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    04.12.09.Handout 04.12.09.Handout Document Transcript

    • Alexis Medical Limited Handheld computers for doctors workshop Date: December 9th 2004
    • Alexis Medical Workshop Handheld computers for doctors workshop 9th December 2004 Handheld computers for doctors • Book – ISBN 0470858990 – www.handheldsfordoctors.com/book Guest Speaker at • Web site – www.handheldsfordoctors.com/learn Alexis Medical - • Shopping advice – www.handheldsfordoctors.com/shop PDA Workshop BMJ review Summary points Day. • Handheld computers are suited to clinical practice because they are small, affordable, and easy to use; can read handwriting; and have a long battery life • They can run a wide range of medical software • The devices support clinical teamwork by making it easy to share Dr Mohammed information with other clinicians' PCs and handheld computers • Ensuring security of your patients' data is vital and requires some effort • Make sure your budget includes money for software, textbooks, and Al-Ubaydli hardware expansions Al-Ubaydli M, BMJ . 2004 May 15;328(7449):1181-4 Example projects • QEH hematology department – chapter 12 of “Handheld computers for doctors” and as a paper: Mohammad Al-Ubaydli, Laura Deans: Introduction Of Handheld Computers Into The Haematology Department Of A District General Hospital. The Internet Journal of Pediatrics and Neonatology. 2003. Volume 3 Number 1. http://www.mo.md/id155.htm • QEH family practice – chapter 13 of “Handheld computers for doctors”. We discussed with the GPs instances when the practice's reliance on paperwork was most irritating to the doctors. Three areas became apparent: 1 - The personal development plan; 2 - Tracking of expenses; 3 - The cataloguing of useful clinical literature. http://www.handheldsfordoctors.com/book/text/chapter13.htm Tutorials • Installing Software - www.pdamd.com/vertical/tutorials/guides/installsoftware.xml • Beaming data - www.pdamd.com/vertical/tutorials/beaming.xml Alexis Medical Limited The Information contained in this document or any attachment is confidential and/or legally privileged. This document is intended to be reviewed by the intended recipient only. In no way whatsoever is any information in this document to be passed on, disseminated or copied to any organisation outside of that which the intended recipient is employed.
    • Biography Mohammad Al-Ubaydli is a Tools doctor and programmer who • HanDBase – a fully featured relational database. The “relational” bit uses IT to improve healthcare. means it can elegantly handle complex information, and is the standard for database programs on PCs. To have squeezed these He has worked for several capabilities into the confines of a PDA was impressive in the early institutions and companies days of underpowered Palm models. Pervious versions have efficiently handled data creation, storage and searching. Through the around the UK and the USA, infrared beam, beaming and printing were also possible. The new version improves the interface for all these features, making most including the development of tasks easier, or simpler. the software for Project Palm http://www.handheldsfordoctors.com/learn/organisation/handba se3review.htm at Cambridge University, which • RepliGo - the Acrobat Reader program on handheld computers is allowed medical students to awful. RepliGo does the job much better. First, the conversion is share their learning using intuitive and quick as you simply print the document, and choose RepliGo as your printer. Second, the software's text reflow and handhelds. In 2001 he co- rotated icons are intelligently programmed to allow better readability of the document on a small device. founded Medical Approaches, http://www.handheldsfordoctors.com/learn/ebooks/repligo.htm which published the world's first peer-reviewed electronic • InfoPOEMs – a database system of filtered, synopsized, evidence- based information. InfoRetriever searches a full spectrum of medical text, available for all evidence-based content and tools: all POEMs and Cochrane handheld platforms. In 2003 he Systematic Review abstracts, more than 140 decision support tools, more than 1,800 diagnostic calculators supporting selection and wrote quot;Handheld Computers interpretation of diagnostic tests and the H&P, and over 700 summaries of evidence-based practice guidelines. Plus, the full 5- for Doctorsquot;, which gained 4/4 Minute Clinical Consult, and more. stars from the BMJ. He is now http://www.infopoems.com/ a Visiting Research Fellow at • DatePak – DatePak allows you to share calendars with the rest of your team. It is a simple idea, but it solves a big problem well. When the National Centre for junior doctors join a hospital, they are inundated with leaflets about Biotechnology Information at teaching sessions. They are also advised to constantly check several locations where new information about teaching sessions will be the National Institutes of announced. Of course, doctors have a busy schedule, and they are not expected to be able to attend every session. But with such an Health (NIH) in the USA. intensive training, it is a real shame to miss sessions through not being aware of the schedule. http://www.handheldsfordoctors.com/learn/organisation/datepak email: me@mo.md .htm • Customising intranets for handheld computers – Al-Ubaydli, M: Principles for designing hospital intranets for handheld computer web: www.mo.md user. Vine 2003: 33; issue 2. In print. This was based on original article, published at: http://www.handheldsfordoctors.com/learn/wireless/principles.htm Alexis Medical Limited The Information contained in this document or any attachment is confidential and/or legally privileged. This document is intended to be reviewed by the intended recipient only. In no way whatsoever is any information in this document to be passed on, disseminated or copied to any organisation outside of that which the intended recipient is employed.
