iPad use during ward rounds: An observational study

Much clinical information is computerised and doctors' use of mobile devices such as iPad tablets to access this information is expanding rapidly. This study investigated the use of iPads during ward rounds and their usefulness in providing access to information during ward rounds. Ten teams of doctors at a large teaching hospital were given iPads for ten weeks and were observed on ward rounds for 77.3 hours as they interacted with 525 patients. Use of iPads and other information technology devices to access clinical information was recorded. The majority of clinical information was accessed using iPads (56.2%), followed by computers-on-wheels (35.8%), stationary PCs (7.9%) and smartphones (0.1%). Despite having read-only access on iPads, doctors were generally happy using iPads on ward rounds. These findings provide evidence of the value of iPads as a tool to access information at the point of care.

[1]  Bonnie L. Westra,et al.  Study of the factors that promoted the implementation of Electronic Medical Record on iPads at Two Emergency Departments , 2012, AMIA.

[2]  M. Frisse Health information technology: one step at a time. , 2009, Health affairs.

[3]  D. Blumenthal,et al.  The benefits of health information technology: a review of the recent literature shows predominantly positive results. , 2011, Health affairs.

[4]  Peter D. Stetson,et al.  EHR on the Move: Resident Physician Perceptions of iPads and the Clinical Workflow , 2012, AMIA.

[5]  Vineet M Arora,et al.  Impact of mobile tablet computers on internal medicine resident efficiency. , 2012, Archives of internal medicine.

[6]  Robert L. Wears,et al.  Health information technology: fallacies and sober realities , 2010, J. Am. Medical Informatics Assoc..

[7]  Jennifer Lai,et al.  Unintended Consequences of Information Technologies in Health Care—An Interactive Sociotechnical Analysis , 2007 .

[8]  A. McAlearney,et al.  Doctors' experience with handheld computers in clinical practice: qualitative study , 2004, BMJ : British Medical Journal.

[9]  Orrin I. Franko,et al.  Mobile Tablet Use among Academic Physicians and Trainees , 2013, Journal of Medical Systems.

[10]  Sangeeta Mehta,et al.  Prospective evaluation of an internet-linked handheld computer critical care knowledge access system , 2004, Critical care.

[11]  J. Westbrook,et al.  Mobile and Fixed Computer Use by Doctors and Nurses on Hospital Wards: Multi-method Study on the Relationships Between Clinician Role, Clinical Task, and Device Choice , 2009, Journal of medical Internet research.

[12]  Steven K. Feiner,et al.  A tablet computer application for patients to participate in their hospital care. , 2011, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[13]  Marino Menozzi,et al.  Information access at the point of care: what can we learn for designing a mobile CPR system? , 2004, Int. J. Medical Informatics.

[14]  Sowmya R. Rao,et al.  Use of electronic health records in U.S. hospitals. , 2009, The New England journal of medicine.

[15]  Nicholas D Furness,et al.  Tablets in trauma: using mobile computing platforms to improve patient understanding and experience. , 2013, Orthopedics.

[16]  Ling Li,et al.  The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals , 2013, J. Am. Medical Informatics Assoc..

[17]  Larry A. Nathanson,et al.  Prospective pilot study of a tablet computer in an Emergency Department , 2012, Int. J. Medical Informatics.

[18]  Kevin C Murphy,et al.  Ongoing evaluation of ease-of-use and usefulness of wireless tablet computers within an ambulatory care unit. , 2009, Studies in health technology and informatics.

[19]  A. Localio,et al.  Role of computerized physician order entry systems in facilitating medication errors. , 2005, JAMA.

[20]  David Newby,et al.  The impact of pharmacy computerised clinical decision support on prescribing, clinical and patient outcomes: a systematic review of the literature , 2010, The International journal of pharmacy practice.

[21]  Andrew Georgiou,et al.  Review Paper: The Impact of Mobile Handheld Technology on Hospital Physicians' Work Practices and Patient Care: A Systematic Review , 2009, J. Am. Medical Informatics Assoc..

[22]  T. S. Raghu,et al.  Adoption of health information technology for medication safety in U.S. Hospitals, 2006. , 2008, Health affairs.

[23]  Bonnie Kaplan,et al.  Evaluating informatics applications - some alternative approaches: theory, social interactionism, and call for methodological pluralism , 2001, Int. J. Medical Informatics.