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8/3/2019 Handheld Device
1/21
Click to edit Master subtitle style
5/1/12
Use of Handhelddevices in clinicalpractices
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Content
Introduction
Features
Brands
Benefit
Case study
Conclusion
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introduction
A handheld device is a pocket-sizedcomputing device, typically having a displayscreen with touch input and a miniaturekeyboard.
Handheld devices store clinical data at thepoint of care,
Used for transferring information between
different health entities including hospitals,doctors, technicians, public healthorganizations, enable tele andvideoconferencing etc.
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ExamplesPersonal digital assistant(PDA).Smart phones ,
Enterprise digital assistants like barcode,
RFID,
smart card readers, ,
tablet PC,ultra mobile PC.
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statistics
Number of Physicians who use handheldcomputers increased from 15 percent in 1999to 26 percent in 2001 and concluded that 60percent of all physicians will use a handheldby 2012.
LaRochelle, B. (2008) Health Management Technology23(10):67-68
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Features
Have and Operating System.
Use handwriting recognition, or keyboards.
Software to perform basic tasks.
Have a display or viewing screen.
Have devices (i.e. cradle, wireless modems)
Are battery operated.Can connect to a PCs serial port (USP)
Can be Synchronized with a desktop.
Can be locked for security issues i.e. Only Me
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BRANDS
Cingular Treo 650 GSM Tungsten C
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Zire72
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9/215/1/12iPAQ h5555
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HP iPaq H5550
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Physician can
Read the complete medical records ofpatients.
Check Lab reports.
Diagnose illnesses.
Write prescriptions.
Communicate with Nursing staff.
ICD-9 Clear Coder :Physicians can entertheir own codes at the point of care,improving coding accuracy andreimbursement rates.
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General Uses of PDA for HCP
Store reference material
Function as specialized calculators
Aid in the billing process
Control hospital inventory
Track & collect patient data
Perform organizational tasks & scheduling
Access the InternetProvide patient education material
Read medical journals
Transmit electronic prescriptions
Voice recordin .
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Case study
Objective
Methodology
Workflow
Result
Advantages & Disadvantages
conclusion
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Objective
Adoption and use of PDA devices by thephysician.
The aim of this study was to implement high
quality bed side documentation by usinghandheld devices without purchasingexpensive system.
Sample size=50 physician
Venue=Eureka Hospital,
California
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Methodology
Hospital provide window based PDA devicewith digital dictation device to physician.
Handheld computer saved the files under
Notes of the windows CE operating system.Physician can enter progress notes in the PDA
by using their handwriting or displaykeyboard,
pre defined text blocks
can be used.
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Result
One to four weeks were needed to gainexperience with the handheld computers anddictating machines.
The user were able to use the devices fordictation and could synchronies them withthe network.
No user preferred to enter data into the PDA
by using handwriting recognition function.
Additionally, the PDAs could be used to writeemails using Microsoft outlook.
Further more, medical literature, drug lists,
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Advantages & DisadvantagesAdvantages
Good documentation
Reduction of workload
Legible progress note
Integration of progress notes into digitalpatient record
Memory function for appointments & dates
Disadvantages
Insufficient memory
Difficult to t e
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conclusion
PDAs will soon take full advantage of wirelesscommunication technology.
Integrate EMR, EBM, medical references,
guideline implementation & allowcoordination of clinical communications.
Using PDAs improve the quality & continuityof patient care.
PDAs to be essential as stethoscope
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references
Manhattan Research LLC. Data Highlights:Physician PDA Users. 2009; 2010:
Orlikowski, W and Hofman, D. An
improvisational model for changemanagement: the case of groupwaretechnologies. Sloan Manage Rev. 2008; 11-21.
Kaluzny, A and Vency, J. Types of change and
hospital planning strategies. Am J HealthPlann. 2010; 1:13-19.
Smith, D and Kaluzny, A. The WhiteLabyrinth. Chicago, IL: Health AdministrationPress; 2005.
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