Personal Digital Assistant (PDA): A new Tool for Health Care Professionals in Palestine - PowerPoint PPT Presentation

Loading...

PPT – Personal Digital Assistant (PDA): A new Tool for Health Care Professionals in Palestine PowerPoint presentation | free to download - id: 5a5065-M2I0Y



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Personal Digital Assistant (PDA): A new Tool for Health Care Professionals in Palestine

Description:

Personal Digital Assistant (PDA): A new Tool for Health Care Professionals in Palestine . By. Abdel Hakim Bishawi. Library Manager . Harvard Medical School Dubai Center – PowerPoint PPT presentation

Number of Views:1759
Avg rating:3.0/5.0
Slides: 119
Provided by: scholarNa
Learn more at: http://scholar.najah.edu
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Personal Digital Assistant (PDA): A new Tool for Health Care Professionals in Palestine


1
Personal Digital Assistant (PDA) A new Tool for
Health Care Professionals in Palestine
  • By
  • Abdel Hakim Bishawi
  • Library Manager
  • Harvard Medical School Dubai Center
  • Dubai Health Care City
  • United Arab Emirates
  • E-mail hbishawi_at_yahoo.com
  • http//www.hmsdc.hms.harvard.edu/

2
Objectives
  • To define what is PDA and name the advantages of
    this new tool.
  • To name factors to consider which should be taken
    before purchasing a PDA.
  • To compare between Palm OS and Pocket PC.
  • To list the websites and resources which enable
    users to download Medical applications.

3
Continued Objectives
  • To be aware of the uses of PDA in Medical
    Education, Respiratory care, Radiology, drug
    information applications.
  • To be aware of the Pediatricians use of and
    attitudes about PDAs and new free software for
    cancer information.
  • To define the role of the Medical Librarian in
    the use and support of PDAs.
  • To keep PDA users current and updated in
    technology news.

4
What is a PDA?
  • An abbreviation for Personal Digital Assistant, a
    handheld device combining computing,
    telephony/fax, and networking capabilities.
  • PDAs are handheld computers that originally were
    designed as personal organizers.
  • They serve as an extension for PCs Laptops.

5
Statistics
  • Number of Physicians who use handheld computers
    increased from 15 percent in 1999 to 26 percent
    in 2001 and concluded that 50 percent of all
    physicians will use a handheld by 2005.
  • LaRochelle, B. (2002) Health Management
    Technology 23(10)67-68

6
PDA Awareness
  • In Spring 2000, 100 primary care physicians in
    the Rochester Independent Practice Association
    (IPA) / NY each received a PDA. (Dr.Drew Werner).
  • Most people in our 3,000-doctor at IPA probably
    wouldnt have gone bought one of these gadgets
    on their own. Glorified calculators. (Chesanow,
    2000).

7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
Medical Schools
  • University of Calgary, Canada.
  • Wake Forest.
  • University of Southern Florida.
  • University of Southern Dakota.
  • Harvard.
  • East Carolina University.
  • University of North Carolina-Chapel Hill.

11
PDAs 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
    and PDA Defense.

12
PDA Brands
  • Palm OS vs. Pocket PC
  • Palm OS Palm, Handspring Visor, Sony, Handera,
    Zire and Tungsten.
  • Pocket PC OS iPAC, Dell, HP Jornada, Casio,
    Toshiba, Compaq, Everex, Acer.

13
Cingular Treo 650 GSM
14
Tungsten C
15
PamOne Tungsten T5
16
Zire 72
17
Stretch Display
18
PocketPC
19
iPAQ h5555 Pocket PC
20
HP iPaq H5550
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
Two Operating Systems
  • 1- Palm OS 2- Pocket PC Windows CE
  • The difference Windows Macintosh.
  • Palm OS defacto standard for Medical.
  • Windows CE miniaturized version of Microsoft
    Windows on PCs except 95/98/2000/NT software.
    Allows efficient file transfer into many programs
    (Business Community).

