Principles of mobile medical computing Mohammad Al-Ubaydli [email_address]
Principles of mobile medical computing <ul><li>Introductions </li></ul><ul><li>Mobile computing basics </li></ul><ul><li>A...
Introductions <ul><li>How many of you... </li></ul><ul><li>own a PDA? </li></ul><ul><li>have beamed? </li></ul><ul><li>wan...
Mobile computing basics <ul><li>Personal Digital Assistants </li></ul><ul><ul><li>Handheld computer: a small mobile device...
Great for personal use <ul><li>For the first time, IT departments are behind the clinicians in adoption </li></ul><ul><ul>...
Why it   is here to stay <ul><li>Handheld computers become smartphones, and every clinician is already carrying a phone </...
Advantages of handheld computers <ul><li>Perhaps the best computer ever designed for clinicians </li></ul><ul><ul><li>Mobi...
What would you wish you could do? <ul><li>Pt 50 year old, Native American female c/o cough and chest pain. </li></ul><ul><...
What would you wish you could do? <ul><li>Labs </li></ul><ul><ul><li>Chem7 (serum):  Glucose 100 (70-105) </li></ul></ul><...
What would you wish you could do? <ul><li>Tx: </li></ul><ul><ul><li>Nitroglycerin sublingual tablet with relief of pain </...
Databases <ul><li>There are many ways of storing your data </li></ul><ul><li>Memo Pad / Notes </li></ul><ul><li>Spreadshee...
Memo Pad / Notes <ul><li>Fast and simple </li></ul><ul><li>But... limited </li></ul>
Spreadsheets <ul><li>Excel To Go or Pocket Excel </li></ul><ul><li>Easy and great for calculations </li></ul><ul><li>But p...
Databases <ul><li>Everything is a database – quite right too! </li></ul><ul><li>Software like HanDBase makes it easy to ge...
Security
Five steps to analyse security systems <ul><li>What assets are you trying to protect? </li></ul><ul><li>What are the risks...
Scenario 1 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul>...
Scenario 1 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul>...
Scenario 2 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul>...
Scenario 3 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul>...
Scenario 3 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul>...
The Ali Abdulla  Al-Ubaydli Scholarships  for Mobile Medical Computing
The Ali Abdulla  Al-Ubaydli Scholarships  for Mobile Medical Computing <ul><li>The five selected winners will each receive...
Principles of mobile medical computing Mohammad Al-Ubaydli [email_address]
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06.09.26

  1. 1. Principles of mobile medical computing Mohammad Al-Ubaydli [email_address]
  2. 2. Principles of mobile medical computing <ul><li>Introductions </li></ul><ul><li>Mobile computing basics </li></ul><ul><li>Advantages of the medium </li></ul><ul><li>Databases </li></ul><ul><li>Ensuring security </li></ul><ul><li>Scholarship: how to win $1000 </li></ul><ul><li>Learn these two URLs: </li></ul><ul><li>www.nlm.nih.gov/mobile </li></ul><ul><li>www.handheldsfordoctors.com/scholarship </li></ul>
  3. 3. Introductions <ul><li>How many of you... </li></ul><ul><li>own a PDA? </li></ul><ul><li>have beamed? </li></ul><ul><li>want to start a PDA project? </li></ul>
  4. 4. Mobile computing basics <ul><li>Personal Digital Assistants </li></ul><ul><ul><li>Handheld computer: a small mobile device that is part of your computing toolbox </li></ul></ul><ul><ul><li>Forget Palm, Pocket PC </li></ul></ul><ul><ul><li>Forget PDA and smartphone </li></ul></ul><ul><li>Just think about the possibilities of a mobile clinical computer </li></ul>
  5. 5. Great for personal use <ul><li>For the first time, IT departments are behind the clinicians in adoption </li></ul><ul><ul><li>Schedule, of course </li></ul></ul><ul><ul><li>Personal notes </li></ul></ul><ul><ul><li>Personal textbooks </li></ul></ul><ul><ul><ul><li>Personal Digital Educators </li></ul></ul></ul><ul><ul><ul><li>NLM mobile, e.g. &quot; Clinical Methods &quot; </li></ul></ul></ul><ul><li>* Personal digital educators. Cimino et al. N Engl J Med. 2005 Mar 3;352(9):860-2. </li></ul>
