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Results for “Computers, Handheld”

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At least 307 records · Page 17Linked to original sources
PubMed2004

Utilization of guidelines and computer-based technology to achieve optimal care in atherothrombotic vascular disease.

Recently there have been numerous advances in the treatment of UA/NSTEMI based on large randomized trials. However, there are also data from several registries that have shown underutilization of these therapies. National guidelines, such as the ACC/AHA Guidelines are designed to provide clinicians recommendations for optimal care. There are some initial data from the TIMI 3 and GUARANTEE registries that publication of such guidelines does appear to help improve compliance with evidence-based optimal care, however, it appears that critical pathways and specific tools such as standardized orders or checklists are needed to more fully implement the recommendations. One newer type of tool are Palm Pilot programs such as the 3 presented here, where it is hoped that their use at the bedside with provide clinicians rapid access to evidence-based medicine ina format that can be useful in a busy practice setting.

Arteriosclerosis↗
PubMed2002

Anesthesiology Point of Care project.

We are developing a dynamic prototype visual communication system for the operating room environs. This has classically been viewed as an isolated and impenetrable workplace. All medical experiences and all teaching remain in a one to one closed loop with no recall or subsequent sharing for the training and education of other colleagues. The "Anesthesia Point of Care" (APOC) concept embraces the sharing of, recording of, and presentation of various physiological and pharmacological events so that real time memory can be shared at a later time for the edification of other colleagues who were not present at the time of the primary learning event. In addition it also provides a remarkably rapid tool for fellow faculty to respond to obvious stress and crisis events that can be broadcast instantly at the time of happening. Finally, it also serves as an efficient and effective means of paging and general communication throughout the daily routines among various healthcare providers in anesthesiology who work as a team unit; these include the staff, residents, CRNAs, physician assistants, and technicians. This system offers a unique opportunity to eventually develop future advanced ideas that can include training exercises, presurgical evaluations, surgical scheduling and improvements in efficiency based upon earlier than expected case completion or conversely later than expected case completion and even as a unique window to development of improved billing itemization and coordination.

Academic Medical Centers↗
PubMed2006

Who's using PDAs? Estimates of PDA use by health care providers: a systematic review of surveys.

BACKGROUND: Personal digital assistants (PDAs) find many uses in health care. Knowing rates of collective PDA use among health care providers is an important guiding step to further understanding those health care contexts that are most suited to PDA use and whether PDAs provide improved health outcomes. OBJECTIVES: The objectives of this study were to estimate current and future PDA use among health care providers and to discuss possible implications of that use on choice of technology in clinical practice and research. METHODS: This study was a systematic review of PDA usage surveys. Surveys were identified as part of an ongoing systematic review on the use of handheld devices. Reports from eight databases covering both biomedical sciences and engineering (1993-2006) were screened against distinct eligibility criteria. Data from included surveys were extracted and verified in a standardized way and were assessed descriptively. RESULTS: We identified 23 relevant surveys, 15 of which were derived from peer-reviewed journals. This cohort of surveys was published between 2000 and 2005. Overall, since 1999, there is clear evidence of an increasing trend in PDA use. The current overall adoption rate for individual professional use ranges between 45% and 85%, indicating high but somewhat variable adoption, primarily among physicians. CONCLUSIONS: Younger physicians and residents and those working in large and hospital-based practices are more likely to use a PDA. The adoption rate is now at its highest rate of increase according to a commonly accepted diffusion of innovations model. A common problem with the evaluation of information technology is that use frequently precedes research. This is the case here, in which PDA adoption rates are already high and projections are for rapid growth in the short term. In general, it appears that professional PDA use in health care settings involves more administrative and organizational tasks than those related to patient care, perhaps signaling where the growth in adoption is most likely to occur. We conclude that physicians are likely accustomed to using a PDA, and, therefore, technology expertise will probably not be a barrier to implementing PDA applications. However, there is an urgent need to evaluate the effectiveness and efficiency of specific tasks using handheld technology to inform those developing and those using PDA applications.

Age Factors↗
PubMed2006

Technologies for image distribution in hospitals.

After the establishment of web-based image distribution, three challenges for image distribution can be identified today. Firstly, PACS (picture archiving and communication system) and the distribution of radiological images and reports need to be integrated with the emerging electronic medical record. Secondly, report and image data should be available on mobile devices like PDAs (personal digital assistants) or smartphones in the future. Thirdly, future systems must be available not only to transmit sectional images, but also to allow access to three- and four-dimensional data that are produced by multidetector CT and modern MR scanners.

Computers, Handheld↗
PubMed2006

Brief report: methods for collecting sexual behaviour information from South African adolescents--a comparison of paper versus personal digital assistant questionnaires.

Reporting bias in adolescent behavioural research may be overcome with the use of personal digital assistants (PDA) or other computer based technologies. However, there is little insight into the use of these tools among adolescents in low resource settings. We compared self-administered paper questionnaires with PDA questionnaires to collect sexual behaviour data from a sample of 11-19 year olds living in a periurban, Xhosa-speaking community in South Africa. There was a high level of agreement between sexual risk behaviour data collected via each method (kappas> or = 0.50). Data collected from the PDA questionnaires were more complete. Subjectively, adolescents found the use of PDA to be simple and confidential. PDA may be a useful method to collect sensitive, self-reported information from adolescents in resource-limited settings.

Adolescent↗
PubMed2005

Challenges for implementing wireless hand-held technology in health care: views from selected Queensland nurses.

