Handheld Device

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    Use of Handhelddevices in clinicalpractices

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    Content

    Introduction

    Features

    Brands

    Benefit

    Case study

    Conclusion

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    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.

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    ExamplesPersonal digital assistant(PDA).Smart phones ,

    Enterprise digital assistants like barcode,

    RFID,

    smart card readers, ,

    tablet PC,ultra mobile PC.

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    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

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    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

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    BRANDS

    Cingular Treo 650 GSM Tungsten C

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    8/215/1/12PamOneTun sten T5

    Zire72

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    9/215/1/12iPAQ h5555

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    HP iPaq H5550

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    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.

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    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 .

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    Case study

    Objective

    Methodology

    Workflow

    Result

    Advantages & Disadvantages

    conclusion

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    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

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    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.

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    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,

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    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

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    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

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    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.

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