26
Buying a PDA
  • What operating System runs the PDA?
  • Memory expansion cards.
  • Color Pocket PC are color.
  • Does it use household or rechargeable batteries?
  • What accessories are available cost?
  • Speed Palm OS are very fast.
  • Applications programs.
  • Voice recorder,MP3 player, digital camera.

27
Which PDA is Right for Me? Operating System
Device Features Respiratory Care 2004, May
49(5)497-
28
(No Transcript)
29
(No Transcript)
30
Pocket PC Palm Feature
Hardware
Larger Smaller, but getting better Screen size
Generally - 320 by 240 pixels Generally - 320 by 320 pixels" Screen resolution
Yes Yes 16-bit color support
Bigger, heavier Smaller, lighter Size / weight
Generally 8-14 hours Days Battery Life (rechargeable lithium)
Yes Yes, on new high-end models Wireless connectivity
No low to mid priced models Larger range of prices Price
Yes Yes Works with PCs
No Yes Works with Macs
31
Software
Up to 128mb, (operating system requires more memory to run) expansion card for additional memo Up to 64mb (most 16mb) expansion cards for additional memory Memory
Faster, but required to run the operating system and allows multi-tasking Slower, but operating system requires less to function well multi-tasking not available Processor speed
Much like a Microsoft PC desktop Proprietary , simple/intuitive Navigation
Character recognizer, block recognizer, transcriber, onscreen keyboard Graffiti, onscreen key board Handwriting recognition
More clicks to get to the information needed Quicker navigation to get to the information needed Contact management, calendaring and to-do lists
Out-of-the-box integration Requires software addition (included) Integrate with outlook
Smaller selection but growing Large selection, leader Medical software applications
Smaller selection but growing Larger selection Other software applications
32
Pocket Word, Pocket Excel, Pocket PowerPoint Documents to Go software converter Windows applications
Pocket Internet Explorer Free for cost software available HTML Browser
Pocket Internet Explorer Third-party software available (AvantGo others) Offline browsing
MSN Messenger Third-party software available Instant messenger client
Microsoft Reader Palm Reader other free third-party software E-book reader
33
http//computing.kelkoo.co.uk/b/a/ps_9148613/11450
1.html
34
http//www.tigerdirect.com/applications/Category/c
ategory_tlc.asp?CatId19
35
Hp and Pocket PC
  • HP presented their HIS solution, mentioned the
    use of Pocket PCs by doctors, nurses, and
    administrators would be a part of the contract to
    issue certain staff with PDAs.

36
How PDAs work-The Basics?
  • Syncing from PC to PDA through a cradle to
    exchange programs data.
  • Data Input.
  • Beaming Sending a program, document, or file
    from one PDA to another using infrared
    transmission. PDA to a printer.
  • Basic functions Date Book Address Book, To Do
    List, Memo or note pad, Mail.

37
Beaming a Business Card
38
http//www.library.uthscsa.edu/consultation/guides
/tutorials/businesscards.cfm
  • The University of Texas Health Science Center at
    San Antonio has created a flash tutorial on PDAs.

39
UIC Library of the Health Sciences Peoria
  • http//www.uic.edu/depts/lib/lhsp/resources/pda/co
    re.shtml
  • ePocrates Tutorial, Johns Hopkins Antibiotic
    Guide (ABX Guide)

40
(No Transcript)
41
(No Transcript)
42
Bluetooth
43
Expansion
44
WEB Browsing
45
WEB Browsing
46
Physicians can
  • Read the complete medical records of patients.
  • Check Lab reports.
  • Diagnose illnesses.
  • Write prescriptions.
  • Communicate with Nursing staff.

47
(No Transcript)
48
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 Internet
  • Provide patient education material
  • Read medical journals
  • Transmit electronic prescriptions
  • Voice recording.
  • South. M J. 2003
    96(10)996-9

49
http//mytreo.net/news/archives/000379.php
  • Two of the hottest tech trends today are camera
    phones and blogging. SplashData has combined them
    both with its new SplashBlog. Now, you can
    publish photos instantly to an online
    "photo-blog" from a camera-equipped smartphone.
    The initial version is for Palm OS devices only,
    such as the Treo 650, but versions for other
    platforms (Windows Mobile Pocket PC, Windows
    Mobile Smartphone, Symbian Series 60 and Symbian
    UIQ) will be released in upcoming months.