    • Making your Handheld Secure Mohammad Al-Ubaydli email mo@mo.md web http://www.mo.md “The only real security that a man will have in this world is a reserve of knowledge, experience, and ability.” Henry Ford (1863 – 1947) The male changing room in the surgical theatre of my clinical school has a security camera. I know this because my Palm Pilot was stolen from me during my time as a clinical student, and the camera spotted the thief. When the police returned my machine, I found that all my data was lost. The data loss was planned, because I had installed security software. There are several levels at which you can make your data safe on your handheld. The main point, however, is that the existing software that comes with your machine does not provide any reliable security. Furthermore when you connect your handheld computer to your personal computer, the data is copied to there as well, so you must secure both machines. To start with, you can password-protect your handheld computer. For Palm-compatible machines, TealLock1 provides excellent security, and the equivalent on Pocket PC machines is SafeGuard PDA2. Both can lock the machine after a specific period (15 minutes is a ward round- friendly duration) and can be unlocked quickly by the correct user (the keypad is thumb-friendly). The next layer of protection is to secure particular data of your handheld. For example eWallet3 requires a password before granting access to my credit cards details, while HanDBase4 allows password- protection of my clinical databases. Both are available for the Palm and Pocket PC, and both encrypt the data. In the long run, however, security of data might be improved by wireless networks. These would allow the sensitive data to be stored on a central computer, which would only be accessed through password- protected machines within range. Once outside this range (for example when a clinician takes their handheld home) the data would no longer be on the handheld computer. An alternative aspect to security is protection from viruses. At the moment, there are few viruses that target handheld computers, and most of them enter the machines when they connect to personal computers. That’s why most anti-viral packages, such as those by Norton and McAfee, monitor the connection for malicious code. But there is still the risk of viruses when two handheld computers connect to each other through their infra-red beams. Software is already available that monitors this route5, at considerable expense. Alexis Medical Limited The Information contained in this document or any attachment is confidential and/or legally privileged. This document is intended to be reviewed by the intended recipient only. In no way whatsoever is any information in this document to be passed on, disseminated or copied to any organisation outside of that which the intended recipient is employed.
    • But perhaps the most important defense against such dangers may well be education. Kevin Mitnick, one of the world’s most notorious hackers, was able to access so much “secure” computer data because he manipulated the humans who were using the computers6. They routinely gave him their passwords. Such education begins with risk analysis. The team involved in deploying the handhelds should consider the gaps in security; take reasonable steps to plug the gaps; and most importantly, educate the end users about the gaps. The NHS Information Authority provides a rather useful toolkit7 for going through these steps, as part of compliance with British Standard 7799. Good security must include good habits, such as holding onto your machine rather than leaving it in the surgical theatre changing rooms. 1. TealLock: http://www.tealinfo.com 2. SafeGuard PDA: http://www.utimaco.com 3. eWallet: http://www.iliumsoft.com 4. HanDBase: http://www.ddhsoftware.com 5. F-secure: http://www.f-secure.com 6. K Mitnick, W Simon, The Art of Deception: Controlling the Human Element of Security, ISBN 0471237124 7. Available on request from the NHSIA’s Security Risk Manager, Tom Lillywhite tom.lillywhite@nhsia.nhs.uk Mohammad Al-Ubaydli is the author of Handheld computers for doctors Alexis Medical Limited The Information contained in this document or any attachment is confidential and/or legally privileged. This document is intended to be reviewed by the intended recipient only. In no way whatsoever is any information in this document to be passed on, disseminated or copied to any organisation outside of that which the intended recipient is employed.
