technology in medicine gil c. grimes, md assistant professor of family and community medicine scott...
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Technology in Medicine
Gil C. Grimes, MD
Assistant Professor of Family and Community Medicine
Scott & White Memorial Hospital and ClinicTexas A&M University Health Science CenterScott & White Memorial Hospital and Clinic
Texas A&M University Health Science Center
My Biases
• I use Windows based products
• I use an iPac• I have used Palm in
the past• I love portability• I love not needing
internet access
PocketPC Devices
Why Do I Need a Handheld?
• Fast access to a large amount of info
• Medical math/ calculating drips, etc.
• Protocol, recommendations, formularies
• Use EBM at the bedside
• EMR (electronic medical record)
• Wireless access to WWW
• E/M, CPT coding
Why Do I Need a Handheld?
• Medical references
• Billing, scheduling, reminders
• Electronic prescribing
• Medical documents/ internet content
• Getting rid of yellow stickies/ database
• Software for RNs
Why Do I Need a Handheld?
• Portable
• Calendar, contacts, email, task list, phone numbers, pager numbers, passwords
• Amazing storage capacity, advanced networking, encryption capability
• Procedure logs
• Dictation
Medical Uses
Patient Care– Medical Calculators– Pregnancy Calculators– EBM Tools– Immunization
Schedules– Medical Texts– Prescriptions– Dictation– Medical Records
– Drug References– Antibiotic Guides– Treatment Protocols
– Clinical Decision Tools
– Coding
Medical Software
• Drug References– ePocrates Rx– Johns-Hopkins ABX Guide– LexiDrugs– Sanford Guide– MicroMedex– Pocket PDR– Tarascon Pocket Pharmacopia
Medical Software, Cont.
• Texts and Reference Materials– Washington Manual– Outlines in Clinical Medicine– 5 Minute Clinical Consult– Harrison’s– Immunization Schedules– ER References
Medical Software, Cont
• Clinical Calculators– MedMath– MedCalc– MedRules– Archimedes– ATP-III– ABG Pro– STAT Coder– STAT Cardiac Risk
– Preg Wheel– Many More
Medical Software, Cont
• Evidence Based Medicine Tools– InfoRetriever– DynaMed– EBM Tables– Up to Date– JFP Poems
Medical Software, Cont.
• Prescribing/Dictation– Allscripts– ePhysician– Medical Manager (WebMD)
Commercial Web Sites
Reviews/Advice/Downloads• CollectiveMed.com• Handango.com • HandheldMed.com• MedicalPocketPC.com• PDAcotex.comTalking with health prof• Doctor Palm• PDAMD.com• Wireless Medical
Applications• Ectopic Brain• EMBI.NET
Educational Sites• Dalhousie University• University of Arizona• Children’s National
Medical Center• University of Minnesota
Databases• Handbase.com
USPTF AHRQ tool
InfoRetriever 2007Windows 95/98/NT/ME/2000/XP, PocketPC, Palm and Web
Bayesian diagnostic test / H&P calculator >2000
Basic drug info by class and cost for 1200 drugs
Key evidence-basedtreatment guidelines
Cochrane Databaseof Systematic Reviews:over 1500 abstracts
140 clinical predictionrules
www.InfoPOEMs.com
2400+ short research synopses (400 added per year)
5 Minute Clinical Consult
Photo Atlas >500 photos
Saving Time By Downloading Other’s Databases
www.ddhsoftware.com/gallery
Considerations
• Palm OS vs Pocket PC• At least 128MB w/ 100MB accessible to user for
Palm OS• At least 192 MB total memory (128 MB ROM and 64
MB SDRAM) for Pocket PC• Palm OS tend to be less $ than Pocket PC• Ask yourself what your needs are
– Memory cards, durability, battery life, wireless, screen size/color, price range
– Integrated wireless
• Go to electronics store and look at handhelds
Palm OS• More software• More intuitive interface• Longer battery life• Smaller, compact design• $100 to $600
Pocket PC• Faster, more powerful
processors• Higher-end software• Better screen resolutions• Better wireless capability• Increased security features• Better integration with
Word, Excel, Outlook, and Power Point
• $180 to $700
Basic PocketPC Built-In Functions
Calendar
Contacts
Inbox (Email)
Pocket MS Word
Pocket Excel
Pocket IE
Tasks
Note Pad
Voice Recorder
ActiveSync
Windows Media Player (MP3, video, etc)
Practical Applications
• Demo of programs on my handheld• Useful Websites
– Ectopic Brain http://pbrain.hypermart.net/– The Palmdoc chronicles http://palmdoc.net/– FSU Handheld website
http://med.fsu.edu/library/PDAsoftware.asp– Meister Med http://www.meistermed.com/index.htm– EMBI.NET http://www.embi.net/handheld.html– Skyscape http://www.skyscape.com/index/home.aspx– Handheldmed
http://www.handheldmed.com/Site.New/Pages.php?p=welcome
2005
ISBN 0-387-40329-9
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