Today was the big day. I gave my presentation at about 11:00 am and it cleared the room. There were about 100 attendees for the CPOE presentation just prior to mine and about 90 of those people got up and left when it came time for me to do my thing. I guess mobile pharmacy just isn’t interesting to most people.
Anyway, the presentation is below. There is an embedded video near the end that didn’t pull into SlideShare. It’s about a 30 second look at how we use Citrix on the iPad to access various clinical applications. I attempted to upload in to YouTube, but kept getting an error. I’ll try again later. If you want to see the elongated version of the videos simply go to YouTube and type in “Kaweah Delata iPad“, or something similar, and several options will pop up.
GottaBeMobile.com: Motion Computing is introducing a two peripherals and some software that should help tablet users that work in the healthcare industry. The motion folks are exhibiting their wares at the Healthcare Information and Management Systems Society Conference in Atlanta." - The peripherals being referred to are ReadyDock (PDF) for the C5 and F5 Tablet PCs and a new RAM Mount with integrated lock.
I read an interesting blog today. In the blog the author states that:
An Apple tablet would be the ultimate UI for electronic medical records. With a touch-screen display like the iPhone, using the EMR during an encounter would be simplified. For example, selecting an evaluation and management (E&M) code could be as easy as “dialing in” the code with a swipe of a finger.
Using the iPhone’s intelligent keyboard technology, the device could have a very sophisticated automatic coding tool. Some EMRs can already auto-generate E&M codes based on information collected during the patient encounter. Combine this with the iPhone’s keyboard word suggestion tool, and physicians could rapidly select codes. Additionally, just as the iPhone adapts its keys and layout for different applications, the Mac Tablet could display a unique keyboard setting for each EMR function.
Using iPhone speech recognition technology, physicians could dictate directly into an EMR to create notes, draft narrative reports or generate custom patient instructions. Mac design programs could be repurposed to make a really slick tablet drawing tool for anatomical diagrams that illustrate procedures and diagnoses.
There is no question that I think tablets are underutilized in healthcare. I have pushed them into the hands of pharmacists at my facility and have tried various different things to encourage their use. While I would love to see tablet computers adopted in mass among healthcare systems, I just don't think it's in the cards for the iSlate for several reasons.
The Impact of Mobile Handheld Technology on Hospital Physicians' Work Practices and Patient Care: A Systematic Review1
The Journal of the American Medical Informatics Association
Mirela Prgomet, Andrew Georgiou, Johanna I Westbrook
Abstract
The substantial growth in mobile handheld technologies has heralded the opportunity to provide physicians with access to information, resources, and people at the right time and place. But is this technology delivering the benefits to workflow and patient care promised by increased mobility? The authors conducted a systematic review to examine evidence regarding the impact of mobile handheld technology on hospital physicians' work practices and patient care, focusing on quantification of the espoused virtues of mobile technologies. The authors identified thirteen studies that demonstrated the ability of personal digital assistants (PDAs) to positively impact on areas of rapid response, error prevention, and data management and accessibility. The use of PDAs demonstrates the greatest benefits in contexts where time is a critical factor and a rapid response crucial. However, the extent to which these devices improved outcomes and workflow efficiencies because of their mobility was largely absent from the literature. The paucity of evidence calls for much needed future research that asks explicit questions about the impact the mobility of devices has on work practices and outcomes.
It’s no secret that I’m a big fan of tablet PCs. In fact, I can’t imagine life without one. The reason why acute care pharmacists haven't adopted the tablet PC platform escapes me. My complete opinion on the matter can be found here.
With the growing need for real-time access to patient data it no longer makes sense to be anchored to a desktop PC at the point-of-care. Couple this with the rapid growth of portable technology and you have a rare opportunity to develop a mobile pharmacy practice in the acute care setting. Whether that model will utilize tablet PCs, UMPCs, WebStations, netbooks or other mobile device remains to be seen.