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

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PDA for EBM

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