50
ICD-9 Clear Coder
  • Physicians can enter their own codes at the point
    of care, improving coding accuracy and
    reimbursement rates.
  • Charge capture capabilities vary widely among
    software programs. Some programs check for
    billing errors.
  • Some coding software automatically audits
    physicians coding for errors, reducing the
    amount of undercoding or overcoding that occurs
    increasing revenue.

51
Medical Education
  • To track patient encounters and procedures done
    during medical school rotations and residency
    training.

52
Specific uses of PDA in Med Edu.
  • Document pt. encounters procedure.
  • Retrieve medical information (practice
    guidelines, edu. biomed resources.)
  • Check residents call schedules pt. data.
  • Prompt teachers self-assessment about their own
    performance.
  • Record students evaluation.
  • Store reference material.

53
Medical education?
  • Voice recorder dictation digital recording.
  • Video/Audio Player Basic echocardiograms can be
    stored for bedside comparison. Heart lung sound
    patterns, electronic stethoscope support digital
    recording.
  • Anatomy dissection videos stored on local servers
    for students to review prior to entering the wet
    lab.
  • Image viewer disease figures or diagrams,
    histology pathology slides

54
  • Infrared beaming PPt. articles sharing.
  • Wi-Fi wireless networking feedback after
    lectures, formative assessments or testing, image
    based practicals, questions during lectures
    through wi-fi enabled PDAs.
  • Miscellaneous PPt., CMEs, can be beamed or
    downloaded,

55
Nurses and PDA
  • Inpatient staff Nurse Nursing pt. keeper, drug,
    nursing diagnosis references.
  • ICU ER drug, emergency, procedural references,
    lab, blood gas, and weight/drug/drip
    calculations.
  • Pre-op Rx drug, OTC Herbal/Alternative
    medicine references.
  • OB Nurse Pregnancy calculator.
  • A home care, float Nurse store valuable
    information about the organization units

56
Nursing applications
  • HHM Nursing Care Plans Total pt. needs.
  • RN Diseases (A Nursing Therapeutics Manual)
    Complete information on 241 disorders. Nursing
    students.
  • RN Emerg EKG strips, MI data, ACLS, bradycardia,
    Chest pain, CHF/Chock.
  • Fast Facts for Adult Care Critically ill pt.
  • PEPID Nsg. Assessment, pain management,
    Toxicology, Drug interactions, diseases,
    abbreviations, General Nsg., Calculators.

57
http//www.collectivemed.com
58
http//pdacortex.pdaorder.com
59
Staying Current Nursing PDAs Listserv
http//www.rnpalm.com/nursing_pdas_listserv.htm
60
More than Basics
  • Productivity Resources
  • Documents to Go / Ms Office applications
  • Allows you to use MS files on handheld.
  • http//www.dataviz.com/products/documentstogo/inde
    x.html
  • Margi Presenter to Go Digital projector.
  • http//www.margi.com/products/prod_ptg.htm

61
(No Transcript)
62
Continued More than ..
  • Document Readers
  • Acrobat.
  • E-book Readers
  • Palm OS Palm reader, palm reader pro,
    Mobipocket.
  • Pocket PC MS Reader.

63
Continued More than
  • Current Awareness
  • Avant Go to pull information from the Web turn
    your Palm OS.
  • http//www.avantgo.com
  • Customizing your PDA
  • Software add-ons
  • http//www.handango.com

64
Health Sciences Resources
  • Reference Books
  • Drug handbooks
  • Medical calculators
  • Clinical decision rules Guidelines.
  • Current awareness / TOC services

65
Health Sciences Resources
  • Patient Tracking
  • Prescribing
  • For your patients
  • Portal sites
  • Databases

66
Examples
  • Textbooks BMJ BS, Boabab e-Dentistry,
    e-medicine, NephroToGo, Skyscape.
  • Drug Books PDR, Nurses Drug Guide, ePocrates,
    Mosby Drugs, Dr Drugs.
  • Calculators Dose Calc, MedMath, Enteral Calc,
    Med Formulas, PalmStat, Statcoder.
  • Guidelines Am C Card, CA Tools, EBM, Antibiotic
    Guide, Diagnosaurus free.

