Development and usage of wiki-based software for point-of-care emergency medical information

Donaldson, Ross I.; Ostermayer, Daniel; Banuelos, Rosa; Singh, Manpreet

doi:10.1093/jamia/ocw033

Cited by 10 publications

(9 citation statements)

References 14 publications

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“…Several studies have examined app use in resident education. 18 19 Another study by authors at Medecins Sans Frontieres (MSF; Doctors Without Borders) evaluated usage of an MSF clinical guidance app by 3500 users in 150 countries. 20 Also, crowdsourcing of medical opinions has been investigated in a study of 72 providers.…”

Section: Introductionmentioning

confidence: 99%

Assessing the global reach and value of a provider-facing healthcare app using large-scale analytics

2017

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BackgroundThe rapid global adoption of mobile health (mHealth) smartphone apps by healthcare providers presents challenges and opportunities in medicine. Challenges include ensuring the delivery of high-quality, up-to-date and optimised information. Opportunities include the ability to study global practice patterns, access to medical and surgical care and continuing medical education needs.MethodsWe studied users of a free anaesthesia calculator app used worldwide. We combined traditional app analytics with in-app surveys to collect user demographics and feedback.Results31 173 subjects participated. Users were from 206 countries and represented a spectrum of healthcare provider roles. Low-income country users had greater rates of app use (p<0.001) and ascribed greater importance of the app to their practice (p<0.001). Physicians from low-income countries were more likely to adopt the app (p<0.001). The app was used primarily for paediatric patients. The app was used around the clock, peaking during times typical for first start cases.ConclusionsThis mHealth app is a valuable decision support tool for global healthcare providers, particularly those in more resource-limited settings and with less training. App adoption and use may provide a mechanism for measuring longitudinal changes in access to surgical care and engaging providers in resource-limited settings. In-app surveys and app analytics provide a window into healthcare provider behaviour at a breadth and level of detail previously impossible to achieve. Given the potentially immense value of crowdsourced information, healthcare providers should be encouraged to participate in these types of studies.

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Section: Introductionmentioning

confidence: 99%

Assessing the global reach and value of a provider-facing healthcare app using large-scale analytics

2017

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“…Children are the most avid transmitters of respiratory viral infections, and the information gained from syndromic surveillance in children's hospitals can complement decentralized sentinel surveillance systems in a meaningful way [133]. With the advent of rapid diagnostics and mobile health applications, it has now become possible to monitor virological and clinical end points in real time [134][135][136][137][138][139][140].…”

Section: Discussionmentioning

confidence: 99%

Influenza and other respiratory viruses: standardizing disease severity in surveillance and clinical trials

Rath

Conrad

Myles

et al. 2017

Expert Review of Anti-infective Therapy

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Influenza-Like Illness is a leading cause of hospitalization in children. Disease burden due to influenza and other respiratory viral infections is reported on a population level, but clinical scores measuring individual changes in disease severity are urgently needed. Areas covered: We present a composite clinical score allowing individual patient data analyses of disease severity based on systematic literature review and WHO-criteria for uncomplicated and complicated disease. The 22-item ViVI Disease Severity Score showed a normal distribution in a pediatric cohort of 6073 children aged 0-18 years (mean age 3.13; S.D. 3.89; range: 0 to 18.79). Expert commentary: The ViVI Score was correlated with risk of antibiotic use as well as need for hospitalization and intensive care. The ViVI Score was used to track children with influenza, respiratory syncytial virus, human metapneumovirus, human rhinovirus, and adenovirus infections and is fully compliant with regulatory data standards. The ViVI Disease Severity Score mobile application allows physicians to measure disease severity at the point-of care thereby taking clinical trials to the next level.

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“…The interpretation of electrocardiograms can be taught using social networking sites [7]. Even an entire encyclopedia of core EM knowledge can be shared and continuously updated using a wiki-based platform [8]. The possibilities of the integration between SoMe and medical education are seemingly endless.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Utilizing Social Media Platforms in Emergency Medicine Residency Programs

Khadpe¹,

Singh²,

Brumfield³

et al. 2019

Cureus

Self Cite

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BackgroundResidency programs seek to incorporate various social media (SoMe) platforms into their educational curricula, yet little is known regarding the potential roadblocks towards implementation. Our objective was to assess the current utilization of SoMe platforms and identify common barriers to implementation by emergency medicine (EM) residency programs.MethodsMembers of the Council of Emergency Medicine Residency Directors (CORD) Information Technology (IT) Committee developed an anonymous survey distributed to representatives from EM residency programs using the “CORD Community” internet forum. Descriptive statistics including percentages for numerical data as well as Fisher’s exact test for categorical data were used to report results.ResultsWe received 116 individual responses from faculty, fellows, and residents of EM residency programs. The most common institutional, departmental, technological and knowledge barriers identified were restricted access to blogs (12.9%), insufficient protected time (17.2%), insufficient IT support to host the platform (16.4%), and a lack of knowledge among faculty of how to utilize blogs (23.3%) respectively.Ten respondents (8.6%) reported that their programs had not attempted to utilize any SoMe platforms. Community-based programs and smaller programs (<24 residents) were significantly more likely to identify barriers to SoMo use among this cohort.ConclusionUtilization of SoMe platforms for resident education by EM residency programs is increasingly common, but significant obstacles exist on many levels that prevent programs from leveraging these innovations for knowledge translation. This is particularly common for community-based and small residency programs. Awareness of these common barriers will allow institutions and programs to better anticipate and design solutions to overcome these obstacles.

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Development and usage of wiki-based software for point-of-care emergency medical information

Abstract: A wiki paired with mobile applications is beneficial for resident education and useful in post-residency clinical practice.

Cited by 10 publications

References 14 publications

Assessing the global reach and value of a provider-facing healthcare app using large-scale analytics

Assessing the global reach and value of a provider-facing healthcare app using large-scale analytics

Influenza and other respiratory viruses: standardizing disease severity in surveillance and clinical trials

Barriers to Utilizing Social Media Platforms in Emergency Medicine Residency Programs

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