    • Handheld Computers For Doctors NEW! This book champions the idea that handheld computers have a significant role to play in the future of clinical practice. It shows why and how palm devices can help reduce paperwork, and how to use the technology without waiting for the IT department's latest expensive, complicated and overdue solution. If you work in hospital or community medicine, you can take advantage of technology that is affordable, powerful, easy and effective. Handheld computers can be used for education, administration and clinical practice, and in association with colleagues to support communication and teamwork. Addresses the uses of handheld computers in clinical practice Explains the basics of handheld technology in everyday language Outlines all possible applications of handheld computers in a medical setting Features case studies within three different medical groups Authors/Editors Provides guidance for introducing handheld technology to colleagues MOHAMMAD AL-UBAYDLI CONTENTS: Section One: Why Star Trek is science past. So, you'd like a handheld. National Institutes of Choosing hardware. Choosing software for yourself. Organizing your Health, Bethesda, life. Taking lecture notes. Keeping track of patient details. Medical references. Reading electronic books. Games for ward rounds. Carrying Maryland, USA the web with you. Handhelds for patients. Section Two: Why two handhelds are better than one. Case 1 - The haematology department. Case 2 - The General Practice surgery. Case 3 - The acute medicine department. Bibliographic Section Three: On being a project champion. Making change happen. Talking to the IT department. Choosing software for the team. Training. Information Electronic documents. Getting the funding. Appendix: Accompanying website. ISBN: 0-470-85899-0 Index. Pub. Date: March 2003 Who should read the title? Format: Paperback Professionals - doctors, nurses, hospital managers, clinical IT staff and medical librarians around the world. Price: £19.99 €29.90 Also of interest to undergraduate nurses and doctors wanting to organise their education and career. www.handheldsfordoctors.com The Information contained in this document or any attachment is confidential and/or legally privileged. This document is intended to be reviewed by the intended recipient only. In no way whatsoever is any information in this document to be passed on, disseminated or copied to any organisation outside of that which the intended recipient is employed.
    • Order Form How to Order Phone your credit card order UK Freefone 0800 243407 Overseas +44 1243 843294 (Please tick box) Fax your order form to: +44 (0) 1243 843296 Handheld Computers for Doctors Post your order form to: Customer Service, John Wiley & Sons Ltd, 1 Oldlands Way, Bognor Regis, West Sussex, PO22 9SA, UK Hbk 0-470-85899-0 £19.99 / €29.90 Pub Date: March 2003 email: customer@wiley.co.uk Please include your postal delivery address. PLEASE QUOTE THE PROMOTION CODE SHOWN AT THE BOTTOM OF THIS PAGE Payment Methods Stay informed by Post or Email (Please tick one box only) Check out our new alerting service at: CHEQUE ENCLOSED PAYABLE TO JOHN W ILEY & www.wileyeurope.com/email SONS LTD FOR THE SUM OF : ________________ ALTERNATIVELY PLEASE INDICATE YOUR AREAS OF INTEREST: PLEASE CHARGE MY CREDIT/CHARGE CARD SWITCH MASTERCARD VISA AMERICAN EXPRESS DINERS CLUB JCB CARD NUMBER START DATE EXPIRY DATE Your Personal Data SWITCH ISSUE NUMBER We, John Wiley & Sons Ltd, will use the information you have provided to fulfilyour request. In addition, we would like to: CARD S ECURITY CODE 1. Use your information to keep you informed by post, e-mail or REQUIRED FOR SWITCH, MASTERCARD, VISA , AMERICAN EXPRESS telephone of titles and offers of interest to you and available from us or other Wiley Group companies worldwide, and may SIGNATURE OF CARDHOLDER: __________________________________ supply your details to members of the Wiley Group for this purpose. Order not valid unless signed Please tick the box if you do not wish to receive this information NAME OF CARDHOLDER: 2. Share your information with other carefully selected companies so that they may contact you by post, fax or e-mail with details of titles and offers ADDRESS: that may be of interest to you. Please tick the box if you do not wish to receive this information. POSTCODE: If, at any time, you wish to stop receiving information, please contact the INVOICE FOR PAYMENT PURCHASE ORDER NO ENCLOSED Database Marketing Department (databasegroup@wiley.co.uk) at John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, PO19 8SQ, UK. EU customers please include your VAT number: Delivery Address DELIVERY Please add the following to your order to cover delivery of your books* UK customers add £3.50 European customers (both EU and non-EU destinations except the U.K.): Via surface add £4.50 (€7.40), Via air add £10.50 (€17.30). Non-European export destinations (eg Middle East, Far East etc.): Via surface add $10.00 (£6.60) Via air $20.00 (£13.25). * Delivery will be arranged by John Wiley & Sons Ltd on your behalf via Wiley Distribution Services Ltd. Alternatively you may collect your order by prior arrangement. We can also quote for delivery by courier. (Please email cs-books@wiley.co.uk for details). Promotion Code: The Information contained in this document or any attachment is confidential and/or legally privileged. This document is intended to be reviewed by the intended recipient only. In no way whatsoever is any information in this document to be passed on, disseminated or copied to any organisation outside of that which the intended recipient is employed.