Personal digital assistants change management more often than paper texts and foster patient confidence

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Scott E RudkinAmin A Kazzi

Abstract

Rapid retrieval of information, including drug treatment options, is critical to emergency department practice. To assess feasibility and patient acceptance of personal digital assistants and to determine the scope of management changes. Emergency medicine residents (EMRs, n = 18) and emergency medicine attending (EMAs, n = 12) used personal digital assistants with drug database and clinical references. Text versions were also available in the emergency department. We did a prospective, random, cross-over time-motion study, recording retrieval time, source, and changes to patient care for 16 and 8 h for EMRs and EMAs, respectively. We surveyed patients for confidence in EMRs and EMAs with personal digital assistants, and perceived efficiency. EMRs accessed paper (n = 131) or personal digital assistant (n = 181) information on 92.3% of patients (n = 17, both). They accessed personal digital assistant on 61.4% of patients vs. 44.5% with texts (odds ratio 1.99, 95% confidence interval 1.4-2.80). Mean access times were 9.3 and 9.4 s, respectively, +1.4 for both. Personal digital assistant access was 75%/25% between pharmacopeia and clinical resource. Personal digital assistants changed drug choice in 39/181 patients (21.5%), and ot...Continue Reading

References

Dec 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S B BirdF P Renzi
Apr 25, 2002·Journal of the American Medical Informatics Association : JAMIA·Jeffrey M RothschildDavid W Bates
Oct 18, 2002·Journal of Clinical Pharmacy and Therapeutics·D MagnusA J Avery
Jan 29, 2003·The Annals of Pharmacotherapy·Kristine E Keplar, Christopher J Urbanski
Jun 20, 2003·The New England Journal of Medicine·David W Bates, Atul A Gawande
Aug 20, 2003·Journal of the American Medical Informatics Association : JAMIA·Thomas G McLeodJames F Lymp
Mar 12, 2004·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Robert Barrons
Jul 17, 2004·Journal of Digital Imaging·Richard H Wiggins

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Citations

Apr 15, 2010·Medical Reference Services Quarterly·Mark B StephensScott M Strayer
Jul 16, 2008·BMC Medical Education·Jason Phua, Tow Keang Lim
Sep 1, 2009·Journal of the American Medical Informatics Association : JAMIA·Mirela PrgometJohanna I Westbrook
Oct 30, 2008·Journal of Medical Internet Research·Anna M LindquistGunilla C Nilsson
May 5, 2011·Surgical Neurology International·P L KubbenH Hoogland
Aug 8, 2014·JMIR MHealth and UHealth·José António Nhavoto, Ake Grönlund
Aug 11, 2011·Journal of the American Medical Informatics Association : JAMIA·Po-Yin Yen, Suzanne Bakken
Jan 22, 2013·International Journal of Medical Informatics·Ronen RozenblumDavid W Bates
Jan 20, 2016·The American Journal of Emergency Medicine·Pierre-Géraud ClaretJean Emmanuel de La Coussaye
May 2, 2014·Health Informatics Journal·Judith W Dexheimer, Elizabeth M Borycki
Jul 10, 2010·International Anesthesiology Clinics·Keith Jonathan Ruskin
Mar 24, 2012·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Marisa E DesimoneMary T Korytkowski

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