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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

Handheld Computers in Medicine

Christopher A. Sarley

Lehigh Valley Hospital

Allentown, Pa.


Handheld computers
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


Clinical applications
Clinical Applications

  • Clinical drug references

  • Electronic prescription tools

  • Clinical textbooks

  • Patient tracking

  • Evidence based reference


Epocrates
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


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

Mobile Micromedex

Micromedex

www.micromedex.com


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

Other Medication References


Electronic prescription tools
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


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

Clinical Texts



Ovid @hand
Ovid @hand

  • Available for Palm OS

  • Windows CE version in development






Up to date
Up-To-Date

  • Point of care information

  • Available for Handheld by end of 2002

  • Windows CE

  • Estimated 1GB memory



Patient tracker
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


Patient keeper
Patient Keeper

  • Available for Palm OS devices

  • Integrates with a variety of health management systems


Security hipaa
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


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

EBM Tools



Medmath

More than 30 Common clinical formulas

Selectable units of measure

Sorted by category

MedMath


Other calculators

Med Calc

PregPro

Pregnancy Wheel

TPN Reference

Other calculators






Active ecg
Active ECG

  • FDA Approved cardiac monitor

  • Available for Palm based devices

  • Emergency settings

  • Clinical Office setting

  • Home Health Care


Prehospital
Prehospital

R-EMStat

www.med-media.com


Prehospital1
Prehospital

  • Emergency Medical System

    • Patient information

    • Emergency Field Guide

  • Fire Emergencies

    • Incident Tracking

    • Emergency Field Guide

  • Integrates with base station computer


Which device is better
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


Resources
Resources

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


Resources1
Resources

  • Web Sites

    • www.pdamd.com

    • www.handhledmed.com

  • Listserv

    • Palm-Med (Univ. Michigan)

    • Med-Ed (AAMC)


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