Handheld Device

8/3/2019 Handheld Device

1/21

Click to edit Master subtitle style

5/1/12

Use of Handhelddevices in clinicalpractices


2/21

5/1/12

Content

Introduction

Features

Brands

Benefit

Case study

Conclusion


3/21

5/1/12

introduction

A handheld device is a pocket-sizedcomputing device, typically having a displayscreen with touch input and a miniaturekeyboard.

Handheld devices store clinical data at thepoint of care,

Used for transferring information between

different health entities including hospitals,doctors, technicians, public healthorganizations, enable tele andvideoconferencing etc.


4/21

5/1/12

ExamplesPersonal digital assistant(PDA).Smart phones ,

Enterprise digital assistants like barcode,

RFID,

smart card readers, ,

tablet PC,ultra mobile PC.


5/21

5/1/12

statistics

Number of Physicians who use handheldcomputers increased from 15 percent in 1999to 26 percent in 2001 and concluded that 60percent of all physicians will use a handheldby 2012.

LaRochelle, B. (2008) Health Management Technology23(10):67-68


6/21

5/1/12

Features

Have and Operating System.

Use handwriting recognition, or keyboards.

Software to perform basic tasks.

Have a display or viewing screen.

Have devices (i.e. cradle, wireless modems)

Are battery operated.Can connect to a PCs serial port (USP)

Can be Synchronized with a desktop.

Can be locked for security issues i.e. Only Me


7/215/1/12

BRANDS

Cingular Treo 650 GSM Tungsten C


8/215/1/12PamOneTun sten T5

Zire72


9/215/1/12iPAQ h5555


10/215/1/12

HP iPaq H5550


11/215/1/12

Physician can

Read the complete medical records ofpatients.

Check Lab reports.

Diagnose illnesses.

Write prescriptions.

Communicate with Nursing staff.

ICD-9 Clear Coder :Physicians can entertheir own codes at the point of care,improving coding accuracy andreimbursement rates.


12/215/1/12

General Uses of PDA for HCP

Store reference material

Function as specialized calculators

Aid in the billing process

Control hospital inventory

Track & collect patient data

Perform organizational tasks & scheduling

Access the InternetProvide patient education material

Read medical journals

Transmit electronic prescriptions

Voice recordin .


13/215/1/12

Case study

Objective

Methodology

Workflow

Result

Advantages & Disadvantages

conclusion


14/215/1/12

Objective

Adoption and use of PDA devices by thephysician.

The aim of this study was to implement high

quality bed side documentation by usinghandheld devices without purchasingexpensive system.

Sample size=50 physician

Venue=Eureka Hospital,

California


15/215/1/12

Methodology

Hospital provide window based PDA devicewith digital dictation device to physician.

Handheld computer saved the files under

Notes of the windows CE operating system.Physician can enter progress notes in the PDA

by using their handwriting or displaykeyboard,

pre defined text blocks

can be used.


16/215/1/12


17/215/1/12

Result

One to four weeks were needed to gainexperience with the handheld computers anddictating machines.

The user were able to use the devices fordictation and could synchronies them withthe network.

No user preferred to enter data into the PDA

by using handwriting recognition function.

Additionally, the PDAs could be used to writeemails using Microsoft outlook.

Further more, medical literature, drug lists,


18/215/1/12

Advantages & DisadvantagesAdvantages

Good documentation

Reduction of workload

Legible progress note

Integration of progress notes into digitalpatient record

Memory function for appointments & dates

Disadvantages

Insufficient memory

Difficult to t e


19/215/1/12

conclusion

PDAs will soon take full advantage of wirelesscommunication technology.

Integrate EMR, EBM, medical references,

guideline implementation & allowcoordination of clinical communications.

Using PDAs improve the quality & continuityof patient care.

PDAs to be essential as stethoscope


20/215/1/12

references

Manhattan Research LLC. Data Highlights:Physician PDA Users. 2009; 2010:

Orlikowski, W and Hofman, D. An

improvisational model for changemanagement: the case of groupwaretechnologies. Sloan Manage Rev. 2008; 11-21.

Kaluzny, A and Vency, J. Types of change and

hospital planning strategies. Am J HealthPlann. 2010; 1:13-19.

Smith, D and Kaluzny, A. The WhiteLabyrinth. Chicago, IL: Health AdministrationPress; 2005.


21/215/1/12

Documents

Handheld Device