patient information
Digital camera
 Allows for immediate
documentation
Speech input
 Increases text input
speed and frees hands
Digital document readers
 Keeps all reading
materials in one place
Wireless networking
 Provides access to
information throughout
the hospital or clinic
Calendar/Scheduler
 Keeps life organized
Merck – Tablet PC
Source: www.microsoft.com/windowsxp/tabletpc/evaluation/casestudies/casestudy.asp?CaseStudyID=13546
Summary
Provides Flexible, Versatile, Natural Ways
to Work
 Maximizes Productivity
 Improves Collaboration
 Improves One-on-One Communication
 Eliminates Expensive Hard Wiring of
Computer Workstations throughout your
Hospital
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The NEW ENGLAND JOURNAL of MEDICINE
Special Article
Patient Safety
Improving Safety with Information Technology
David W. Bates, M.D. and Atul A. Gawande, M.D., M.P.H.
N Engl J Med 2003;348:2526-34.