Stepping out of the Library: the Use of iPads for Patient Care

Emily Vardell, MLSYanira “Jenny” Garcia-Barcena, MSLS

May 20, 2012

Initial Process

Obtained fundingCreated initial surveyCompleted IRB trainingSuccessfully submitted project through IRB

approvalCreated list of librarian-approved appsDownloaded selected apps onto one iPadPromoted project at Physicians’ Cafeteria and

Hospital Cafeteria

Marketing Our Project

Identifying Apps

Which apps?

• iPhone/Droid:– AHRQ ePSS– Calder Library Mobile Site– CardioMath Tool– Micromedex– Epocrates– LactMed– Medscape– MedlinePlus Mobile– Shots 2012– Vision Test

• iPad:– Cochrane Library– Isabel– MedlinePlus– Pillbox

Promotional Materials

HandoutsPosterSurveyConsent

Form iPad

iPad

Medicalapps

Productivityapps

Links to PubMedAnd library homepage

iPad

Standard Appleapps

Phase One

http://www.flickr.com/photos/nathaninsandiego/2770652191/

Physicians’ Cafeteria

Observations

• You never know who you are going to meet!

• Our first visitor was the new CEO of the hospital.

Observations

• Wear your badge where it is visible so that they do not think you are selling something.

Observations

• Are physicians interested in borrowing iPads?

• Will any iPad do?

http://techcrunch.com/2012/03/07/yes-apple-is-actually-just-calling-it-ipad/

Resistance

• “I already have an iPad.”• “I’m a surgeon.” • “No, I don’t want it, because I’ll

lose it.”• “No, I’ll get attached to it and

then I’ll be sad.”• “We already know everything.”

Hospital Cafeteria

Observations

• Stark differences between physicians and nurses

• Need to create a message specific to each group

• Determine how to find a captive audience http://askanmd.blogspot.com/2009/10/nurses-vs-residents.html

Where did we collect the most surveys?

Total number of surveys: 46

Emails

Survey

• What resources (websites, databases, etc) do you use for patient care?

• Have you used an iPad before? Yes ___ No ___

• If you had an iPad, how would you use it to improve patient care?

• If you are interested in participating in our study and potentially being selected to borrow an iPad for a three month trial, please include your name and email address below. Please see the consent form for details. Name: Email:

What resources (websites, databases, etc) do you use for patient care?

Epocra

tes

Medsca

pe

PubMed

UpToDate

Google

electr

onic med

ical re

cord

journal

sites/

apps

associa

tion sites/

apps

Other0

5

10

15

20

25

30

Other?

iPad UseOur study ITG survey of 600 physicians

http://alert.marketingresearch.org/documents/Alert_1111.pdf

Have you used an iPad before?

Do you have an iPad or tablet device?

If you had an iPad, how would you use it to improve patient care?

If you had an iPad, how would you use it to improve patient care?

1. electronic medical records

http://www.azcomp.com/emr-software/emr-for-ipad.aspx

If you had an iPad, how would you use it to improve patient care?

• It would allow me to look things up while in a patient’s room… It would also allow me to pull up images for patients to view…

• I think using an iPad in the field of Plastic and Reconstructive Surgery would be helpful in using some of the imaging software to help inform patients during pre-operative and post-operative evaluation.

• show neuro patients images of the brain

• demonstrate videos to patients

If you had an iPad, how would you use it to improve patient care?

• quicker access to help with diagnosis, medical orders, and literature searches

• dosage• film review• diagnostic assessment criteria• would be able to conduct search in the

room with patient instead of needing to look up data later on and then contact patient with it

If you had an iPad, how would you use it to improve patient care?

In summary…

Electronic medical records Patient demonstrations Clinical decision support

tools

http://www.slashgear.com/why-doctors-love-apple-products-and-miss-steve-09201271/

Phase Two

http://www.flickr.com/photos/maveric2003/2917870129/

Next Steps

Download recommended apps on to four iPadsProcess each iPad with a library barcodeSelect first four participantsRequest that selected participants fill out

liability statementAdminister monthly surveys to evaluate how

participants are using iPads to improve patient care

What is the iCloud?

• Access what you have downloaded on any of your devices

• “iCloud stores your music, photos, documents, and more and wirelessly pushes them to all your devices”

• http://www.apple.com/icloud/

iCloud

13

2

iCloud

iCloud

iCloud

Accessories

Selected Participants

Emergency Department PhysicianHospitalist/Palliative CarePlastic Surgery ResidentUrology Professor

First Response

-----Original Message-----To: Vardell, EmilySubject: RE: UMH Librarians have selected you to borrow an iPad for a three-month period

Sounds great!

Where do I go to pick up the iPad and check it out?

Liability Statement

Monthly Usage Survey

• How are you using the iPad to improve clinical care?

• What resources are most useful to you?• What have you downloaded to the iPad?• What would you like to download to the iPad?• What surprised you about using the iPad?

Acknowledgements• Mary Moore, PhD• JoAnn Van Schaik• NN/LM

Southeastern Atlantic Region

• National Library of Medicine

• Elaine Robinson

• Peter Raposo• David Goolabsingh• Steve Machuca• Bruno Rodriguez• Edward Vinson• Brenda Linares• Kimberly Loper

This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00004-C with the University of Maryland Baltimore.

http://www.flickr.com/photos/45409431@N00/3272079115

Thank you! Questions?