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CarePalm – A Computerised Patient Charting System

CarePalm – A Computerised Patient Charting System. Tracy O’Neill, B.Sc. (Hons.) M.Sc. Research Project Presentation (COM-865-M4) Faculty of Computing & Engineering University of Ulster, Magee. Introduction. Current System Adoption of a Portable Computer Based Charting System

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CarePalm – A Computerised Patient Charting System

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  1. CarePalm – A Computerised Patient Charting System Tracy O’Neill, B.Sc. (Hons.) M.Sc. Research Project Presentation (COM-865-M4) Faculty of Computing & Engineering University of Ulster, Magee

  2. Introduction • Current System • Adoption of a Portable Computer Based Charting System • Benefits Offered by Computerisation of Patient Records www.patientsafetyalliance.scot.nhs.uk

  3. Aims and Objectives • Develop application for handheld device • Provide ease of access to patient charts • Enable modifications through the handheld device • Incorporate XML to store patient data • Security

  4. Background • Pervasive Healthcare • XML and Interoperability • Security • The Modified Early Warning System (Mews) Joos and Whiteman (2006) Kreps and Richardson (2007) Al-Salqan (1998) Thorpe et al. (2006)

  5. Requirements Analysis • Questionnaires • 57% said current system was either good or very good • 71% had issues with deciphering various handwriting on patients charts • Over 50% of respondents said they would feel confident in using PDA’s to assess patient charts • Informal Interviews • To gain knowledge on existing method • To gain understanding of particulars held on patient’s chart

  6. CarePalm Architecture

  7. CarePalm Implementation • Designed within Visual Studio • Code developed in C# • Data represented in XML files • Modified Early Warning System (MEWS)

  8. Evaluation and Testing • Functionality Testing • Conducted during all stages of development • Test cases completed on each form to ensure CarePalm’s functionality • Usability Testing • Nurses enlisted to test CarePalm • 100% said they could update patient records easily • 75% stated that CarePalm’s usability is very good with the remaining 25% saying it was good

  9. Relation to Other Work • Clinical Care Classification (CCC) Bedside Computer proposed by Saba and Feeg (2005) • Pyxis Patient Station is implemented at Holy Name Hospital in New Jersey, USA Nurse.com (2005) www.utmb.edu

  10. Conclusion and Future Work • Successful prototype • Factors hindering implementation within the UK National Health Service • Incorporate data mining software • Implement on tablet PC Kreps and Richardson (2007)

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