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PDA’s and Remote Patient Care By Cassandra Kennicott, RN
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Objectives Describe Remote Patient Care Describe the hardware used Describe the software used Evaluate the usability of the software Describe the information system used
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Describe Remote Patient Care PDA connects to hospital main server via internet Health care provider is able to view patient records Aids in diagnosis and treatment of patients (Fornell, 2008)
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Describe the Hardware Used PDA’s (Personal Digital Assistant) Smart Phones Computers (often laptops)
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PDA (Personal Digital Assistant) Small, handheld Has wireless internet connection Capable of running computer programs Often referred to as Pocket PC
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Describe the Software used Connectivity software used SOTI NEXGIN-RC AMAC Merlin through St Jude Medical
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NEXGIN-RC Focuses on antenatal care Enables patients in remote areas to be seen (NEXGIN-RC, 2008)
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NEXGIN-RC (continued)
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Evaluate the Usability of the Software Usability – how humans and computers perform Has several indicators 3 axioms of usability
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Axioms
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Axiom 1: Early and Central Focus on Users Must understand users in depth Usually advanced practice or critical care nurses Designers should have direct contact with users
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Axiom 2: Applications Must Have Iterative Design Critical care nurses evaluate designs Users and designers determine effectiveness
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Axiom 3: Must be Empirical Usability Measures May be formal or informal
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Describe the Information System Clinical Decision Support System (CDSS) Specifically, the Evidence Based Guideline and Decision Support System (EGADSS) is being considered (NEXGIN-RC, 2008)
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EGADSS Stand alone Information system, interacts with EMR Uses HL7 data standards Disease and Procedure Classification System used? A nursing information system?
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Advantages No need for patients to travel Increases efficiency of health care Ease of use Assist in decision process
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Disadvantages What happens when something breaks? Internet goes down
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Are there any issues with this? Legal issues? Patient confidentiality Transmitting patient information on a server Ethical issues? Loss of PDA
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What training is necessary for this? Proposed training is minimal How to use the device Where to place sensors
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Functions of the Informatics Nurse In this specific instance there is no nurse role In other RPMS: User education Implementation Support (McKesson, 2009)
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In Summary….. RPMS is in our future Allows patients to be monitored anywhere Gives patients more autonomy
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References Geeknet, Inc. (2010). Sourceforge: Find and Develop Open Source Software. Retrieved from http://sourceforge.net/projects/egadss/. http://sourceforge.net/projects/egadss/ Fornell, D. (2008). PDA’s Bring Handheld Solutions to Healthcare. Retrieved February 20, 2010, from http://www.dicardiology.net/node/28623// http://www.dicardiology.net/node/28623//
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References Continued Lofstrom, J. & Casey, Y. (2009). HIMSS Informatics Nurse Impact Study. Retrieved from http://www.mckesson.com/static_files/McK esson.com/MPT/Documents/Nursing_Infor matics_2009.pdf NEXGIN-RC. (2008).Remote Patient Monitoring System. Retrieved February 20, 2010, from http://rpms.nexginrc.org/RPMS_Home.asp x http://rpms.nexginrc.org/RPMS_Home.asp x
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References Continued Price, M. & Bilykh, I. (2004). EGADSS! It’s ThiNK. Retrieved from http://www.egadss.org/Think_Present ation.pdf. http://www.egadss.org/Think_Present ation.pdf Staggers, N. (2003). Human Factors: Imperative Concepts for Information Systems in Critical Care. AACN, 14(3), 310-319.
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