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Handheld Computers in
Medicine
Christopher A. Sarley
Lehigh Valley Hospital
Allentown, Pa.
HeSCA 2002, Winnipeg
Handheld Computers
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HeSCA 2002, Winnipeg
20% - 40% Physicians using handheld
computers
Estimated that 85% will be using
handhelds by 2003
Potential time saver
Potential money saver
Potential for reduced errors
Clinical Applications
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HeSCA 2002, Winnipeg
Clinical drug references
Electronic prescription tools
Clinical textbooks
Patient tracking
Evidence based reference
ePocrates
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ePocrates, Inc.
www.epocrates.com
HeSCA 2002, Winnipeg
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Available for Palm OS
2600+ medications
Adult & Peds dosing
Packaging & Pricing info
Rx – Automatically updated
DocAlerts – product updates
MultiCheck drug interactions
Formulary available for AK, CA, DE,
GA, MA, MN, OR, TX, WA, AZ, CT,
FL, KN, MI, MO, OH, PA, VA
Alternative medication application
in development
Mobile Micromedex
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Free to Micromedex Healthcare
series subscribers
Available for Palm and Win CE
Consists of:
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HeSCA 2002, Winnipeg
Acute Care Info
Alt Med Info (> 265 herbal
supplements)
Drug Info (> 1400 monographs)
Toxicology Info
Drug interaction tool available at
additional cost
Updated Quarterly
Must download and reinstall to
update
Micromedex
www.micromedex.com
Other Medication References
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Tarascon’s ePharmacopoeia
Franklin Pocket PDR
Lexidrugs (www.lexi.com)
Physicians Drug Handbook (www.handheldmed.com)
The Medical Letter Adverse Drug Interactions
database
HeSCA 2002, Winnipeg
Electronic Prescription Tools
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iScribe
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ePhysician
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HeSCA 2002, Winnipeg
Available for Palm OS
Prints prescription via Infrared
Integrates with practice management system
Point of care charge capturing
Sends prescription directly to pharmacy
Clinical Texts
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HeSCA 2002, Winnipeg
Harrison’s Principles of Internal Medicine
5 Minute Clinical Consult
5 Minute Pediatric Consult
Merck Manual
Washington Manual of Medical Therapeutics
Physicians Drug Handbook
Reference Tools
HeSCA 2002, Winnipeg
Ovid @hand
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Available for Palm OS
Windows CE version in
development
HeSCA 2002, Winnipeg
Ovid @hand
HeSCA 2002, Winnipeg
Ovid @hand
HeSCA 2002, Winnipeg
AvantGo
HandHeld Med
Channels
Up-To-Date
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Point of care information
Available for Handheld by
end of 2002
Windows CE
Estimated 1GB memory
HeSCA 2002, Winnipeg
Patient Tracking
HeSCA 2002, Winnipeg
Patient Tracker
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Available for Palm and
Windows CE
Integrates with
desktop application
Beam data to other
Patient Tracker users
Beam info to Ir
equipped printer
HeSCA 2002, Winnipeg
Patient Keeper
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Available for Palm OS devices
Integrates with a variety of health
management systems
HeSCA 2002, Winnipeg
Security / HIPAA
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Protect data in multiple ways
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HeSCA 2002, Winnipeg
Require hardware password
Require application password
Validate user and device separately when
synching institutional data
Encrypt Pt. Data stored
Follow established internal HIPAA / security
guidelines
EBM Tools
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InfoRetriever
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HeSCA 2002, Winnipeg
Includes 5 minute clinical consult
w/ images
1200 abstracts from Cochrane
Database of Systematic Reviews
Clinical prediction rules
Evidence based treatment
guideleines
Windows CE & Palm
Calculators
HeSCA 2002, Winnipeg
MedMath
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More than 30 Common clinical
formulas
Selectable units of measure
Sorted by category
HeSCA 2002, Winnipeg
Other calculators
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HeSCA 2002, Winnipeg
Med Calc
PregPro
Pregnancy Wheel
TPN Reference
Education
HeSCA 2002, Winnipeg
AvantGo
Eye Module Digital Camera
HeSCA 2002, Winnipeg
Additional Uses
HeSCA 2002, Winnipeg
Active ECG
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FDA Approved cardiac
monitor
Available for Palm based
devices
Emergency settings
Clinical Office setting
Home Health Care
HeSCA 2002, Winnipeg
Prehospital
R-EMStat
www.med-media.com
HeSCA 2002, Winnipeg
Prehospital
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Emergency Medical System
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Fire Emergencies
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HeSCA 2002, Winnipeg
Patient information
Emergency Field Guide
Incident Tracking
Emergency Field Guide
Integrates with base station
computer
Which Device is better?
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Determine which applications you
will need
Use different devices if possible
before purchasing
Prominence of a particular device
in your environment
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Memory
Running programs from
expansion cards
Windows CE
 HHPC v PPC
 Device specific applications
Both Palm and Windows CE platforms offer a variety of excellent choices
HeSCA 2002, Winnipeg
Resources
educ.ahsl.arizona.edu/pda/art.htm
HeSCA 2002, Winnipeg
Resources
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Web Sites
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Listserv
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HeSCA 2002, Winnipeg
www.pdamd.com
www.handhledmed.com
Palm-Med (Univ. Michigan)
Med-Ed (AAMC)