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Mobile Medicine 20 [5 Cr3 1330 Paton]

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Mobile Medicine 20 [5 Cr3 1330 Paton]

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