Personal digital assistants change management more often than paper texts and foster patient confidence

Rudkin, Scott; Langdorf, Mark I.; Macias, Demian; Oman, Jennifer A.; Kazzi, Amin

doi:10.1097/01.mej.0000192049.04729.0c

Cited by 34 publications

(27 citation statements)

References 10 publications

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“…For example, a MEDLINE search combining ''attitude to computers'' and ''emergency medicine'' identified only two articles: one comparing personal digital assistants with paper texts and a second assessing a computer-aided instructional program for the pediatric ED. 6,7 Similarly, a second search combining ''computer literacy'' and ''emergency medicine'' also brought up two articles. A 1993 survey reported that medical school computer training was variable and recommended implementing a residency-based computer curriculum.…”

Section: Recommendationmentioning

confidence: 99%

Informatics and Knowledge Translation

Bullard

Emond

Graham

et al. 2007

Academic Emergency Medicine

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To ensure that the benefits of knowledge translation synthesis are accessible to care providers at the point of decision-making, fast, efficient, usable clinical information systems are required. Medical informatics appears to hold the greatest promise to be able to create systems with the necessary capacity and functionality. Emergency medicine needs to be actively engaged at all levels of the process. This includes driving the development and filtering of emergency-specific synopses and summaries. It requires advocating for hardware and software that suit the needs of the emergency department environment. It is increasingly important to educate and participate on committees with funders and policy-makers to ensure they support this growing evolution. To determine the outcome of these initiatives, careful evaluation is required to inform the discussion. End-users need to be actively involved in the development and usability testing of clinical information retrieval technology and clinical decision-support systems and make certain relevant best evidence is readily accessible and formatted to meet the needs of the working emergency physician. The integration of knowledge translation into clinical practice, and the impact of delivering electronic clinical decision-support, requires methodologically sound studies to confirm or refute its benefits and guide future development of medical informatics.

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Section: Recommendationmentioning

confidence: 99%

Informatics and Knowledge Translation

Bullard

Emond

Graham

et al. 2007

Academic Emergency Medicine

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“…PDAs decrease medication errors, 3 allow faster access to medical reference material, and augment patient confidence. 4 Medical students feel that PDA use enhances their clinical clerkship experiences. 5 Approximately 60-70% of medical students and residents utilize PDAs in support of undergraduate or graduate medical education in both the preclinical and clinical environments.…”

Section: Introductionmentioning

confidence: 99%

Institutional Support for Handheld Computing: Clinical and Educational Lessons Learned

Stephens

Waechter

Williams

et al. 2010

Medical Reference Services Quarterly

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Handheld computing devices, or personal digital assistants (PDAs), are used often in the health care setting. They provide a convenient way to store and carry either personal or reference information and can be used to accomplish other tasks associated with patient care. This article reports clinical and educational lessons learned from a longitudinal institutional initiative designed to provide medical students with PDAs to facilitate patient care and assist with clinical learning.

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“…In addition, one [41] compared daily and weekly registrations of self-reported health status measures between PDA and paper-pencil (PP) format regarding scores, variation, and feasibility; one [42] feasibility of using PDA-based system for tracking and analysis of food intake for pregnant women; one [43] compared the completeness of data collection using a paper and PDA-based system. Other studies, assessed feasibility and patient acceptance of PDAs for collection of health data [68]; one [58] evaluated the quality of data on sexual behavior data collected with PDA-based system in comparison with paper-based questionnaires; and one [61] explored the acceptability of PDA for HIV/AIDS data collection and to identified potential barriers to acceptance.…”

Section: Resultsmentioning

confidence: 99%

Mobile Technologies and Geographic Information Systems to Improve Health Care Systems: A Literature Review

Nhavoto¹,

Grönlund²

2014

JMIR mHealth uHealth

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BackgroundA growing body of research has employed mobile technologies and geographic information systems (GIS) for enhancing health care and health information systems, but there is yet a lack of studies of how these two types of systems are integrated together into the information infrastructure of an organization so as to provide a basis for data analysis and decision support. Integration of data and technical systems across the organization is necessary for efficient large-scale implementation.ObjectiveThe aim of this paper is to identify how mobile technologies and GIS applications have been used, independently as well as in combination, for improving health care.MethodsThe electronic databases PubMed, BioMed Central, Wiley Online Library, Scopus, Science Direct, and Web of Science were searched to retrieve English language articles published in international academic journals after 2005. Only articles addressing the use of mobile or GIS technologies and that met a prespecified keyword strategy were selected for review.ResultsA total of 271 articles were selected, among which 220 concerned mobile technologies and 51 GIS. Most articles concern developed countries (198/271, 73.1%), and in particular the United States (81/271, 29.9%), United Kingdom (31/271, 11.4%), and Canada (14/271, 5.2%). Applications of mobile technologies can be categorized by six themes: treatment and disease management, data collection and disease surveillance, health support systems, health promotion and disease prevention, communication between patients and health care providers or among providers, and medical education. GIS applications can be categorized by four themes: disease surveillance, health support systems, health promotion and disease prevention, and communication to or between health care providers. Mobile applications typically focus on using text messaging (short message service, SMS) for communication between patients and health care providers, most prominently reminders and advice to patients. These applications generally have modest benefits and may be appropriate for implementation. Integration of health data using GIS technology also exhibit modest benefits such as improved understanding of the interplay of psychological, social, environmental, area-level, and sociodemographic influences on physical activity. The studies evaluated showed promising results in helping patients treating different illnesses and managing their condition effectively. However, most studies use small sample sizes and short intervention periods, which means limited clinical or statistical significance.ConclusionsA vast majority of the papers report positive results, including retention rate, benefits for patients, and economic gains for the health care provider. However, implementation issues are little discussed, which means the reasons for the scarcity of large-scale implementations, which might be expected given the overwhelmingly positive results, are yet unclear. There is also little combination between GIS and mobile technologies. In or...

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Personal digital assistants change management more often than paper texts and foster patient confidence

Abstract: Personal digital assistants are feasible in an academic emergency department and change management more often than texts. EMRs accessed personal digital assistants more often than paper texts. Patient perceptions of physicians who use personal digital assistants are neutral or favorable.

Cited by 34 publications

References 10 publications

Informatics and Knowledge Translation

Informatics and Knowledge Translation

Institutional Support for Handheld Computing: Clinical and Educational Lessons Learned

Mobile Technologies and Geographic Information Systems to Improve Health Care Systems: A Literature Review

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