67
Examples
  • Current Awareness 911, AvantGo, NEJM, BMJ,
    JournalToGo, BioMed Central, Mazigo
  • Patient Tracking ACE Dental, Patient Tracker,
    Ward Watch, Patient Keeper.
  • Prescribing ePhysician, iScribe, PocScript.
  • For Your Patients 4TMedical, BabyLog,
    BloodPressMgr, BalanceLog, HealthEmpo.
  • Databases Ovid. MD Consultant, PubMed, Access
    Medicine.

68
PubMed on Tap
  • An application for PDAs with the Palm OS a
    wireless connection to the Internet.
  • To discover implement design principles that
    will facilitate practitioners access to medical
    information. It supports retrieval of MEDLINE
    citations from a PDA.
  • http//archive.nlm.nih.gov/proj/pmot/pmot.php
  • http//www.nlm.nih.gov/pubs/techbull/ja03/ja03_pda
    .html

69
New Statistics
  • 80 use PDA to maintain an add. book.
  • Forrester Research AMA1300 Doctors
  • Less than 10 to order medication, access pt.
    records, lab results.
  • 16 whose practices have EMR, use PDA to record
    pt. data.
  • 16 use PDA for electronic prescribing
  • Healthcare IT News Mar 23, 2005

70
  • Spyglass Consulting Group issued that Physicians
    were generally unsatisfied with mobile devices
    Physicians are often frustrated with the number
    of screens they have to click through to chart pt
    info.
  • 57 are regularly using PDAs. (five times than
    the average population to use them.
  • Female Physicians, older Doctors, Surgeons, who
    practicing in small offices are less likely to
    use PDAs.

71
Another bright spot
  • 60 are using PDAs for e-prescribing.
  • 66 regularly check medication information.
  • 28 are accessing clinical database information.

72
New Statistics
  • Handheld Technology for Radiology on the Brink
    of Big Expansion
  • RSNA News - April 2005
  • http//www.rsna.org/publications/rsnanews/apr05/hh
    tech.html

73
  • Survey DemographicsOf 1,658 randomly selected
    active and training RSNA members within North
    America, 528 (32.4 percent) completed the survey.
  • 417 Men (79.0)
  • 104 Women (19.7)
  • 181 Academic Practice (34.3)
  • 319 Private Practice (60.4)
  • 91 Trainees (17.2)
  • 413 Attending or Board-certified Radiologists
    (78.2)

74
Use of PDAs
  • 238 (45.1) on a daily basis
  • Address book and calendar (98.3)
  • Drug references (31.2)
  • Radiology applications (24.6)
  • General medical references (21.7)
  • E -mail/internet access (13.6)

75
290 (54.9) did not use a PDA
  • Never really found a need for one (83.3)
  • Poor screen readability (19.7)
  • Too awkward to use (16.7)
  • Not enough applications (13.3)
  • Not enough radiology software available (12.9)

76
(No Transcript)
77
Pediatricians use of attitudes about PDAs
  • 35 currently use a PDA at work.
  • 40 use a PDA for personal use.
  • 9.6 had used a PDA.
  • 89.7 use Palm OS.
  • 8.9 use Pocket PC.
  • 80 for drug reference.
  • 67 personal scheduling.
  • 61 medical calculations.
  • 38 computerized texts.
  • 8 prescription or billing. Ped. 05, Apr.12238-

78
Radigraphics 2003, 23(4) 1035-
79
  • (a) Screen shot of
  • a sagittal MR image of the knee on a 4-bit (16
    levels) gray-scale PDA display.
  • (Courtesy of C. F. Beaulieu, MD, PhD, Stanford
    University, Stanford, Calif.)
  • (b) Screen shot of a midline sagittal T1-
    weighted image of the brain displayed on a higher
    resolution PDA.

