Erdleymurray Sini2007

Evolving technologies for clinical practice and management: PDAs, tablets, thumb drives, and application software W. Scott Erdley and Peter J. Murray

W. Scott Erdley Clinical Associate Professor, University at Buffalo, NY, USA Fellow, CHIRAD Peter J. Murray Associate Lecturer, The University of Winchester, UK Founding Fellow and Director, CHIRAD

Collaborating on blogs, podcasts, vodcasts and other projects www.hi-blogs.info http://differance-engine.net/SINI2007blog/

Objectives At the completion of the session, the participants will be able to: 1. list a range of current and emerging tools and technologies that are and might be of use in healthcare settings 2. provide examples of ways in which these tools and technologies might be adopted by nurses 3. explain some of the reasons that issues such as patient safety and data access might be influenced by introducing new tools and technologies

Content 1. some current tools and technologies 2. convergence of tools and technologies; new tools 3. how tools and technologies are being used 4. how tools and technologies might impact nursing and healthcare 5. some issues in introducing new technologies into healthcare - 6. some strategies for incorporation into practice 7. a look further into the future - from the NI2006 Post Congress Conference An INTERACTIVE session – please contribute.

Some current tools / technologies

1. Some current tools / technologies (above and beyond PC’s et al)

Technologies

PDAs

Tablets

Smartphones

Biometrics

VoIP

Storage

Use (example)

POC, real-time access

Large screen/writing recognition

All-in-one

Security

Low-cost communication

Real-time data/information; low cost

2. Convergence and new directions

Multi-function devices:

- phone, PDA, email, Internet access, camera, MP3 player ... all in one

What does/will a computer look like?

Online versus local storage

Free software on proprietary OS – and vice versa

Ubiquitous wireless

2. Convergence and new directions

... and then there's Web 2.0 ...

O’Reilly 2004

Second generation of the Web

Web 2.0 doesn't have a

hard boundary ,

but rather, a gravitational core

Collaboration Interaction customization Openness is the core paradigm of content, tools and services in Web 2.0 digital environments

From: http://headrush.typepad.com/creating_passionate_users/2005/10/the_best_thing_.html The best thing about Web 2.0 is that… nobody knows what the hell it really means. Even the ones who coined the term are still struggling to find a compact definition. And this is the true beauty and power of Web 2.0 - it makes people think.

Web 2.0 websites are different from those of early web development, retroactively labelled Web 1.0. They are designed to deliver interactive, versus static, applications to end-users. Their content is characterised by open communication, decentralised authority, and freedom to share and re-use materials across a more dynamic, interlinked and interactive World Wide Web. They are often referred to as 'read/write web' applications.

3. How tools and technologies are being used

Personal

PIM / organizer

Individual clinical use

Reference

Patient tracking

Clinical practice

POC

Reference

EMR interface

Blending

Via WiFi

24/7 accessibility?

4. How tools and technologies might impact nursing and healthcare

Clinical practice

Increased EBP

Increased safety

Decreased errors

Economic

Decreased personal costs

Efficient care

Improved patient conditions

Increased patient care of patient

5. Some issues in introducing new technologies into healthcare Safety Security Training Future-proofing

A look at future interaction with your computer???

http://www.youtube.com/watch?v=PLhMVNdplJc

Future new ‘things’ to watch out for:

Wearables

http://www.zypad.com/zypad/home.aspx

http://www.myvu.com

http://www.redwoodhouse.com/wearable/

6. Some strategies for incorporation into practice

Traditional

Superuser

Train the trainer

Mandate

Active user participation

aka grassroot movement

Workforce tools

Vendor support(ed)

? New – JIT etc.

7. A look further into the future - from the NI2006 Post Congress Conference The changing role of the nurse and nature of nursing Genomics as a basis for healthcare Wearable monitoring and computing Ubiquitous, always-on access A variety of demographic and other timebombs

NURSING INFORMATICS 2020: TOWARDS DEFINING OUR OWN FUTURE (available August 2007) Further information and contact www.hi-blogs.info (for link to full presentation) [email_address] [email_address]