5. (iPad or iPads) AND (physician OR
physicians OR doctor OR doctors)
Mobile reference
Patient education
Imaging
Building applications
Complete questionnaires
6. Seminal article?
CIS-based registration of quality of life in a single source approach
Abstract: Background: Documenting quality of life (QoL) in routine medical care and using it both for treatment and for
clinical research is not common, although such information is absolutely valuable for physicians and patients alike. We
therefore aimed at developing an efficient method to integrate quality of life information into the clinical information
system (CIS) and thus make it available for clinical care and secondary use.
Methods: We piloted our method in three different medical departments, using five different QoL questionnaires. In
this setting we used structured interviews and onsite observations to perform workflow and form analyses. The forms
and pertinent data reports were implemented using the integrated tools of the local CIS. A web-based application for
mobile devices was developed based on XML schemata to facilitate data import into the CIS. Data exports of the CIS
were analysed with statistical software to perform an analysis of data quality.
Results: The quality of life questionnaires are now regularly documented by patients and physicians. The resulting data
is available in the Electronic Health Record (EHR) and can be used for treatment purposes and communication as well
completion of questionnaires by the patients
as research functionalities. The
themselves using a mobile device (iPad) and the import of the respective data into
the CIS forms were successfully tested in a pilot installation. The quality of data is rendered high by the use of
automatic score calculations as well as the automatic creation of forms for follow-up documentation. The QoL data was
exported to research databases for use in scientific analysis.
Conclusion: The CIS-based QoL is technically feasible, clinically accepted and provides an excellent quality of data for
medical treatment and clinical research. Our approach with a commercial CIS and the web-based application is
transferable to other sites.
13. 30
25
20
15
10
5
0
Epocrates Medscape PubMed UpToDate Google electronic medical journal sites/apps association Other
record sites/apps
14.
15. iPad Use
Our study ITG survey of 600 physicians
Have you Do you have
used an iPad an iPad or
before? tablet device?
http://alert.marketingresearch.org/documents/Alert_1111.pdf
17. look things up while in a patient’s room
pull up images for patients to view
imaging software to help inform patients
during pre-operative and post-operative
evaluation
show neuro patients images of the brain
demonstrate videos to patients
18. quicker access to help with
diagnosis, medical orders, and
literature searches
dosage
film review
diagnostic assessment criteria
conduct search in the room with patient
19. Will any iPad do?
Are physicians interested
in borrowing iPads?
http://appadvice.com/appnn/2012/06/apple-launches-new-ipad-tv-ad-shows-how-versatile-the-companys-tablet-can-be
20. • Physicians
vs. nurses
• Craft a
message
specific to
each group
http://askanmd.blogspot.com/2009/10/nurses-vs-residents.html
24. What is the iCloud?
• Access what you have
downloaded on any of
your devices
• “iCloud stores your
music, photos, docume
nts, and more and
wirelessly pushes them
to all your devices”
• http://www.apple.com/
icloud/
25.
26.
27. • Anatomy Atlas imaging
for patient education
• Skype for telemedicine
• for
reference and clinical decision support
29. Acknowledgements
• Yanira Garcia- • Rebecca Jerome
Barcena • Brenda Linares
• Mary Moore, PhD • NN/LM Southeastern
• JoAnn Van Schaik Atlantic Region
• Faculty and staff of • National Library of
the Calder Medicine
Memorial Library
This project has been funded in whole or in part with Federal funds from the
National Library of Medicine, National Institutes of Health, Department of Health
and Human Services, under Contract No. HHS-N-276-2011-00004-C with the
University of Maryland Baltimore.
http://www.flickr.com/photos/45409431@N00/3272079115
I think we can all agree that physicians are using iPads increasingly more to support their work. We may have seen them in our institutions or we may have seen them at our own bedside. However, this may be more of a collective “feeling” rather than an evidence-based decision.
What does the literature tell us?
Complete questionnaires leads me to the next topic
Only article with any citations – 4 citations total
There is a need for librarians to get involved.
There is a need for librarians to get involved. We can get involved in everything mentioned in the literature.
Phase One
Identifying apps
We set up office hours in the physicians cafeteria and general hospital cafeteria and administered 46 paper-based surveys over six sessions. We obtained permission from hospital staff to set up a table in the entry way. We approached physicians by asking them about their use of mobile resources and inquiring whether they’d be interested in participating in an iPad study.
What resources (websites, databases, etc) do you use for patient care?
In that other category
ITG survey mentioned in the last MLA webcastWhen was survey conducted? Any more recent data?
If you had an iPad, how would you use it to improve patient care?This is an area where it helps to have librarians at the table during the discussions regarding electronic medical records. I have heard from medical librarians who are heavily involved in this area that physicians often can access EMRs through Citrix (proxy).
If you had an iPad, how would you use it to improve patient care?
If you had an iPad, how would you use it to improve patient care?In summary Electronic medical recordsPatient demonstrationsClinical decision support tools
Observations
While physicians already had iPads and weren’t interested in borrowing, nurses spoke about limitations with mobile devices and often said they weren’t able to use mobile devices for health information due to limited funds and no institutional device.Specific message – we were targeting physicians, so we didn’t have much to say when confronted with nurses. Perhaps different handouts for each group.
Many of the people we spoke with didn’t even know we had a hospital library. This was a great way to increase visibility of the library’s services as well as a way to find out what our patrons were using.
Phase Two – the next step was to loan iPads purchased through an NN/LM Award to selected participants
The first hurdle was how to make sure that everyone had the same apps on their iPads. We also wanted to have a way to push content to people if need be.
Accessories – concern about the cleanliness of iPads in the healthcare setting. Perhaps it would be a good idea to encourage iPad users to use bleach wipes to make sure that their iPads stay clean.
Liability StatementHow are you using the iPad to improve clinical care?What resources are most useful to you?What have you downloaded to the iPad?What would you like to download to the iPad?What surprised you about using the iPad?
Warning of graphic imagesYou may have heard of the recent highlighted story in the local and national media of Ronald Poppo who suffered significant facial mauling and was cared for by my service at Jackson.He was seen on several occasions in follow-up in my clinic after being discharged from the hospital. There was one particular appointment when I used the iPad you provided to me to Skype with some of his other doctors involved in his care who were in another part of the country at the time.
You may have heard of the recent highlighted story in the local and national media of Ronald Poppo who suffered significant facial mauling and was cared for by my service at Jackson.He was seen on several occasions in follow-up in my clinic after being discharged from the hospital. There was one particular appointment when I used the iPad you provided to me to Skype with some of his other doctors involved in his care who were in another part of the country at the time.This is clearly a tool that is helping physicians support world class patient care. We as librarians can support this activity by recommending apps and instructing on the use of technology. This is another avenue for us to pursue to be seen as part of the clinical team. It highlights the importance of information literacy and promotes the reputation that librarians are tech-savvy and focused on improving patient care.
