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Connecting Physicians and iPads to Support Patient Care

Connecting Physicians and iPads to Support Patient Care

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Connecting Physicians and iPads to Support Patient Care

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  1. Connecting Physicians and iPads to Support Patient Care Emily Vardell, MLS October 13, 2012

  2. What do we know?


  4. (iPad or iPads) AND (physician OR physicians OR doctor OR doctors) Mobile reference Patient education Imaging Building applications Complete questionnaires

  5. Seminal article? CIS-based registration of quality of life in a single source approach Abstract: Background: Documenting quality of life (QoL) in routine medical care and using it both for treatment and for clinical research is not common, although such information is absolutely valuable for physicians and patients alike. We therefore aimed at developing an efficient method to integrate quality of life information into the clinical information system (CIS) and thus make it available for clinical care and secondary use. Methods: We piloted our method in three different medical departments, using five different QoL questionnaires. In this setting we used structured interviews and onsite observations to perform workflow and form analyses. The forms and pertinent data reports were implemented using the integrated tools of the local CIS. A web-based application for mobile devices was developed based on XML schemata to facilitate data import into the CIS. Data exports of the CIS were analysed with statistical software to perform an analysis of data quality. Results: The quality of life questionnaires are now regularly documented by patients and physicians. The resulting data is available in the Electronic Health Record (EHR) and can be used for treatment purposes and communication as well as research functionalities. The completion of questionnaires by the patients themselves using a mobile device (iPad) and the import of the respective data into the CIS forms were successfully tested in a pilot installation. The quality of data is rendered high by the use of automatic score calculations as well as the automatic creation of forms for follow-up documentation. The QoL data was exported to research databases for use in scientific analysis. Conclusion: The CIS-based QoL is technically feasible, clinically accepted and provides an excellent quality of data for medical treatment and clinical research. Our approach with a commercial CIS and the web-based application is transferable to other sites.

  6. Patient education Mobile reference Imaging Complete questionnaires Building applications


  8. Handout with recommendations • Survey of use and needs • Pilot iPad study

  9. Resources Prior iPad use Patient care Contact info

  10. iPad Use Our study ITG survey of 600 physicians Have you used an iPad before? Do you have an iPad or tablet device?

  11. #1 electronic medical records

  12. look things up while in a patient’s room pull up images for patients to view imaging software to help inform patients during pre-operative and post-operative evaluation show neuro patients images of the brain demonstrate videos to patients

  13. quicker access to help with diagnosis, medical orders, and literature searches dosage film review diagnostic assessment criteria conduct search in the room with patient

  14. Will any iPad do? Are physicians interested in borrowingiPads?

  15. Physicians vs. nurses • Craft a message specific to each group

  16. Handouts • Office hours Outcomes • Needs assessment • Highlight benefit of librarians


  18. What is the iCloud? • Access what you have downloaded on any of your devices • “iCloud stores your music, photos, documents, and more and wirelessly pushes them to all your devices” •

  19. Anatomy Atlas imaging for patient education • Skype for telemedicine • for reference and clinical decision support

  20. Image courtesy of Urmen Desai, MD

  21. Acknowledgements • YaniraGarcia-Barcena • Mary Moore, PhD • JoAnn Van Schaik • Faculty and staff of the Calder Memorial Library • Rebecca Jerome • Brenda Linares • NN/LM Southeastern Atlantic Region • National Library of Medicine This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00004-C with the University of Maryland Baltimore.

  22. Thank you! Questions?