80
Photograph shows an electronic image display
appliance that is being substituted for a
radiology view box. The appliance is mounted in a
hospital corridor, the user controls the
display from a wireless PDA, which contains list
of relevant patients. Its connected to the
hospital imaging network. The user can review an
imaging study by selecting it on the PDA.
81
Portal Sites
  • Duke Un. Med. Cent. Lib Links to PDA.
    http//www.mclibrary.duke.edu/respub/guides/pda/in
    dex.html
  • Arizona Health Sciences Libraries PDAs for
    Health Care providers. http//educ.ahsl.arizona.ed
    u/pda/index.htm
  • Univ. of Pittsburgh PDA applications
    http//www.hsls.pitt.edu/guides/pda/topics
  • Healthy PalmPilot
  • http//www.healthypalmpilot.com/

82
Where to find Medical applications?
  • www.handango.com
  • www.handheldmedical.com
  • www.healthypalmpilot.com
  • www.handmedical.com
  • www.medicalpocketpc.com
  • www.doctorsgadgets.com/links/
  • www.handheldsfordoctors.com
  • www.pda.bmjbooks.com

83
Freeware
  • http//www.freewarepalm.com/ Palm OS-only. Click
    on Medical in the Category list on the left
    hand side of the page.
  • pdaMD http//www.pdamd.com/ type freeware
    under Search our Product catalog.
  • VersionTracker Palm OS Software
    http//www.versiontracker.com/palmos/index.shtml
    nothing for Pocket PC.
  • PDA Cortex http//pdacortex.com/ articles,
    reviews, and links.

84
Freeware
  • PDA Center http//www.collectivemed.com/tshtml/Fre
    e_Software/
  • Medical Eponyms Rovsings Signs.
  • Shots 2004 Child Immunization schedule.
  • BreastCa The Gail Claus models.
  • EBM Calculator Stat. for RCT, diagnostic.

85
http//www.cancer.org/docroot/COM/content/div_TX/C
OM_5_1x_The_C-Tools_20.asp?SiteArea
86
www.medicalpocketpc.com
87
Drug Handbooks
  • ePocrates Rx up-to-date medical information. It
    reaches more than one in four U.S. doctors. Free.
  • www.epocrates.com/index.jsp
  • epocrates Rx Pro 3000 drug, not free.
  • Dr. Drugs
  • PDR.
  • LexiDrug.

88
(No Transcript)
89
The Ann of Pharma 2005 May. 29
  • There are many excellent PDA drug information
    applications that provide fast and accurate drug
    information and other features that assist the
    health care provider.

90
(No Transcript)
91
(No Transcript)
92
Evaluation of Clinical Drug References
  • User friendly
  • Comprehensiveness Drug Interactions.
  • Accuracy.
  • Time interval of updates
  • Free-hand written available.
  • Memory requirements
  • Cost

93
Medical calculators
  • MedCalc designed for rapid calculation of
    common equations used in Medicine.
  • http//medcalc.med-ia.net

94
Clinical Decision Rules
  • MedRules an application featuring useful
    clinical prediction rules taken from the medical
    literature.
  • http//pbrain.hypermart.net/medrules.html

95
Current Awareness TOC
  • Journal to Go delivers medical literature,
    abstracts, news to your handheld device.
  • http//www.journaltogo.com
  • AvantGo Websites, news, maps, images.
  • http//www.avantgo.com

96
(No Transcript)
97
(No Transcript)
98
(No Transcript)
99
OVID_at_hand
  • Order searches, review retrieve journal
    articles.
  • Have instant access about drugs, drug
    interactions-all with the convenience of handheld
    delivery.
  • http//www.unboundmedicine.com/partners/ov/OvidDem
    o/a2z-01.htm
  • Journals_at_ovid allows you to keep abreast, TOC,
    abstracts.
  • http//www.unboundmedicine.com/partners/ov/OvidDem
    o/journals-01.htm

100
(No Transcript)
101
(No Transcript)
102
Licensing models for PDA content
  • Free with existing licensed product
    PDA content is free
    with a subscription to an existing licensed
    product. MDConsult and UpToDate.
  • User Add-on with purchase Allows Library
    clients to purchase PDA content if the Library
    has a subscription to the online version.
    Harrisons on Hand.