  6. 6. Why it is here to stay <ul><li>Handheld computers become smartphones, and every clinician is already carrying a phone </li></ul><ul><ul><li>Aziz et al ( PMID 16109177 ) gave smartphones to surgeons and improved responsiveness to nurses </li></ul></ul><ul><li>No charge left behind </li></ul><ul><ul><li>Moulton et al ( PMID 16385275 ) gave handheld computers to trauma surgeons and increases charge capture </li></ul></ul>
  7. 7. Advantages of handheld computers <ul><li>Perhaps the best computer ever designed for clinicians </li></ul><ul><ul><li>Mobility </li></ul></ul><ul><ul><li>Synchronization </li></ul></ul><ul><ul><li>Beaming </li></ul></ul>
  8. 8. What would you wish you could do? <ul><li>Pt 50 year old, Native American female c/o cough and chest pain. </li></ul><ul><ul><li>Productive cough for 3/7 but chest pain 1/24 ago. </li></ul></ul><ul><li>PMH </li></ul><ul><ul><li>HTN (&quot;capsule, half green, half blue-green&quot;). </li></ul></ul><ul><ul><li>TB while pregnant but ? Rx and duration. </li></ul></ul><ul><ul><li>Liver biopsy ? &quot;hemachromatosis&quot; at other hospital. </li></ul></ul><ul><ul><li>Allergy to Bufferin. </li></ul></ul><ul><li>PE: well-developed, well-nourished female in moderate respiratory distress. </li></ul><ul><ul><li>Vital: pulse 90, RR 22, 100.3 F, BP 150/100. </li></ul></ul><ul><ul><li>Rales and rhonchi in the left upper chest. </li></ul></ul><ul><ul><li>Tender, palpable liver edge. </li></ul></ul>
  9. 9. What would you wish you could do? <ul><li>Labs </li></ul><ul><ul><li>Chem7 (serum): Glucose 100 (70-105) </li></ul></ul><ul><ul><li>Chem7 (plasma): Glucose 150 (75-110) </li></ul></ul><ul><ul><li>CBC: Hgb 15 (12.0-15.8), Hct 45 (42.4-48.0), WBC 11,000 (3,540-9,060), platelets 145,000 (165,000-415,000) </li></ul></ul><ul><ul><li>Fingerstick blood sugar was 80 </li></ul></ul><ul><ul><li>Urinalysis showed protein of 1+ and glucose of 0 </li></ul></ul><ul><ul><li>Blood culture was positive for MRSA </li></ul></ul><ul><ul><li>ECG - NSR, 74BPM, Axis -30 degrees, ST segment 2mm elevated and T-waves down in I, L, V5 and V6 </li></ul></ul><ul><ul><li>CXR: Left upper lobe infiltrate, LVH </li></ul></ul>
  10. 10. What would you wish you could do? <ul><li>Tx: </li></ul><ul><ul><li>Nitroglycerin sublingual tablet with relief of pain </li></ul></ul><ul><ul><li>ceftriaxone for pneumonia </li></ul></ul><ul><ul><li>admitted to the CCU for monitoring. </li></ul></ul><ul><ul><li>then enteric-coated aspirin. </li></ul></ul><ul><li>Nurse found that the patient was caring for elderly father </li></ul><ul><ul><li>concerned that she would no longer be able to manage caring for herself and him. </li></ul></ul><ul><ul><li>Consider antidepressant and a social work consult. </li></ul></ul><ul><li>Medical student concerned about MRSA in pt with pneumonia and recent MI. </li></ul><ul><ul><li>Literature search. </li></ul></ul>
  11. 11. Databases <ul><li>There are many ways of storing your data </li></ul><ul><li>Memo Pad / Notes </li></ul><ul><li>Spreadsheets </li></ul><ul><li>Simple databases </li></ul><ul><li>Bespoke databases </li></ul>
  12. 12. Memo Pad / Notes <ul><li>Fast and simple </li></ul><ul><li>But... limited </li></ul>
  13. 13. Spreadsheets <ul><li>Excel To Go or Pocket Excel </li></ul><ul><li>Easy and great for calculations </li></ul><ul><li>But problems with security, error checking, synchronization and relational data. </li></ul>
  14. 14. Databases <ul><li>Everything is a database – quite right too! </li></ul><ul><li>Software like HanDBase makes it easy to get started </li></ul><ul><ul><li>eg surgical logbook </li></ul></ul><ul><li>Bespoke databases </li></ul><ul><ul><li>Allow advanced user interface </li></ul></ul><ul><ul><li>Expensive and require computer expertise </li></ul></ul>
