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Handheld Computers in Medicine

Handheld Computers in Medicine. Christopher A. Sarley Lehigh Valley Hospital Allentown, Pa. Handheld Computers. 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.

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Handheld Computers in Medicine

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  1. Handheld Computers in Medicine Christopher A. Sarley Lehigh Valley Hospital Allentown, Pa.

  2. Handheld Computers • 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

  3. Clinical Applications • Clinical drug references • Electronic prescription tools • Clinical textbooks • Patient tracking • Evidence based reference

  4. ePocrates • 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 ePocrates, Inc. www.epocrates.com

  5. Free to Micromedex Healthcare series subscribers Available for Palm and Win CE Consists of: 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 Mobile Micromedex Micromedex www.micromedex.com

  6. Tarascon’s ePharmacopoeia Franklin Pocket PDR Lexidrugs (www.lexi.com) Physicians Drug Handbook (www.handheldmed.com) The Medical Letter Adverse Drug Interactions database Other Medication References

  7. Electronic Prescription Tools • iScribe • Available for Palm OS • Prints prescription via Infrared • Integrates with practice management system • Point of care charge capturing • ePhysician • Sends prescription directly to pharmacy

  8. Harrison’s Principles of Internal Medicine 5 Minute Clinical Consult 5 Minute Pediatric Consult Merck Manual Washington Manual of Medical Therapeutics Physicians Drug Handbook Clinical Texts

  9. Reference Tools

  10. Ovid @hand • Available for Palm OS • Windows CE version in development

  11. Ovid @hand

  12. Ovid @hand

  13. AvantGo

  14. HandHeld Med Channels

  15. Up-To-Date • Point of care information • Available for Handheld by end of 2002 • Windows CE • Estimated 1GB memory

  16. Patient Tracking

  17. 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

  18. Patient Keeper • Available for Palm OS devices • Integrates with a variety of health management systems

  19. Security / HIPAA • Protect data in multiple ways • 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

  20. InfoRetriever 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 EBM Tools

  21. Calculators

  22. More than 30 Common clinical formulas Selectable units of measure Sorted by category MedMath

  23. Med Calc PregPro Pregnancy Wheel TPN Reference Other calculators

  24. Education

  25. AvantGo

  26. Eye Module Digital Camera

  27. Additional Uses

  28. Active ECG • FDA Approved cardiac monitor • Available for Palm based devices • Emergency settings • Clinical Office setting • Home Health Care

  29. Prehospital R-EMStat www.med-media.com

  30. Prehospital • Emergency Medical System • Patient information • Emergency Field Guide • Fire Emergencies • Incident Tracking • Emergency Field Guide • Integrates with base station computer

  31. 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

  32. Resources educ.ahsl.arizona.edu/pda/art.htm

  33. Resources • Web Sites • www.pdamd.com • www.handhledmed.com • Listserv • Palm-Med (Univ. Michigan) • Med-Ed (AAMC)

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