Smartphones & Medicine

Smartphones & MedicineIris Thiele Isip Tan MD, MSc, FPCP, FPSEMAssociate Professor 4UP College of MedicineChief, Medical Informatics Unit

Image credit“Portrait of a young girl with an iphone,

after Agnolo Bronzino” by Mike Licht. http://www.flickr.com/photos/notionscapital/5286424197/

29 January 2013

Do you have nomophobia?Fear of being without your mobile phone

http://mashable.com/2012/07/13/nomophobia-infographic/

Image credit“HTC Sensation” by 55Laney69.

http://www.flickr.com/photos/hansel5569/6600464505/

Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps

Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians

and Students. J Med Internet Res 2012;14(5):e128

Image credit“HTC Sensation” by 55Laney69.

http://www.flickr.com/photos/hansel5569/6600464505/

Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps

Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians

and Students. J Med Internet Res 2012;14(5):e128

Sets distance and time safety limitsDesigned in collaboration with AFAL (Association of Relatives with Alzheimer’s)-Getafe (Spain)

Sets distance and time safety limitsSends an email alert

Patient can also trigger an alertFree app on Android & iPhone

iFall: Fall Monitoring SystemFSU Mobile Solutions

Three stages to a fall1. The fall2. Impact with the ground3. A long lie indicating injury

Development and Feasibility of a Smartphone, ECG & GPS-based System for Remotely Monitoring Exercise in Cardiac RehabilitationWorringham C et al. PLoS ONE 6(2):e146669

Server-side display of exercise dataECG trace, HR, walking speed, elapsed distance and patient location in real time

Apnea MedAssistA Personalized Low-Cost Sleep Apnea MonitorBsoul M et al. Technol Biomed 2011;15(3):416-27.

Cell phone based balance trainerLee et al. Journal of NeuroEngineering & Rehabilitation 2012;9:10.

A1Q Smart ClothingBioman T-shirt

Meankaew P et al. Malar J 2010;9:237

Smartphone-based ultrasound imagingUS FDA-approved in Feb 2011

Image credit“HTC Sensation” by 55Laney69.

http://www.flickr.com/photos/hansel5569/6600464505/

Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps

Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians

and Students. J Med Internet Res 2012;14(5):e128

AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments

AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments

fitbitAndroid & iPhoneLog food, water, workouts, weightTrack progress on weight goals with Food PlanSee day’s stats and up to 2 weeks prior

fitbitAndroid & iPhoneLog food, water, workouts, weightTrack progress on weight goals with Food PlanSee day’s stats and up to 2 weeks prior

Health Record KeeperHealth providers, screening/vaccination, healthy ranges, questions to ask, health resources, medication reference

My DaysPeriod, Ovulation & Fertility Tracker

dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management

dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management

http://irunonbatteries.blogspot.com/2012/10/the-ibgstar-blood-glucose-monitoring.html

iBGStar

iBGStar Diabetes Manager ApplicationSanofi Aventis Tracks blood glucose, carb intake, insulin doses

iBGStar Diabetes Manager ApplicationSanofi Aventis Tracks blood glucose, carb intake, insulin doses

Beam BrushThe World’s first smart toothbrush

http://www.carepractice.com/emr-needs-a-kick-in-the-app-hole/

“The utopic future of medicine will seamlessly combine data from your daily apps and personalize a health treatment plan based on the life you actually live.”

Draft US FDA guideline for mobile medical applicationsVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Image credit“HTC Sensation” by 55Laney69.

http://www.flickr.com/photos/hansel5569/6600464505/

Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps

Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians

and Students. J Med Internet Res 2012;14(5):e128

An Evaluation of Use of Smartphones to Communicate Between Clinicians

Increased use of email

Increased modes of

communication including email and

direct calls

Intervention Desirable UndesirableIncreased communication between team members

Increased efficiencyIncreased interruptions

Worsened interprofessional

relationships

Increased discordance between nurses and

MDs in perceived urgency

Unprofessionalism

Wu et al. J Med Internet Res 2011;13(3):e59

with a decrease in verbal communication

without clear understanding of which to use

without clear understanding of how to use

Gram Stains and SmartphonesTice AD. Clin Infect Dis 2011; 52(2):278-279

Mobile Phone Based Clinical MicroscopyBreslauer et al. PLoS ONE 4(7):e6320

Image credit“HTC Sensation” by 55Laney69.

http://www.flickr.com/photos/hansel5569/6600464505/

Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps

Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians

and Students. J Med Internet Res 2012;14(5):e128

Questions to ask before downloading an appVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Clinical decision makingIs it produced by a medical publisher?Is it regularly updated?Is it properly referenced?Are the authors listed?Is it possible to give feedback?Has it been recommended by your tutor, university or healthcare institution?Is the app’s primary purpose to inform the health professional (and not the patients)?

Patients’ privacyDoes the app require you to input patient specific data, and could this compromise patients’ privacy?

Conflicts of InterestDo you know where the app is from? Is it produced by a drug company or a non-commercial organization?

MedscapeWebMDMedical news Clinical reference (drugs, diseases, conditions & procedures, medical calculators)

Continuing medical education

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Free

Prognosis: Your DiagnosisMedical JoyworksGame to diagnose complex clinical cases within minutes New case added every weekendModeled on real life patients (checked by specialists, based on current management guidelines)

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Free

UpToDateUpToDate, Inc.Access current, synthesized clinical informationEvidence-based recommendationsMobile-optimized calculators

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

$$$

Micromedex Drug InformationTruven Health Analytics Inc.Reliable reference for medical prescriptionsContraindications, drug interactions, adverse effects, precautions etc.

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Free

Visible Human Body Anatomy Atlas 2Visible Body3D atlas

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

$34.99

Oxford Clinical HandbooksMedHand - Mobile LibrariesTextbook

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

$49.99

EpocratesEpocratesDrug referenceUpgrade to Epocrates Essentials subscription (disease information, alternative medications, lab guides etc.)

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Free

Merck ManualUnbound Medicine, Inc.Merck Manual of Diagnosis and Therapy textbook

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

$34.99

Lexi-CompleteLexi-CompRequires a subscriptionStarts at $175 a year (Lexi-Drugs, Lexi-Interact, Lexi-Lab & Diagnostic Procedures, The 5-Minute Clinical Consult, Lexi-CALC)

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

$$

Student BMJBMJ GroupMonthly international medical journal for medical students and junior doctors

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Free

ECG GuideQxMD Medical Software>200 examples of common and uncommon ECGs>100 multiple choice quiz questions

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

$0.99

Differential Diagnosis BMJBMJ Group Symptom browserDisease browserCompare diagnoses side by side

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

$7.99

MedPage Today MobileMedPage Today Breaking medical news Conference coverage

15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Free

Image credit“HTC Sensation” by 55Laney69.

http://www.flickr.com/photos/hansel5569/6600464505/

Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps

Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians

and Students. J Med Internet Res 2012;14(5):e128

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