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

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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