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Handheld computers in critical care.

S E Lapinsky1, J Weshler, S Mehta

  • 1Intensive Care Unit, Mount Sinai Hospital, and Interdepartmental Division of Critical Care and Department of Medicine, University of Toronto, Room 1825, 600 University Ave, Toronto, ON M5G 1X5, Canada. stephen.lapinsky@utoronto.ca

Critical Care (London, England)
|August 21, 2001
PubMed
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Handheld computers offer functional benefits for patient data management in intensive care units (ICUs). While well-received, specialized critical care systems are needed for optimal integration of this technology.

Area of Science:

  • Medical Informatics
  • Health Information Technology
  • Critical Care Medicine

Background:

  • Computing technology can enhance healthcare management but is often underutilized.
  • Handheld computers provide a versatile and cost-effective solution for bedside patient data management and medical reference access.
  • The study focused on an academic intensive-care unit (ICU) to evaluate this technology's role.

Purpose of the Study:

  • To evaluate the utility of handheld computers for patient data management and accessing medical references in an academic ICU.
  • To assess the benefits, drawbacks, and user suggestions regarding handheld device implementation.
  • To compare the effectiveness of electronic handheld textbooks against traditional paper textbooks.

Main Methods:

  • Palm III handheld devices were distributed to ICU staff, pre-loaded with medical information, schedules, and contacts.

Related Experiment Videos

  • A 1-hour training session was provided to users on hardware and software operation.
  • Qualitative data was gathered through focus groups, and objective comparisons were made using clinical scenario tests between paper and electronic texts.

    • Main Results:

    • Handheld devices were found convenient and functional by physicians and paramedical staff over a 6-month period.
    • Electronic handheld textbooks demonstrated equivalence to paper versions in clinical scenario tests.
    • Access to computerized patient information improved communication, especially for long-stay patients, though software and process improvements were recommended.

    Conclusions:

    • The introduction of handheld computing technology in the ICU was positively received, despite varying user familiarity.
    • Handheld computers show significant potential for critical care environments.
    • Development of systems specifically tailored for the ICU setting is crucial for maximizing the benefits of this technology.