Handheld Computing in Medicine
What works today…Nilay Shah, MDAmerican College of Surgeons 88th Annual Clinical CongressOctober 8, 2002
Nilay Shah, MD
Worldwide Handheld Sales
Nearly 10 million PDAs sold in the last year
Palm OS - 50% Pocket PC - 28% Other (proprietary OS) - 20%
Source: Dataquest, a member of The Gartner Group, July 2002
Nilay Shah, MD
Medical Use of PDAs
Presence in healthcare on a steep rise Current major uses include:
Peripheral brain Patient tracking Reduce pharmacy errors
Nilay Shah, MD
Hardware
Palm and Pocket PC Handhelds Add-on Memory Cards Integrated phones Wireless add-ons Keyboards
Nilay Shah, MD
Some Palm OS Machines
Acer s60 Sony NX70v Palm m515
Nilay Shah, MD
Some Pocket PC OS Machines
Viewsonic v35 Toshiba e740 Razor Zayo a600
Nilay Shah, MD
Pocket PC OS Machines
Compaq iPaq
Nilay Shah, MD
Flash Memory Cards
Memory Type Size (mm) Price/MBCompact Flash 43 x 36 x 5 $0.43
Memory Stick 21 x 50 x 3 $0.53
Secure Digital 23 x 33 x 2 $0.84
MMC 23 x 33 x 1.5 $0.73
Source: PC World Magazine, May 2002
Nilay Shah, MD
Phone/PDA Devices
Toshiba 2032 Treo 300 T-Mobile PPC
Nilay Shah, MD
Wireless Networking
802.11b - aka Wi-Fi• “always-on” connectivity• Longer range• Starbucks, etc.
Bluetooth• Device-to-device• Shorter range• “secure”
Nilay Shah, MD
Keyboards
Nilay Shah, MD
Software
Peripheral Brain - i.e. Reference Software Text books Drug References Medical Calculators
Patient Tracking Pharmacy/Formulary Software
Nilay Shah, MD
Reference Texts
Nilay Shah, MD
Reference Texts
Nilay Shah, MD
Drug Reference Software
Extremely popular use of handhelds E.g. ePocrates, PDR, A2Zdrugs
Need frequent updating ?Tracking of our use by Pharma
Nilay Shah, MD
Drug Reference Software
Nilay Shah, MD
Drug Reference Software
Nilay Shah, MD
Medical Calculators
• Allow more accurate dosing based on disease
• Diagnostic Aid (e.g. Fractional excretion of Na+ for
acute renal failure)• Risk stratification
(e.g. Ranson’s Criteria)
Nilay Shah, MD
Formulary Software
• Reduce errors• What’s on insurance
formulary• Saves time• Drug history tracking
Nilay Shah, MD
Formulary Software
Nilay Shah, MD
ICD-9 Coding Software
Nilay Shah, MD
Further Uses
Integrated medical systems (cross platform)
Continuing Medical Education
Nilay Shah, MD
Miscellaneous Software
Nilay Shah, MD
Miscellaneous Software
Nilay Shah, MD
Useful Links
www.pocketpc.com
www.palm.com
www.infosync.no
www.medicalpocketpc.com
www.skyscape.com
Nilay Shah, MD
Thanks to…
American College of Surgeons
Palm & Microsoft
Margi Systems
Countless developers
Dr. Muhammad Khan
My patients