HeSCA 2002, Winnipeg
Handheld Computers in Medicine
Christopher A. SarleyLehigh Valley Hospital
Allentown, Pa.
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
Clinical Applications
Clinical drug references Electronic prescription tools Clinical textbooks Patient tracking Evidence based reference
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
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
Micromedexwww.micromedex.com
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
Reference Tools
HeSCA 2002, Winnipeg
Ovid @hand
Available for Palm OS Windows CE version
in development
HeSCA 2002, Winnipeg
Ovid @hand
HeSCA 2002, Winnipeg
Ovid @hand
AvantGo
HandHeld Med Channels
HeSCA 2002, Winnipeg
Up-To-Date
Point of care information
Available for Handheld by end of 2002
Windows CE Estimated 1GB
memory
HeSCA 2002, Winnipeg
Patient Tracking
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
Patient Keeper
Available for Palm OS devices Integrates with a variety of
health management systems
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
Calculators
HeSCA 2002, Winnipeg
MedMath
More than 30 Common clinical formulas
Selectable units of measure Sorted by category
HeSCA 2002, Winnipeg
Other calculators
Med Calc PregPro Pregnancy Wheel TPN Reference
HeSCA 2002, Winnipeg
Education
AvantGo
HeSCA 2002, Winnipeg
Eye Module Digital Camera
HeSCA 2002, Winnipeg
Additional Uses
HeSCA 2002, Winnipeg
Active ECG
FDA Approved cardiac monitor
Available for Palm based devices
Emergency settings Clinical Office setting Home Health Care
HeSCA 2002, Winnipeg
Prehospital
www.med-media.com
R-EMStat
HeSCA 2002, Winnipeg
Prehospital
Emergency Medical System Patient information Emergency Field Guide
Fire Emergencies Incident Tracking Emergency Field Guide
Integrates with base station computer
HeSCA 2002, Winnipeg
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
HeSCA 2002, Winnipeg
Resources
educ.ahsl.arizona.edu/pda/art.htm
HeSCA 2002, Winnipeg
Resources
Web Sites www.pdamd.com www.handhledmed.com
Listserv Palm-Med (Univ. Michigan) Med-Ed (AAMC)