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At least 253 records · Page 14Linked to original sources
PubMed2005

Physicians' use of the personal digital assistant (PDA) in clinical decision making.

PURPOSE: This study examined how frequently attending physicians and physicians in training used personal digital assistants (PDAs) for patient care and explored physicians' perceptions of the impact of PDA use on several areas of clinical decision making. SETTING/SUBJECTS: The 108 participants included 59 attending physicians and 49 physicians in training from teaching hospitals in Tennessee, Florida, Alabama, Kentucky, and Pennsylvania. METHODOLOGY: Respondents completed a questionnaire designed to explore PDA use in a clinical setting. RESULTS: Eighty-seven percent of the respondents reported PDA use for patient encounters. Fifty-five percent of respondents reported frequent use, and 32% reported occasional use of a PDA for patient care. Of the frequent PDA users, 85% said PDA use had influenced their overall clinical decision making and 73% mentioned treatment alterations specifically. Approximately 60% of the participants reporting occasional PDA use indicated that the PDA had influenced their overall clinical decision making, while 54% specifically mentioned a change to their patient's treatment plan. DISCUSSION/CONCLUSION: Attending physicians and physicians in training who used a PDA during patient encounters perceived that even occasional PDA use had an impact on their clinical decision making and treatment choices. Health sciences librarians are perfectly positioned to provide PDA training and assistance not only to physicians who are frequent PDA users, but also to those who are occasional users.

Computers, Handheld↗
PubMed2006

Calculating early warning scores--a classroom comparison of pen and paper and hand-held computer methods.

To assist in the early detection of critical illness, many hospitals now use a "track and trigger" system that allocates points to routine vital signs measurements on the basis of their derangement from an arbitrarily agreed "normal" range. These points are summed to provide an early warning score (EWS). Little is known about the accuracy with which EWS are calculated and charted. We compared the speed and accuracy of charting the weighted value attributed to each vital sign, and of calculating the EWS, using the traditional pen and paper method with that using a specially programmed, personal digital assistant (VitalPAC). Incorrect entries or omissions occurred in 24 (29%) of 84 EWS computed using pen/paper compared to 8 (10%) computed using the VitalPAC method. Fewer incorrect clinical actions were indicated using EWS derived via the VitalPAC method (4/84, 5%) than from those calculated using pen/paper (12/84, 14%). The mean time (+/-S.D.) taken for participants to calculate and chart a set of weighted values and EWS using the pen/paper method was 67.6+/-35.3 s (n=84). The corresponding time taken to enter a set of physiological data using the VitalPAC was 43.0+/-23.5 s (n=84). By comparison with the conventional pen/paper method, the use of VitalPAC was on average 1.6-times faster. The use of a device such as VitalPAC offers significant advantages both in speed and accuracy of recording of EWS.

Computers, Handheld↗
PubMed2003

Creating a portable data-collection system with Microsoft Embedded Visual Tools for the Pocket PC.

This paper describes an overview and illustrative example for creating a portable data-collection system using Microsoft Embedded Visual Tools for the Pocket PC. A description of the Visual Basic programming language is given, along with examples of computer code procedures for developing data-collection software. Program specifications, strategies for customizing the collection system, and troubleshooting tips are also provided.

Behavior Therapy↗
PubMed2003

Evaluating a digital Resident Diagnosis Log: reasons for limited acceptance of a PDA solution.

Personal digital assistants (PDAs) offer opportunities to speed the process of data collection and analysis. We developed a PDA-based program, the Resident Diagnosis Assistant, which allows neurology residents to collect key diagnostic information about patients seen and treated and the upload this data into a departmental computer. Physicians often use the expenditure of their time to decide whether to accept a new device.

Attitude of Health Personnel↗
PubMed2003

Handheld technologies in a clinical setting: state of the technology and resources.

Handheld or palm-based computing technology, commonly known as personal digital assistants (PDAs), are having a tremendous impact in many personal, educational, and business settings. The potential is particularly compelling for healthcare, specifically in the clinical setting. By exploring the development of the technology, applications, and products, as well as issues regarding its use, a better understanding of this technology can be gained. The rapid acceptance and ongoing swift development of handheld computing technology is leading to an evolution in the way clinical data and information move to and from the bedside and into the patient record. This article focuses on three main areas related to PDAs: the development of the palm technology, its potential in clinical settings, and available specific resources.

Computers, Handheld↗
PubMed2004

Computer-supported cognitive behavioral treatment of anxiety disorders.

This article reviews the empirical literature pertaining to the use of computer-supported cognitive-behavioral treatment of anxiety disorders, including palmtop computers, virtual reality exposure therapy, and personal computer software programs. The advantages and disadvantages unique to each type of technology are described. The review concludes with a discussion of ethical issues, barriers to the use of technology by clinicians, and suggestions for a process by which scientists and practitioners can conceptualize how technology can advance our understanding of anxiety and our dissemination of effective treatments.

Anxiety Disorders↗
PubMed2005

Projecting PowerPoint presentations with a PDA.

OBJECTIVE: This article describes the use of a personal digital assistant (PDA) as a projection device for PowerPoint presentations. CONCLUSION: Advances in hardware and software have made PDA devices capable of storing, accessing, retrieving, and sharing data, and their use is becoming increasingly evident in the health care arena. In this article, I describe a use for the PDA that will further increase its value and efficiency in daily academic and teaching activities.

Computers, Handheld↗
PubMed2003

Evaluation of standardized tasks for primary care physicians using the MOXXI electronic prescribing and integrated drug management system.

The Medical Office for the Twenty First Century (MOXXI) is a research project testing the potential benefits of an electronic prescription and drug management system for primary care physicians. This system includes a dynamic electronic pad for prescription entry with fields for treatment indications; a drug profiler with a graphic representation of the list of prescription medications purchased in the last year; a refill compliance calculator; dates of emergency room visits and hospital admissions; cost of drugs dispensed; and an alert system that detects interactions among drugs, treatment duplications, and contraindications with certain allergies or specific diseases. One concern expressed by physicians that could influence uptake and acceptability is the increased time that may be required to use the system. User abilities are a factor in this process, as well as user interface, user training and system speed.

Clinical Pharmacy Information Systems↗