Direct Comparison of a Tablet Computer and a Personal Digital Assistant for Point-of-Care Documentation in Eye Care

New mobile computing devices including personal digital assistants (PDAs) and tablet computers have emerged to facilitate data collection at the point of care. Unfortunately, little research has been reported regarding which device is optimal for a given care setting. In this study we created and compared functionally identical applications on a Palm operating system-based PDA and a Windows-based tablet computer for point-of-care documentation of clinical observations by eye care professionals when caring for patients with diabetes. Eye-care professionals compared the devices through focus group sessions and through validated usability surveys. We found that the application on the tablet computer was preferred over the PDA for documenting the complex data related to eye care. Our findings suggest that the selection of a mobile computing platform depends on the amount and complexity of the data to be entered; the tablet computer functions better for high volume, complex data entry, and the PDA, for low volume, simple data entry.

[1]  Yan Xiao,et al.  Why Don't Physicians Use Their Personal Digital Assistants? , 2003, AMIA.

[2]  Axel Ekkernkamp,et al.  Comparison of handheld computer-assisted and conventional paper chart documentation of medical records. A randomized, controlled trial. , 2004, Journal of Bone and Joint Surgery. American volume.

[3]  Jakob Nielsen,et al.  Usability engineering , 1997, The Computer Science and Engineering Handbook.

[4]  Charles P. Friedman,et al.  Development and initial validation of an instrument to measure physicians' use of, knowledge about, and attitudes toward computers. , 1998, Journal of the American Medical Informatics Association : JAMIA.

[5]  S. Lapinsky,et al.  Review Paper: Handheld Computing in Medicine , 2003, J. Am. Medical Informatics Assoc..

[6]  Khaled J Saleh,et al.  Comparison of commonly used orthopaedic outcome measures using palm‐top computers and paper surveys , 2002, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[7]  William J. Doll,et al.  The Measurement of End-User Computing Satisfaction , 1988, MIS Q..

[8]  Kent L. Norman,et al.  Development of an instrument measuring user satisfaction of the human-computer interface , 1988, CHI '88.

[9]  Peter D. Stetson,et al.  Application of Information Technology: PalmCIS: A Wireless Handheld Application for Satisfying Clinician Information Needs , 2004, J. Am. Medical Informatics Assoc..

[10]  Polun Chang,et al.  Development and Comparison of User Acceptance of Advanced Comprehensive Triage PDA Support System with a Traditional Terminal Alternative System , 2003, AMIA.

[11]  Aaron E. Carroll,et al.  The implementation of a Personal Digital Assistant (PDA) based patient record and charting system: lessons learned , 2002, AMIA.

[12]  D W Young Doctors' attitudes to a computer-based clinical information system. , 1981, Methods of information in medicine.

[13]  Medicine on the move. PDAs and tablet PCs make the rounds with doctors and nurses. , 2004, Postgraduate medicine.

[14]  A. Berger FUNDAMENTALS OF BIOSTATISTICS , 1969 .

[15]  Fred D. Davis Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology , 1989, MIS Q..