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St George’s PDA Network: why
the need?
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Enquiries about PDAs
Expectation of knowledge
Expectation of support
Widely used by US health
professionals/students
• anticipating changes in technology
• keeping one step ahead of the user!
Project staff
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Helen Alper : NHS Liaison Librarian. Promotes the interests of all NHS
staff within the library.
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James Boman from the St. George’s Application Development
department. Designs and implements custom software solutions for the
Trust.
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Morag Clarkson : Information Skills Training Librarian responsible for
designing, promoting and delivering a programme of information skills
training to all NHS staff across SW London..
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Alex Edwards: Computing Services. Helpdesk and PC Support
Manager.
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Sam Martin the Medical Liaison Librarian.
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Olwen Revill Liaison Librarian for the Faculty of Health & Social Care
Sciences.
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Christine Whittaker: Project Manager, Mobile Technologies,
Wandsworth PCT
What’s out there?
• Identifying users/extent of use
• What are their needs?
• What can we do to help?
Questionnaire results
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83 returns
58% medical school (students and staff)
36% NHS
6% Faculty of Health Care (Nursing
students, Physios, Radiographers)
Make of PDA
• Palms OS: Handspring Visor/Treo, Sony
CLIE, Palm Zire, Palm mXXX
• Pocket PC OS: Casio, Compaq iPAQ, HP
iPAQ,HP Jornada, Toshiba eXX
• Psions
Current use
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Diary/personal organiser
patient tracker
medical calculator
games
music
note taking
email via outlook
as a reference e.g. using clinical texts
What they wanted to do:
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Connect to the internet
use flash cards
use in ward rounds
make better use of calendar, diary, email
connect to medical school diary/phone
book/email
• take patient information
• know more about security software
Focus groups
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Clinicians, consultants, PRHOs
Medical students
Nurses, PAMS, physios etc
Admin, non medical
Outcomes from Focus groups
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Multidisciplinary
lunchtime seminars
free PDAs
webpage of resources
cradles in the library
wireless network
advice on purchasing
technical help/troubleshooting
We were aiming for the following deliverables:
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Virtual/physical support groups for people with handhelds.
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Webpage created of recommended software and hardware products for different
medical disciplines based on personal experience of users.
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Identification of new products and services that Information Services can provide in
order to support this rapidly expanding user population.
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Identification of existing services that can be improved for PDA users.
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A report outlining the project, methodology, results and giving recommendations for the
use of PDAs and possible purchase of PDAs and PDA software by the Medical School,
Trusts and Faculty of Health and Social Care Sciences.
What we have done so far
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Set up initial focus groups
email list
lunchtime seminars
web page of resources
subscription to PDA magazine
investigating new software of interest to
health professionals
• Wireless networking : to be set up in library
study areas
• Cradles for downloads: too problematic
• free PDAs: no funding, but Alexis Medical
found as a contact
• FAQ web page started for troubleshooting
Webpage
Helpsheet page
Tips on buying a PDA
Recommended downloads
Recommended downloads
• Books: Grey book, Clinical Evidence
• Calculators: Medcalc, Shots2004(pediatric
immunization), Growth charts
• Drug info: emims, eBNF, epocrates
• journals: journals to go
• security: patient tracker
• Clinical support systems: ISABEL
Lunchtime seminars
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Yeg Myint, King’s School of Dentistry: PDA project with Toshiba at
Kings
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Nadya James: Dept Pediatrics @ St George’s very knowledgable on
Palms
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Anne Heath, Project Manager, Comwise: NHS Project training
Community Nurses in Wandsworth PCT to use Jornadas
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BNF demos
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Elsevier
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Alexis Medical: marketing company giving out free PDAs to
clinicians in return for marketing information
• Ovid @Hand demo
• Clinical Evidence demo
The future
• SW London PDA network
• “Supporting” PDA use across the WDC
• Libraries involved in up to date technology
and with IM&T depts e.g. wireless networks
Problems
• Junior doctors email – don’t use Trust
emails
• Stimulating interest – marketing
appropriately & keeping it going
• Finding a convenient time and place to meet
• Judging how many will turn up
• Getting IT on side – their contributions are
so useful
Time
• PDA network is very time intensive
• Need feedback and input from users in
order to keep up impetus
• Infrequent dialogue with users outside study
days
• At Mayday – too many more pressing issues
to give adequate time to PDA network at the
moment
• Need a large working group to spread tasks
Time
• PDA network is a bit of a “luxury” ?
• Need a “stable” working environment for it
to flourish
• However, using PDAs can save clinician
time – is this adequately recognised?
• PDA use is generated by individual interest
– not by Trust policy
• PDA viewed as passing technology ?
Encouraging participation
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Students are very keen and involved
Other clinicians are harder to involve
Either very keen or hard to pin down
Community & PCT staff are virtually
impossible to recruit. Very small percentage
of community and PCT staff represented at
study days. This group actually uses PDAs
for every day work
Reality
• Users need to be able to troubleshoot. IT
problems with PDAs are not priority
• Some IT Managers do not like wireless
networks and PDA technology
• PCs need to be able to support PDAs. All
hospital PCs may not be adequate.
Synchronisation may happen on limited PCs
Watch this space
• Currently PDA network is running – but at
“strolling pace”
• Developments at Mayday and across SW
London WCD will be reported
• Any questions ?
• Sam Martin [email protected]
020 8725 5441
• Morag Clarkson [email protected]
• 0208 401 3196