103
Continued Licensing
  • Set number of downloads allows
    software to be loaded on a set number of PDAs for
    a particular institution. OVID_at_Hand and PDXMD.
  • Institutional Site Licenses
    e-journals and online databases. It allows, for a
    fixed annual fee, as many downloads as required
    for a particular site. PEPID and InfoRetriver.

104
Continued Licensing
  • Electronic loaning with due dates Content is
    borrowed from the Library ie downloaded for a set
    period of time to a PC, Laptop or PDA. Its then
    returned ie removed from the device via expiry
    date. Overdrive (www.overdrive.com).

105
PDAs
  • Are an essential instruments for health care
    professionals.
  • Provide a portable, integrated platform for
    point-of-care clinical reference, patient
    management data communication.
  • Are user-friendly devices, save time, enhance
    quality, effectiveness, accuracy of clinical
    practice.

106
The Role of the Library
  • As facilitators of easy access free-flow of
    information as a service, Librarians need to play
    a key role in developing PDA awareness, content
    searching services evaluation, instruction,
    security issues, technical support for their
    users.

107
In Palestine
  • How many doctors, Nurses, Pharmacists, and
    Dentists use PDA?
  • Hospitals in Palestine?
  • MOH?
  • Others

108
Evaluating PDA Services
  • Web survey, Interviews, focus groups.
  • Librarians can assist in the delivery of relevant
    information to their users, such as suggesting
    appropriate electronic reference texts, useful
    websites, cutting edge software applications
    i.e. Ovid_at_hand

109
Training consultation
  • Librarians need practical, hands on knowledge of
    a variety of PDA software applications currently
    available.
  • Technical Support
  • Downloading databases or catalogue results.
  • AvantGo channel for Library information.

110
Why do Librarians need PDAs?
  • Lurking items Librarians can scan a bar code
    into the handheld then update the circulation
    status in OPAC through syncing.
  • can keep track of the books that patrons have
    checked out.
  • http//www.palmblvd.com/software/pc/Library-Assist
    ant-Version-1-0-2001-10-31-palm-pc.html
  • Set up a sync station in your Library

111
Librarians
  • Provided handheld computers, associated
    peripheral equipment, general specialized
    software applications, training, technical
    support, e-content, various discussion methods
    (websites, blogs, email discussion group) to
    enable the Healthcare Professionals to use
    evaluate the use of PDAs in real-life, real work
    situations.

112
University of Alberta Libraries
  • PDA Infrared Beaming Station to beam results of
    databases searches.
  • Library News via AvantGo.
  • U of A Listserv for sharing ideas.
  • Books on expansion cards
  • MDC Mobile
  • Resources Textbooks, Patient tracking,
    Prescribing,

113
PICOmaker
  • A free Palm OS-based application that lets users
    create and store queries in the PICO (Population,
    Intervention, Comparison, and Outcome) format for
    later reference. This application is intended to
    assist students and clinicians with EB practice.
    http//www.library.ualberta.ca/pdazone/pico/

114
Keeping Current
  • Read articles.
  • Learn from an expert
  • Join a Listserv
  • Surf the Web sites for ideas
  • CE Sessions
  • Purchase a PDA
  • Download some software
  • Subscribe to Newsletters

115
Conclusion
  • PDAs will soon take full advantage of wireless
    communication technology.
  • Integrate EMR, EBM, medical references, guideline
    implementation allow coordination of clinical
    communications.
  • Using PDAs improve the quality continuity of
    patient care.
  • PDAs to be essential as stethoscope??

116
Announcement
  • The PDA Interest Group in Palestine is coming

117
A question?
  • How can decision makers initiate and support
    PDA services to benefit health care professionals
    in Palestine?

118
Q A
  • Thanks
About PowerShow.com