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Wireless bedside computing. By Dr. Wafiq Shafiq Master Neurosurgey, Cairo Diploma medical informatics, USA. The need. Evidence based medicine Explosion of medical information Less time for clinicians. Advantages of bedside over bench computing.
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Wireless bedside computing By Dr. Wafiq Shafiq Master Neurosurgey, Cairo Diploma medical informatics, USA
The need • Evidence based medicine • Explosion of medical information • Less time for clinicians DOHMS: Dept. Of Health and Medical Services- Dubai
Advantages of bedside over bench computing • Real-time information at the bedside, where they need it most • Save time • Get the information you need to make informed decisions • Spend more time with patients • Medical errors is Eighth leading cause of death for Americans — more than motor vehicle accidents, breast cancer or AIDS. • Patient verification and the printing of bar coded labels happen at bedside DOHMS: Dept. Of Health and Medical Services- Dubai
options • A computer at each bedside • Wireless network DOHMS: Dept. Of Health and Medical Services- Dubai
Advantages of wireless over a computer at each bedside • Flexibility- Clinicians are not usually working behind desks • Cost effective • Sparing space • A WLAN can be operational in just over one hour, providing additional coverage immediately, • Legal issue-The WLAN's ability to ensure more accurate, consistent, and timely clinical documentation DOHMS: Dept. Of Health and Medical Services- Dubai
Options for wireless bedside • Handhled devices • Tablet notebooks • Mobile cart laptops DOHMS: Dept. Of Health and Medical Services- Dubai
Disadvantages of handheld • Weaker processor • Small memory • Limited storage capacity • Small screen • Uses Another version of software • Easy to be lost, missed or stolen • Easy to drop • Difficulty in data entry • No Industrial standard. PALM, win etc… • Can not be used later in PACS sytem • Training issue DOHMS: Dept. Of Health and Medical Services- Dubai
Disadvantages of tablet • Heavy • Hands are occupied • Easy to be lost, missed or stolen • Easy to drop DOHMS: Dept. Of Health and Medical Services- Dubai
Advantages Mobile carts • Larger screen • Hand free • Same application –interface, functionality • Big memory • Large storage capacity • No additional training (soft/w or hard/w) DOHMS: Dept. Of Health and Medical Services- Dubai
Features of the cart • Small foot print • Wide range up and down adjustment • stability • Easy to maneuver • Suitable size work area • Security of laptops • Quiet movement DOHMS: Dept. Of Health and Medical Services- Dubai
Problems encountered • Accumulation of dust on the locked screens. • More units needed DOHMS: Dept. Of Health and Medical Services- Dubai
Future improvement • Use handheld devices for nurses for data entry in addition to the mobile laptops for text entry and viewing. DOHMS: Dept. Of Health and Medical Services- Dubai
Thank You All DOHMS: Dept. Of Health and Medical Services- Dubai