  15. 15. Security
  16. 16. Five steps to analyse security systems <ul><li>What assets are you trying to protect? </li></ul><ul><li>What are the risks to those assets? </li></ul><ul><li>How well does the security solution mitigate those risks? </li></ul><ul><li>What other risks does the security solution cause? </li></ul><ul><li>What costs and trade-offs does the security solution impose? </li></ul><ul><li>“ Beyond Fear”, Bruce Schneier. Springer. </li></ul>
  17. 17. Scenario 1 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul><ul><ul><li>addresses (ward phone numbers, computer passwords) </li></ul></ul><ul><ul><li>tasks (including name of the patient) </li></ul></ul><ul><ul><li>memos (lecture notes, patient summaries) </li></ul></ul><ul><li>Fives steps: </li></ul><ul><ul><li>What assets are you trying to protect? </li></ul></ul><ul><ul><li>What are the risks to those assets? </li></ul></ul><ul><ul><li>How well does the security solution mitigate those risks? </li></ul></ul><ul><ul><li>What other risks does the security solution cause? </li></ul></ul><ul><ul><li>What costs and trade-offs does the security solution impose </li></ul></ul>
  18. 18. Scenario 1 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul><ul><ul><li>addresses (ward phone numbers, computer passwords) </li></ul></ul><ul><ul><li>tasks (including name of the patient) </li></ul></ul><ul><ul><li>memos (lecture notes, patient summaries) </li></ul></ul><ul><li>Encryption </li></ul>
  19. 19. Scenario 2 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul><ul><ul><li>addresses (ward phone numbers, computer passwords) </li></ul></ul><ul><ul><li>tasks (including name of the patient) </li></ul></ul><ul><ul><li>memos (lecture notes, patient summaries) </li></ul></ul><ul><li>Synchronise with: </li></ul><ul><ul><li>home PC </li></ul></ul><ul><ul><li>work PC </li></ul></ul><ul><ul><li>secretary's PC </li></ul></ul>
  20. 20. Scenario 3 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul><ul><ul><li>addresses (ward phone numbers, computer passwords) </li></ul></ul><ul><ul><li>tasks (including name of the patient) </li></ul></ul><ul><ul><li>memos (lecture notes, patient summaries) </li></ul></ul><ul><li>Synchronise with: </li></ul><ul><ul><li>MAU / SAU PCs </li></ul></ul><ul><ul><li>sever PC </li></ul></ul><ul><ul><li>other PDAs </li></ul></ul><ul><ul><li>? home PCs </li></ul></ul>
  21. 21. Scenario 3 <ul><li>One handheld computer storing </li></ul><ul><ul><li>appointments (clinics and personal) </li></ul></ul><ul><ul><li>addresses (ward phone numbers, computer passwords) </li></ul></ul><ul><ul><li>tasks (including name of the patient) </li></ul></ul><ul><ul><li>memos (lecture notes, patient summaries) </li></ul></ul><ul><li>Synchronise with: </li></ul><ul><ul><li>MAU / SAU PCs </li></ul></ul><ul><ul><li>sever PC </li></ul></ul><ul><ul><li>other PDAs </li></ul></ul><ul><ul><li>? home PCs </li></ul></ul>
  22. 22. The Ali Abdulla Al-Ubaydli Scholarships for Mobile Medical Computing
  23. 23. The Ali Abdulla Al-Ubaydli Scholarships for Mobile Medical Computing <ul><li>The five selected winners will each receive: </li></ul><ul><li>$1,000 Scholarship. </li></ul><ul><li>Mentoring and one-on-one tutorials with me. </li></ul><ul><li>Publication of your work in the Mobile Medical Computing Reviews journal </li></ul><ul><li>Press campaigns by Epocrates and me. </li></ul><ul><li>One year free subscription to Epocrates Essentials all-in-one mobile reference to drugs, diseases and diagnostics. </li></ul>
  24. 24. Principles of mobile medical computing Mohammad Al-Ubaydli [email_address]

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