1 / 60

Mobile Point of Care Computing: Improving Clinical Decision Making

Join us for an insightful session on mobile point of care computing, where experts Kathleen Carlson, Jacque Doyle, and Robert Marlow discuss the latest tools and resources in mobile medical information. Attendees will review essential mobile decision support tools, compare Disease Oriented Evidence (DOEs) with Patient Oriented Evidence that Matters (POEMs), and learn how to apply these resources effectively in clinical scenarios. Enhance your practice by mastering the use of mobile devices and applications for improved patient care.

lorin
Télécharger la présentation

Mobile Point of Care Computing: Improving Clinical Decision Making

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mobile (Point of Care) Computing Kathleen Carlson, MS, AHIP Jacque Doyle, MS, AHIP, FMLA Robert Marlow, MD MA Howard Silverman, MD, MS Thursday, June 21 ~ 9:30am – 11:00pm

  2. Learning Objectives • Review commonly used mobile medical information resources. • Compare and contrast the attributes of DOEs (Disease Oriented Evidence) and POEMS (Patient Oriented Evidence that Matters). • Review the content of various mobile decision support tools. • Demonstrate the ability to utilize mobile decision support/point of care tools in a variety of clinical scenarios.

  3. Mobile Devices Jacque Doyle & Kathleen Carlson

  4. What type of phone do you own? • iPhone • Android • Blackberry • Other Go to SPOARS http://ars.medicine.arizona.edu

  5. SPOARS Poll Results

  6. What tablet do you own? • I do not own a tablet • iPad • Kindle or Kindle Fire • Nook • Android Go to SPOARS http://ars.medicine.arizona.edu

  7. SPOARS Poll Results

  8. Apps versus WebsitesWhat’s the difference? Why does it matter? • An APP is a software program for your mobile phone or tablet that must be downloaded. May be hardware specific. May require personal subscription. • A website consists of browser-based HTML pages that are linked together and accessed over the Internet. Usually is universally accessible.

  9. Apps and Websites • “By 2020 the specificity of apps vs. Web vs. anything else will begin to fade.” • “We won’t care whether it’s an app, Web app, or other devoted software as long as it gets the task performed seamlessly.” Sam Punnett, President of FAD Research - http://www.pewinternet.org/Reports/2012/Future-of-Apps-and-Web/Main-Findings/User-interface-paradigm.aspx

  10. What laptop do you primarily use? • Mac or Mac with Windows • Windows PC • Android • Other Go to SPOARS http://ars.medicine.arizona.edu

  11. SPOARS Poll Results

  12. Then and Now

  13. Mobile Apps Robert Marlow, MD MA

  14. Point of Care Functions • 2007 study of third-year Family Medicine residents who had clinical questions as they were seeing patients got answers from: • 44% attending physicians • 23% consulting mobile device • 20% books Acad Med 2007; 82(3):298-303

  15. Some useful apps and websites

  16. A great variety

  17. Medical Apps http://www.epocrates.com/mobile/iphone http://dynamed.ebscohost.com/access/mobile(access from Arizona Med)

  18. More Medical Apps http://www.immunizationed.org/ http://tinyurl.com/7hjv9u5

  19. More Apps http://epss.ahrq.gov/PDA/index.jsp £4.99 http://tinyurl.com/2dbssjg

  20. More Apps http://tinyurl.com/7j66t8b $1.99 http://tinyurl.com/83cqers

  21. Dr. Marlowe’s Favorite Apps ABG Acid Base Eating Disorders http://tinyurl.com/82ok2r3http://tinyurl.com/6vhqhwl EFM Guide GBS Guide http://tinyurl.com/7zn2rohhttp://tinyurl.com/6nv7ntv

  22. Dr. Marlowe’s Favorite Apps PE & DVT dx Tool Pneumonia http://tinyurl.com/6pf76n4http://tinyurl.com/7rkym54 PreOpEval Warfarin http://tinyurl.com/7d4fqothttp://tinyurl.com/7ejenw9

  23. Mobile Computing: Assessing Relevance & Validity Robert Marlow, MD MA

  24. It’s not how much you know, it’s how fast you can find the answer.®

  25. Usefulness Equation = Usefulness Relevance x Validity Work

  26. Assessing Relevance • Will this information have a direct bearing on the health of my patient? • Is the population studied similar to my patient (or population)? • Would it change my practice?

