Handheld Computers in Medicine

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Handheld Computers in Medicine
Christopher A. Sarley Lehigh Valley
Hospital Allentown, Pa.
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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

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Clinical Applications

• Clinical drug references
• Electronic prescription tools
• Clinical textbooks
• Patient tracking
• Evidence based reference

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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
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Mobile Micromedex

• Free to Micromedex Healthcare series subscribers
• Available for Palm and Win CE
• Consists of
• Acute Care Info
• Alt Med Info (gt 265 herbal supplements)
• Drug Info (gt 1400 monographs)
• Toxicology Info
• Drug interaction tool available at additional
  cost
• Updated Quarterly
• Must download and reinstall to update

Micromedex www.micromedex.com
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Other Medication References

• Tarascons ePharmacopoeia
• Franklin Pocket PDR
• Lexidrugs (www.lexi.com)
• Physicians Drug Handbook (www.handheldmed.com)
• The Medical Letter Adverse Drug Interactions
  database

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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

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Clinical Texts

• Harrisons Principles of Internal Medicine
• 5 Minute Clinical Consult
• 5 Minute Pediatric Consult
• Merck Manual
• Washington Manual of Medical Therapeutics
• Physicians Drug Handbook

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Reference Tools
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Ovid _at_hand

• Available for Palm OS
• Windows CE version in development

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Ovid _at_hand
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Ovid _at_hand
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AvantGo
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HandHeld Med Channels
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Up-To-Date

• Point of care information
• Available for Handheld by end of 2002
• Windows CE
• Estimated 1GB memory

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Patient Tracking
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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

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Patient Keeper

• Available for Palm OS devices
• Integrates with a variety of health management
  systems

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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

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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

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Calculators
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MedMath

• More than 30 Common clinical formulas
• Selectable units of measure
• Sorted by category

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Other calculators

• Med Calc
• PregPro
• Pregnancy Wheel
• TPN Reference

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Education
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AvantGo
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Eye Module Digital Camera
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Additional Uses
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Active ECG

• FDA Approved cardiac monitor
• Available for Palm based devices
• Emergency settings
• Clinical Office setting
• Home Health Care

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Prehospital
R-EMStat
www.med-media.com
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Prehospital

• Emergency Medical System
• Patient information
• Emergency Field Guide
• Fire Emergencies
• Incident Tracking
• Emergency Field Guide
• Integrates with base station computer

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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

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Resources
educ.ahsl.arizona.edu/pda/art.htm
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Resources

• Web Sites
• www.pdamd.com
• www.handhledmed.com
• Listserv
• Palm-Med (Univ. Michigan)
• Med-Ed (AAMC)