Mobile Medicine 20 [5 Cr3 1330 Paton]
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This document discusses the use of mobile devices in medicine. It provides a history of mobile devices from PDAs in the 1980s to current smartphones and tablet PCs. It describes how these devices can be used by doctors to access medical references and records, enter patient data, and communicate. Emerging applications of mobile devices include social networking, geopositioning, and integration with electronic medical records and wireless networks. The document suggests future opportunities for mobile devices to improve care coordination, communication between doctors and patients, and data sharing during emergencies.
Mobile Medicine 20 [5 Cr3 1330 Paton]
- 1. Paton, C. et al.: Mobile Medicine 2.0 This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com ) Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php
- 2. Mobile Medicine 2.0 By Dr Chris Paton BMBS BMedSci Research Fellow, University of Auckland PhD Student, University of Otago Director, New Media Medicine Ltd Co-Authors: Alec Holt, Muzaffar Malik, University of Otago
- 3. Glossary PDA = Personal Digital Assistant Smartphone = PDA + Phone WiFi = Wireless Networks UMPC = Ultra-mobile Personal Computer Tablet PC = Tablet Personal Computer MCA = Mobile Clinical Assistant
- 4. Doctor’s PDA and Smartphone Handbook Co-authored with Dr Mo Al-Ubaydli RSM Workshops Produced a series of online Video tutorials
- 5. Mobile Medicine Using mobile devices to help doctors and improve patient care PDAs and Smartphones (i.e. DIY) Tablet PCs (i.e. HIS/EHR) In-betweens (UMPCs, etc) Medical Devices Wireless Networking / Phone Networks
- 6. History of Mobile Medicine Psion Organizers 1980s Apple Newton in 1992 Palm Pilot 1996 Pocket PC Windows Mobile Smartphones Tablet PC UMPC MCA
- 7. My Mobile Computing Palm V in 2000 House Jobs List of Patients List of Jobs Epocrates
- 8. PDAs = Mobile Phones 1 Billion Mobile Phones Sold in 2006 (Source: IDC) - 22% Rise over 2005 5.5 Million PDAs in 2006 - 28.5% Drop over 2005 80.6 Million ‘Converged’ devices - 40% Rise over 2005 Conclusion: What used to be called a ‘PDA’ is now incorporated into mobile phones.
- 9. Operating Systems Pocket PC = Windows Mobile Windows Mobile Phone Edition NOT Windows Mobile Smartphone Edition Palm Treo Palm OS: 650, 680 or 700p Windows Mobile: 700w OSX Apple iPhone Google Android
- 10. Organise yourself Sync with Outlook Add and read appointments Reminders Keep emails on you for reference Push Email – read emails as soon as you get them Contacts Keep and add contacts Beaming
- 11. Downloading Medical Software Free PDA Reference Software Diagnosaurus Epocrates Archimedes Buy PDA Textbooks Skyscape Unbound Medicine PEPID All specialties – most books now available Searchable, hyperlinked, low-weight!
- 12. Archimedes Medical Calculator E.g. BMI GCS Etc, etc
- 13. Oxford Handbook Standard handbook for UK house officers Example of a textbook on PDA Searchable Includes pictures and flow charts
- 14. Create Databases HanDBase Log Books Patient Lists Create any kind of database you like
- 15. Keep Up To Date Evidence Based Software UpToDate Inforetriever Pub Med on Tap AvantGo RSS Feeds Browse the Web
- 16. Mobile Medicine 2.0 Accessing live information vs storing software on the device Enables social networking applications Geographical positioning technology Adds new functions for social networking What are the medical applications of this?
- 17. Geo-Social Networking Mobile Phone Triangulation GPS ZYB Mocospace Migg33 Limejuice
- 18. Web 2.0 Applications Facebook Twitter Google Apps Google Maps
- 19. Connected Medical Tools ePocrates Unbound Medicine Skyscape
- 20. Mobile EMRs LifeRecord iChart
- 21. Problem with PDAs Small screen size Difficulty data entry Not very powerful Can be expensive Poor usability?
- 22. Tablet PCs More suited for integration into Hospital Information Systems Many EHR programs offer Tablet PC support Especially useful for ward rounds and emergency rooms Also used by nursing and paramedical staff
- 23. MCAs – Mobile Clinical Assistants New specification by Intel Coalition of EHR companies Features: Easy carry handle RFID Reader Bar-code Reader Wipe clean
- 24. MCAs Motion Computing and Philips MCAs
- 25. In-Betweens UMPCs Like Tablets but slightly smaller Lower specs Internet Tablets Nokia Useful for wireless environment Poor support from medical software companies
- 26. Wireless Allow PDAs/Smartphones/Tablets to access hospital systems and the internet Start using online resources: PubMed Cochrane Email Access to hospital record systems VOIP / Bleep Replacement Access to internet outside the hospital Virtual private networks Email Communication between medical devices and monitoring equipment and mobile computing units.
- 27. Medical Devices MCA: Barcode and RFID PDA Spirometry ECG BM
- 28. Summary DIY Less people are using PDAs but more Phones have PDA capability Tablets and MCAs have easier data entry Rise of EMR and ePrescribing makes MCAs more useful Social Networking on Mobile Devices just starting
- 29. Possible Medicine 2.0 Applications Emergency department updates, providing a continuous time line of events, flow of data and knowledge through the care period (it is longitudinal and searchable) Small social networks can be created for complicated patients who need close and careful follow-ups, doctors can be notified when lab results arrive Inform nurses and patients about your whereabouts and activities. Tweet Clouds could be utilised, in an instant to provide a snap shot of current admissions, current workload or case type issues for management. Support groups with various health conditions. Ability to participate in "micro-consults" with patients.