  27. Applicability to Practice DOEs(disease oriented evidence) • Increases understanding of disease • How a “disease works” The information requires assuming POEMs (patient oriented evidence that matters) • Evidence that patients care about • Crucial to clinicians The information requires knowing

  28. POEM:Patient-Oriented Evidence that Matters What matters to patients and their doctors? • Morbidity (Fractures, MI) • Mortality • $ Example: HCTZ to treat hypertension lowers stroke, MI

  29. Comparing DOEs and POEMs

  30. Assessing Validity • Pay attention to the Methods • Is there fatal bias? • Do not jump immediately to the results or conclusion without first assessing validity

  31. Mobile Computing: Lab (Let’s Play!)

  32. Case studies and practice • You are in clinic and a family of four comes in to see you for an office visit • We will deal with one family member at a time • Use some of the tools we’ve mentioned

  33. Meet our family...

  34. P.G. is the dad • 50 yo white male • Hx hypertension: BP 145/84 • Nonsmoker • FHx early CAD • Central obesity • Fondness for doughnuts and beer

  35. His labs • Total Cholesterol 236 • HDL 42 • LDL 167 • Triglycerides 385 Does he need treatment for hyperlipidemia? • Yes • No Go to SPOARS for survey http://ars.medicine.arizona.edu

  36. SPOARS Poll Results

  37. If “Yes,” what treatment would you advise? • Diet, exercise, and weight management only for now • Nicotinic acid • Statin • Fibrate Go to SPOARS for survey http://ars.medicine.arizona.edu

  38. SPOARS Poll Results

  39. L.G. is the Mom • 36 yofemale • Ankle injury, hobbled to car • Walked with limp into office • No pain on exam over either lateral or medial malleolus • Slightly tender on exam over dorsal midfoot, but not at base of 5th metatarsal or at navicularbone Does she need an X-Ray? • Yes • No Go to SPOARS for survey http://ars.medicine.arizona.edu

  40. SPOARS Poll Results

  41. Her son, S.G. 6 Month Well Child exam • Has been healthy, last seen at 4 months of age • Was up-to-date on immunizations including the 4-month immunizations given at that visit

  42. Her son, S.G. 6 Month Well Child exam • Has been healthy, last seen at 4 months of age • Was up-to-date on immunizations including the 4-month immunizations given at that visit What immunizations would you order today? • DTaP, Hib, Rotavirus, PCV, IPV, influenza • DTaP, Hib, Rotavirus, PCV, HepB, influenza • DTaP, Hib, Rotavirus, PCV, HepB, IPV, influenza • DTaP, Hib, Rotavirus, PCV, HepB, IPV Go to SPOARS for survey http://ars.medicine.arizona.edu

  43. SPOARS Poll Results

  44. His weight is 16 pounds today • What dose of ibuprofen would you recommend to be given every 6 hours as needed for fever or irritability? • 80 MG • 160 MG • 40 MG Go to SPOARS for survey http://ars.medicine.arizona.edu

  45. SPOARS Poll Results

  46. C.G. 13 yo male Fell Skateboarding Scraped his elbow Picked at the scab for 3 days Now there is a honey colored crust

  47. You diagnose impetigo What antibiotic should you use? • Does not need antibiotic – keep clean with soap and water washes twice daily • Mupirocin ointment applied topically • Bacitracin ointment applied topically • Amoxicillin/clavulanate orally • Penicillin VK orally

More Related