handheld computers in medicine

HeSCA 2002, Winnipeg

Handheld Computers in Medicine

Christopher A. SarleyLehigh Valley Hospital

Allentown, Pa.

HeSCA 2002, Winnipeg

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

HeSCA 2002, Winnipeg

Clinical Applications

Clinical drug references Electronic prescription tools Clinical textbooks Patient tracking Evidence based reference

HeSCA 2002, Winnipeg

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

HeSCA 2002, Winnipeg

Mobile Micromedex

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

Micromedexwww.micromedex.com

HeSCA 2002, Winnipeg

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 Available for Palm OS Prints prescription via Infrared Integrates with practice management

system Point of care charge capturing

ePhysician Sends prescription directly to pharmacy

HeSCA 2002, Winnipeg

Clinical Texts

Harrison’s Principles of Internal Medicine

5 Minute Clinical Consult 5 Minute Pediatric Consult Merck Manual Washington Manual of Medical

Therapeutics Physicians Drug Handbook

HeSCA 2002, Winnipeg

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

AvantGo

HandHeld Med Channels

HeSCA 2002, Winnipeg

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 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

HeSCA 2002, Winnipeg

EBM Tools

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

HeSCA 2002, Winnipeg

Calculators

HeSCA 2002, Winnipeg

MedMath

More than 30 Common clinical formulas

Selectable units of measure Sorted by category

HeSCA 2002, Winnipeg

Other calculators

Med Calc PregPro Pregnancy Wheel TPN Reference

HeSCA 2002, Winnipeg

Education

AvantGo

HeSCA 2002, Winnipeg

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

www.med-media.com

R-EMStat

HeSCA 2002, Winnipeg

Prehospital

Emergency Medical System Patient information Emergency Field Guide

Fire Emergencies Incident Tracking Emergency Field Guide

Integrates with base station computer

HeSCA 2002, Winnipeg

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 www.pdamd.com www.handhledmed.com

Listserv Palm-Med (Univ. Michigan) Med-Ed (AAMC)