Copy of A Health Care Library at the Bedside

Yale School of Nursing A Health Care Library at the Bedside Kathleen Bauer NERCOMP January 15, 2003 Wellesley College Yale School of Nursing A Health Care Library at the Bedside Objectives • Why do PDAs work so well for health care? • Medical Applications • Challenges for Librarians • Potential Impact Yale School of Nursing A Health Care Library at the Bedside Trends in health care • Need to show that • Less time to clinical decisions spend with based on patients. accurate and up • Growing to date complexity information. Yale School of Nursing A Health Care Library at the Bedside Clinician use of information • Physicians have an average of 3.2 questions for every 10 patients they see. • Only pursue answers 36% of the time. • They’ll spend an average 188 seconds pursuing an answer. Yale School of Nursing A Health Care Library at the Bedside Implications • More easy to use information resources, e.g., UpToDate • Growing integration of reference information with patient information • PDA based use Yale School of Nursing A Health Care Library at the Bedside PC vs PDA • PCs are tied to the desk • Even laptops are cumbersome (6-10lbs) • Short battery life (3 hours) • PDA is mobile • PDA is light (6 oz) • Longer battery life (8-14 hours) • Instant on (no boot up process) Yale School of Nursing A Health Care Library at the Bedside Increasing use 25% 20% 15% 10% 5% 0% Integral Part of Everyday Practice Personal Use less than 45 years of age 45 or older all physicians Yale School of Nursing A Health Care Library at the Bedside What do they put on their PDA’s? • Drug ordering • Patient tracking • Medical reference • Drug information Yale School of Nursing A Health Care Library at the Bedside Drug guides ePocrates RX mobileMICROMEDEX LexiComp Davis Drug Guide Mosby PDR Yale School of Nursing A Health Care Library at the Bedside Drug interactions Yale School of Nursing A Health Care Library at the Bedside Reference • Merck Manual • Harrison’s • 5 Minute Clinical Consult • Red Book • PEPID • Lippincott Manual of Procedures Yale School of Nursing A Health Care Library at the Bedside Reference continued • ePocrates ID Yale School of Nursing A Health Care Library at the Bedside Medical calculators • MedCalc • MedMath • Archimedes Yale School of Nursing A Health Care Library at the Bedside Clinical Guidelines • Government – Asthma – COPD • Professional Organizations • American College of Cardiologists – American Diabetes Association – American College of Physicians Yale School of Nursing A Health Care Library at the Bedside Why are PDA resources better than print? • Search capabilities. • Link drug and disease information. • Updated more often than print. Yale School of Nursing A Health Care Library at the Bedside PDA’s extend integrated office systems to bedside • Download information to PC • PDA is used in the field • Upload data to PC from the PDA Yale School of Nursing A Health Care Library at the Bedside Barriers • • • • • Health care environment is tough. HIPAA. Operating system not decided. Size – curse and a blessing. Growing complexity makes PDA less reliable. Yale School of Nursing A Health Care Library at the Bedside Challenges • Not yet standardized • Information formerly available only at the library is now more easily available to the individual Yale School of Nursing A Health Care Library at the Bedside Trends in health care • New emphasis on public health • How do you push information out to clinicians who are on the front lines? Yale School of Nursing A Health Care Library at the Bedside Opportunities • Public health in New Haven has some interesting challenges. • Every school has a public health nurse. Yale School of Nursing A Health Care Library at the Bedside Public Health Initiative Needs assessment for public health nurses in the New Haven schools Yale School of Nursing A Health Care Library at the Bedside http://www.med.yale.edu/library/nursing/pda/ kathleen.bauer@yale.edu