Many health-care providers in Australia are exploring the use of wireless technology to improve service delivery. It appears that the solutions so far have been dictated by the hardware vendors and that the business case is yet to drive the implementations. A focus group discussion was facilitated with eight senior management staff involved in health care in Western Australia. This resulted in a set of challenges, which were used to invite opinions from nursing staff in Queensland. A total of 31 interviews were conducted. The analysis returned a set of 63 themes, which were grouped. These groupings reflected the challenges as lack of user-friendly applications, unreliable technology, substandard testing, shortage of staff, concerns for security, reliance on technology, existing problems, work schedule, training, outdated health policy, coverage of wireless links, confidentiality and lack of awareness. The interviews clearly indicated the need for training and awareness procedures. The present study provides some of the information necessary to realize an enterprise-wide implementation of wireless technology.

Attitude of Health Personnel↗
PubMed2002

Application of ubiquitous computing in personal health monitoring systems.

A possibility to significantly reduce the costs of public health systems is to increasingly use information technology. The Laboratory for Information Processing Technology (ITIV) at the University of Karlsruhe is developing a personal health monitoring system, which should improve health care and at the same time reduce costs by combining micro-technological smart sensors with personalized, mobile computing systems. In this paper we present how ubiquitous computing theory can be applied in the health-care domain.

Computer Communication Networks↗
PubMedDate not supplied

Pen-based computing: applications in clinical medicine.

Handheld, pen-based computing is an affordable, empowering technology that has application in small practice settings as well as in hospital-wide environments. Although hardware standards are evolving, there is now a stable base of applications, wired and wireless connectivity, and other features that make pen-based computing an attractive alternative to paper and pen patient data acquisition. When combined with centralized data synchronization, pen-based computers can also serve as an affordable medium for the dissemination of clinical guidelines, standard formulary, and other patient-related data. Wireless, and to a lesser extent, wired pen-PDAs hold the potential to make web-based electronic medical records accessible from anywhere at any time.

Computer Peripherals↗
PubMed2004

TealLock 5.20 security software program for handheld devices.

The TealLock has a simple graphic interface, and the program is user-friendly with well thought out options to customize security settings. The program is inexpensive and works seamlessly with the Palm OS platform's built-in basic Security application. The developer offers a 30-day free trial version and there is no downside to trying it to see if it meets your needs. It seems to be an effective security software program for psychiatrists who keep confidential and sensitive patient information on their PDAs. In keeping with HIPAA regulations, the TealLock bolsters security for protected health information stored on PDAs or other handheld devices by providing safeguards that address authentication, access control, encryption, and selected aspects of transmission.

Computer Security↗
PubMed2006

Evidence for handheld electronic medical records in improving care: a systematic review.

BACKGROUND: Handheld electronic medical records are expected to improve physician performance and patient care. To confirm this, we performed a systematic review of the evidence assessing the effects of handheld electronic medical records on clinical care. METHODS: To conduct the systematic review, we searched MEDLINE, EMBASE, CINAHL, and the Cochrane library from 1966 through September 2005. We included randomized controlled trials that evaluated effects on practitioner performance or patient outcomes of handheld electronic medical records compared to either paper medical records or desktop electronic medical records. Two reviewers independently reviewed citations, assessed full text articles and abstracted data from the studies. RESULTS: Two studies met our inclusion criteria. No other randomized controlled studies or non-randomized controlled trials were found that met our inclusion criteria. Both studies were methodologically strong. The studies examined changes in documentation in orthopedic patients with handheld electronic medical records compared to paper charts, and both found an increase in documentation. Other effects noted with handheld electronic medical records were an increase in time to document and an increase in wrong or redundant diagnoses. CONCLUSION: Handheld electronic medical records may improve documentation, but as yet, the number of studies is small and the data is restricted to one group of patients and a small group of practitioners. Further study is required to determine the benefits with handheld electronic medical records especially in assessing clinical outcomes.

Clinical Trials as Topic↗
PubMedDate not supplied

The use of handheld technology in nursing education.

Advances in technology must be integrated into curricula. The authors review the process and risks associated with adopting handheld technology and offer suggestions for integrating this technology into nursing curricula.

Computers, Handheld↗
PubMedDate not supplied

A streaming-based solution for remote visualization of 3D graphics on mobile devices.

Mobile devices such as Personal Digital Assistants, Tablet PCs, and cellular phones have greatly enhanced user capability to connect to remote resources. Although a large set of applications are now available bridging the gap between desktop and mobile devices, visualization of complex 3D models is still a task hard to accomplish without specialized hardware. This paper proposes a system where a cluster of PCs, equipped with accelerated graphics cards managed by the Chromium software, is able to handle remote visualization sessions based on MPEG video streaming involving complex 3D models. The proposed framework allows mobile devices such as smart phones, Personal Digital Assistants (PDAs), and Tablet PCs to visualize objects consisting of millions of textured polygons and voxels at a frame rate of 30 fps or more depending on hardware resources at the server side and on multimedia capabilities at the client side. The server is able to concurrently manage multiple clients computing a video stream for each one; resolution and quality of each stream is tailored according to screen resolution and bandwidth of the client. The paper investigates in depth issues related to latency time, bit rate and quality of the generated stream, screen resolutions, as well as frames per second displayed.

Computer Communication Networks↗
PubMed2003

Just-in-time technology to encourage incremental, dietary behavior change.

Our multi-disciplinary team is developing mobile computing software that uses "just-in-time" presentation of information to motivate behavior change. Using a participatory design process, preliminary interviews have helped us to establish 10 design goals. We have employed some to create a prototype of a tool that encourages better dietary decision making through incremental, just-in-time motivation at the point of purchase.

Computers, Handheld↗