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Related Experiment Videos

House officer procedure documentation using a Personal Digital Assistant: a longitudinal study.

Steven B Bird1, David R Lane

  • 1Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA. birds@ummhc.org

BMC Medical Informatics and Decision Making
|January 28, 2006
PubMed
Summary

Personal Digital Assistants (PDAs) did not significantly improve emergency medicine resident documentation over three years. However, PDAs led to more complete entries and were preferred by residents for procedure logging.

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Area of Science:

  • Medical Informatics
  • Emergency Medicine Education
  • Clinical Documentation

Background:

  • Personal Digital Assistants (PDAs) are common tools for emergency physicians.
  • Objective data on the impact of PDAs on documentation quality are limited.
  • This study investigated PDA use to improve emergency medicine resident documentation.

Purpose of the Study:

  • To determine if PDA use enhances emergency medicine (EM) resident documentation of procedures and resuscitations.
  • To compare documentation completeness and resident satisfaction between PDA and handwritten methods.

Main Methods:

  • Twelve EM residents used PDAs for 36 months to log procedures and encounters.
  • Data were compared to 12 historical controls using handwritten logs.

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  • Documentation completeness and resident satisfaction surveys were analyzed.

    • Main Results:

    • PDA use significantly increased documentation for conscious sedation, thoracentesis, and ED ultrasound.
    • PDA entries were 100% complete versus 91% for handwritten logs; 4% of handwritten logs were illegible.
    • Ten of eleven residents preferred PDA logs, citing higher satisfaction.

    Conclusions:

    • Overall PDA use did not significantly alter EM resident procedure or resuscitation documentation over three years.
    • Significant differences in specific procedures may reflect evolving care standards.
    • PDAs offer improved documentation completeness and resident preference, making them attractive for documentation.