PDA

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PDAs and Remote Patient Care

• By Cassandra Kennicott, RN

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Objectives

• Describe Remote Patient Care
• Describe the hardware used
• Describe the software used
• Evaluate the usability of the software
• Describe the information system used

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Describe Remote Patient Care

• PDA connects to hospital main server via internet
• Health care provider is able to view patient
  records
• Aids in diagnosis and treatment of patients
• 
  (Fornell, 2008)

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Describe the Hardware Used

• PDAs (Personal Digital Assistant)
• Smart Phones
• Computers (often laptops)

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PDA (Personal Digital Assistant)

• Small, handheld
• Has wireless internet connection
• Capable of running computer programs
• Often referred to as Pocket PC

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Describe the Software used

• Connectivity software used
• SOTI
• NEXGIN-RC
• AMAC
• Merlin through St Jude Medical

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NEXGIN-RC

• Focuses on antenatal care
• Enables patients in remote areas to be seen
• 
  (NEXGIN-RC, 2008)

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NEXGIN-RC (continued)
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Evaluate the Usability of the Software

• Usability how humans and computers perform
• Has several indicators
• 3 axioms of usability

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Axioms
AXIOM
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Axiom 1 Early and Central Focus on Users

• Must understand users in depth
• Usually advanced practice or critical care nurses
• Designers should have direct contact with users

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Axiom 2 Applications Must Have Iterative Design

• Critical care nurses evaluate designs
• Users and designers determine effectiveness

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Axiom 3 Must be Empirical Usability Measures

• May be formal or informal

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Describe the Information System

• Clinical Decision Support System (CDSS)
• Specifically, the Evidence Based Guideline and
  Decision Support System (EGADSS) is being
  considered
• 
  (NEXGIN-RC, 2008)

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EGADSS

• Stand alone Information system, interacts with
  EMR
• Uses HL7 data standards
• Disease and Procedure Classification System used?
• A nursing information system?

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Advantages

• No need for patients to travel
• Increases efficiency of health care
• Ease of use
• Assist in decision process

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Disadvantages

• What happens when something breaks?
• Internet goes down

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Are there any issues with this?

• Legal issues?
• Patient confidentiality
• Transmitting patient information on a server
• Ethical issues?
• Loss of PDA

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What training is necessary for this?

• Proposed training is minimal
• How to use the device
• Where to place sensors

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Functions of the Informatics Nurse

• In this specific instance there is no nurse role
• In other RPMS
• User education
• Implementation
• Support
• (McKesson, 2009)

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In Summary..

• RPMS is in our future
• Allows patients to be monitored anywhere
• Gives patients more autonomy

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References

• Geeknet, Inc. (2010). Sourceforge Find and
  Develop Open Source Software. Retrieved from
  http//sourceforge.net/projects/egadss/.
• Fornell, D. (2008). PDAs Bring Handheld
  Solutions to Healthcare. Retrieved February 20,
  2010, from http//www.dicardiology.net/node/28623/
  /

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References Continued

• Lofstrom, J. Casey, Y. (2009). HIMSS
  Informatics Nurse Impact Study. Retrieved from
  http//www.mckesson.com/static_files/McKesson.com/
  MPT/Documents/Nursing_Informatics_2009.pdf
• NEXGIN-RC. (2008).Remote Patient Monitoring
  System. Retrieved February 20, 2010, from
  http//rpms.nexginrc.org/RPMS_Home.aspx

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References Continued

• Price, M. Bilykh, I. (2004). EGADSS! Its
  ThiNK. Retrieved from http//www.egadss.org/Think
  _Presentation.pdf.
• Staggers, N. (2003). Human Factors Imperative
  Concepts for Information Systems in Critical
  Care. AACN, 14(3), 310-319.