After a week of sitting in iTunes store limbo, RxCalc 1.1 was finally approved and released for download yesterday afternoon. For those of you that don't know about RxCalc, it is a pharmacokinetics calculator made by Apple Core Labs specifically designed to handle aminoglycoside and vancomycin kinetics, i.e. new starts and adjustments. It's exciting for me because I was involved in the creation of the application. You can read more about what drove the idea and the development of RxCalc here if you're interested.
The original version of RxCalc was designed with one thing in mind, to give me the functionality I needed to perform routine pharmacokinetic calculations. The application focused heavily on the math, which has never been an issue. However, the user interface (UI) and options were very basic. It did the job well, but wasn't very flexible for users outside my sphere of influence. That was evident in much of our user feedback.
So, what's new in 1.1? You won't see a lot of changes to the basic UI, but the functionality and usability are significantly better. The user can now configure Units of Measure and adjust the constants used for Volume of Distribution calculations for both the aminoglycosides and vancomycin. This should give people other than myself a much better user experience, i.e. our friends outside the US.

Although this is a PhRMA sponsored (sanofi-aventis) iPhone application, it appears to be very helpful and useful for on-the-go tracking of nutritional information. It seems designed specifically for diabetic patients, however, its uses appear to extend to any disease state where managing nutrition is important (e.g., hypertension, hyperlipidemia, metabolic syndrome, etc.).
I would consider this app in the realm of telemedicine - or at least mobile health - and the only suggestion I have for improvement, at first glance, is the ability to export or somehow otherwise share this information with healthcare providers.
PracticeRx by Doctor’s Digest delivers real time breaking news about medication safety (including instant alerts and hazard alerts of National Importance) to your iPhone/iPod Touch, PLUS the latest practice management and medication safety tips and instant error reporting tools from Doctor's Digest and the Institute for Safe Medication Practices (ISMP).
Doctor’s Digest and ISMP Essential Practice Tips, with links to FREE ISMP medication safety material, and in-depth information on the same or other practice-management topics at www.doctorsdigest.net. Tips will be uploaded twice weekly and are based on cutting-edge information from over 1,600 thought leaders and experts from the Doctor's Digest practice management medical journal and the latest medication safety expertise from ISMP, available in text, audio and video format.
MERP - Medication Errors Reporting Program – - A direct link to a HIPAA-compliant error reporting form from ISMP with three options right from this App: NOW…report errors via one-touch direct dial directly to ISMP, leave a voice-recording, or complete a HIPAA-compliant form.
ISMP – MedSafety Alerts -- Audio Alert accompaniment of urgent drug alerts in real time.
Very cool [free] new application for iPhone - and, eventually, for the iPad - that has built int medication safety information and reporting from ISMP.
“After three months of rumors, details surrounding Epic Systems’ partnership with Apple for a mobile phone-based electronic health record (EHR) application have come to light: Just a few days ago, Epic System’s iPhone application, called Haiku, became available on Apple’s AppStore. Haiku provides authorized clinical users of Epic’s Electronic Health Record with secure access to clinic schedules, hospital patient lists, health summaries, test results and notes. Haiku also supports dictation and In Basket access. Haiku works on both the iPhone and iPod touch,” according to the app’s description on the AppStore.”
This is a very interesting turn of events as rumors regarding Apples new tablet entering the healthcare arena have been swirling around the internet. Could Haiku be the precursor to what we’ll see with the Apple tablet? I sure hope so.

This weeks cool technology comes by way of a comment left at RxInformatics.com in response to a recent post I wrote on smartphones and pharmacy practice.
The author of the comment, @pillguy, is an iPhone fanboy and pharmacy technology guru.
@pillguy: “The iPhone certainly has some promising applications related to EHRs. Airstrip is one of the coolest I have seen.
The smartphone takes PDAs to the next level with access to realtime information. I can see a TheraDoc, Pharmacy OneSource, or Zynx type clinical monitoring/alerting app fit in with the Airstrip suite nicely.”
Installing and using Citrix Receiver on your iPhone/iPod Touch
While at ASHP Midyear a colleague and friend of mine, @pillguy, was able to pull up the pharmacy system at his hospital using Citrix on his iPhone. At that moment I was attacked by a green monster and nearly consumed with envy. I can not yet match this feat of superiority with my Droid, but I'm hopeful.
Citrix Receiver is a free download from Citrix Systems, Inc. available at the iTunes store. To use Citrix Receiver simply go to the iTunes store, download it and follow the onscreen instructions. Below are some screen shots using Citrix Receiver to access applications at my facility.
LIVEdigitally » Blog Archive » The Tablet That Nobody Really Wants…
The author presents some great points for the use of tablet computers in mainstream computing. However, do they have a home in heathcare? Jerry provides a good summary of their use on his website.
Jerry Fahrni » Tablet PCs in pharmacy practice – The technology
The biggest question for me is how will they fit with more portable devices, such as an iPhone?
I can see the need for 2 devices in healthcare. One that is extremely mobile, allowing touch/click access and workflows, mostly for viewing information. The second is for input. Let's face it, a slate tablet is really worse than many phones for input, and much less portable. It does have more screen real estate, but that is about it. For pharmacy practice directly, there is a need to review labs and patient information to make decisions. We also need to write notes. Most of this is done in the hospital environment, where we have access to computers. Maybe I am a cynic when is comes to this technology in the healthcare sector, but right now I do not see a firm niche for its use.
“Your Next Computer” was the feature article in the October 8, 2008 issue of InformationWeek (www.informationweek.com). This article dealt with the question, “Is the smartphone the new laptop? Can we really ditch our Windows-powered portables when we travel, in favor of BlackBerry, iPhone, Windows Mobile or Symbian–powered hand sets?”
Many business professionals are exploring the option of leaving their laptop at home when they travel. If they can lighten their load and still access their company data, customer relationship software and other tools that are needed by the business professional, why not?
If business professionals can use smartphones as tools to increase their time spent with customers, then surely we in healthcare can find a way to help maximize our time and efficiency with our patients. One example of an institution that is way ahead of the technology curve is Doylestown Hospital, a community medical center located near Philadelphia.
The hospitals web site discusses their transition to the use of a smartphone by their physicians in order to gain “access to patient’s vital stats, medical reference applications, and breaking health alerts to provide collaborative and efficient patient care.” The iPhone (www.apple.com/iphone/enterprise/doylestown.html) allowed the physician staff access to the hospital’s electronic medical record system (MEDITECH Client Server 6.0) through the Safari browser, which required secure authentication and provided audit-trail security.