Handheld computers in critical care
Handheld computers in critical care
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DOI：
10.1186/cc1028
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发表时间：
2001-01-01
期刊：
影响因子：
15.1
通讯作者：
Stewart, TE
中科院分区：
文献类型：
--
作者：
Lapinsky, SE;Weshler, J;Stewart, TE
背景技术计算技术具有改善医疗保健管理的潜力，但常常未被充分利用。手持电脑用途广泛且相对便宜，将电脑的优势带到了床边。我们评估了该技术在学术重症监护室 (ICU) 中管理患者数据和访问医疗参考信息的作用。方法 向 ICU 团队提供 Palm III 系列手持设备，每个设备都安装了医疗参考信息、时间表和联系电话号码。用户接受了 1 小时的硬件和软件培训课程。在研究期间评估了各种患者数据管理应用程序。优点、缺点和建议的定性评估是由一家独立公司利用焦点小组进行的。通过临床场景测试，对纸质手持式教科书和电子手持式教科书进行了客观比较。结果 在 6 个月的研究期间，使用手持设备的 20 名医生和 6 名护理人员发现手持设备方便实用，但建议进行更全面的培训并改进搜索设施。手持式计算机与传统纸质文本的比较显示出等效性。访问计算机化患者信息改善了沟通，特别是对于长期住院的患者，但建议对软件和流程进行更改。 结论 尽管用户对设备的熟悉程度存在差异，但这项技术的引入受到了好评。手持式计算机在 ICU 中具有潜力，但需要专门针对重症监护环境开发系统。
Background Computing technology has the potential to improve health care management but is often underutilized. Handheld computers are versatile and relatively inexpensive, bringing the benefits of computers to the bedside. We evaluated the role of this technology for managing patient data and accessing medical reference information, in an academic intensive-care unit (ICU).Methods Palm III series handheld devices were given to the ICU team, each installed with medical reference information, schedules, and contact numbers. Users underwent a 1-hour training session introducing the hardware and software. Various patient data management applications were assessed during the study period. Qualitative assessment of the benefits, drawbacks, and suggestions was performed by an independent company, using focus groups. An objective comparison between a paper and electronic handheld textbook was achieved using clinical scenario tests.Results During the 6-month study period, the 20 physicians and 6 paramedical staff who used the handheld devices found them convenient and functional but suggested more comprehensive training and improved search facilities. Comparison of the handheld computer with the conventional paper text revealed equivalence. Access to computerized patient information improved communication, particularly with regard to long-stay patients, but changes to the software and the process were suggested.Conclusions The introduction of this technology was well received despite differences in users' familiarity with the devices. Handheld computers have potential in the ICU, but systems need to be developed specifically for the critical-care environment.