PDA for EBM

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PDA for EBM

  1. 1. PDA for EBM<br />
  2. 2. PDAs<br />
  3. 3. Potential time saver<br />Potential money saver<br />Potential for reduced errors<br />
  4. 4. Garritty C, El Emam K. Who’s Using PDAs? Estimates of PDA Use by Health Care Providers: A Systematic Review of Surveys. J Med Internet Res 2006;8(2):e7<br />
  5. 5. The S-shaped diffusion of technology curve<br />
  6. 6. BMC Med Educ. 2008; 8: 39. <br />
  7. 7. Palm®webOS™<br />
  8. 8.
  9. 9.
  10. 10. PDA OSs<br />
  11. 11. Which Device is better?<br />Determine which applications you will need<br />Use different devices if possible before purchasing<br />Prominence of a particular device in your environment<br />Memory<br />Wireless access availability<br />Your “Keyboard style”<br />
  12. 12. PDA vs. Tablet PC<br />Lottridgeet al.BMC Medical Informatics and Decision Making 2007 7:22<br />
  13. 13. Clinical Applications<br />Clinical drug references<br />Electronic prescription tools<br />Clinical textbooks<br />Patient tracking<br />Medical Calculators<br />Evidence based reference<br />
  14. 14.
  15. 15. PICO Maker <br />free Palm OS-based application<br />create and store queries in the PICO format for later reference.<br />http://www.library.ualberta.ca/pdazone/pico/<br />
  16. 16.
  17. 17. Drug Lookup Tools – ePocratesRx<br />Free <br />Palm or Pocket PC compatible<br />3,000 brand & generic drugs<br />Drug interaction checker<br />Regular updates available<br />
  18. 18. ePocrates Rx, cont’d<br />Search by Drug<br />Search by Class<br />
  19. 19. ePocrates Rx, cont’d<br />Drug Interactions<br />Warning<br />
  20. 20. ePocrates Rx, cont’d<br />Insert your own annotations<br />Lookup options<br />
  21. 21.
  22. 22. PubMed<br />MD on Tap software:<br />Software installed<br />Palm and Pocket PC<br />http://mdot.nlm.nih.gov/proj/mdot/mdot.php<br />PubMed® for handhelds Web site <br />Use PDA web browser to access Pubmed<br />http://pubmedhh.nlm.nih.gov/nlm/<br />
  23. 23. PubMed® for handhelds Web site<br />http://pubmedhh.nlm.nih.gov/nlm/pubmed/index.html<br />
  24. 24. PICO search<br />http://pubmedhh.nlm.nih.gov/nlm/pico/piconew.html<br />
  25. 25. MD on Tap software<br />MEDLINE search limits<br />History of previous queries<br />Save citations to a PDA text file<br />Evidence Based Medicine clusters<br />Auto Spell Check<br />Optional PICO Search Tab<br />The MDoT project stopped developing client software for handheld devices in 2007<br />
  26. 26.
  27. 27.
  28. 28.
  29. 29. EE+<br />
  30. 30. EE+<br />
  31. 31. EE+<br />
  32. 32.
  33. 33. www.unboundmedicine.com<br />
  34. 34. American College of Physicians<br />Calorie Savings Food List<br />Normal Lab Values from MKSAP 15<br />Vaccine Specific Information<br />USPSTF Preventive Services Guidelines<br />NCEP ATP III Guidelines<br />ADA Guidelines<br />Drugs Used in the Treatment of HIV Infection<br />Table of Normal Physiological Changes During Pregnancy<br />Pharmacotherapies for Acute Major Depression<br />Differential Diagnosis Between Allergic and Nonallergic Rhinitis<br />http://www.acponline.org/running_practice/technology/mobile_computing/<br />
  35. 35. StatRefSkyscape<br />
  36. 36. National Guideline Clearinghouse<br />http://www.guideline.gov/<br />Palm users:<br />each guideline can be downloaded as Palm document<br />Pocket PC users<br />directly access the entire site using PDA browser<br />download all NGC guideline summaries as MS Word documents<br />
  37. 37.
  38. 38.
  39. 39. Diagnostic Calculators: MedCalc(http://www.med-ia.ch/medcalc/tele.html)<br />Free; includes many common calculators<br />
  40. 40. MedCalc, cont’d<br />
  41. 41. Evidence-Based Resources: EBM Calculator<br />calculates statistics for RCTs as well as for diagnostic, prospective & case-control studies<br />freeware program for Palm & Pocket PC <br />
  42. 42. Resources<br />www.medicalwizards.com/<br />www.pdamd.com<br />www.pdacortex.com<br />www.skyscape.com<br />
  43. 43. So...<br />PDA can be very helpful, very useful…<br />
  44. 44. Just be patient…<br />
  45. 45. Now…<br />Go to: pubmedhh.nlm.nih.gov/<br />Use scenarios in your folder<br />Do a PICO search<br />Search MEDLINE/PubMed<br />
  46. 46. Next…<br />Go to:<br />http://ktclearinghouse.ca/cebm/toolbox<br />click on Stats Calculator<br />do the calculation for the diagnostic study<br />do the calculation online or<br />download the palm or pocket PC version<br />
  47. 47. click on "LR tables"<br />scroll down to the tables<br />find the LR+ for ST elevation in MI<br />
  48. 48. click on "NNT tables"<br />scroll down to the tables<br />click on your specialty if there, or chose any specialty<br />if you have palm PDA, scroll down to " Palm Download" and download the software<br />

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