Evolving technologies forEvolving technologies forclinical practice and management:clinical practice and management:

PDAs, tablets, thumb drives, and PDAs, tablets, thumb drives, and application softwareapplication software

W. Scott Erdley and Peter J. MurrayW. Scott Erdley and Peter J. Murray

W. Scott Erdley

Clinical Associate Professor, University at Buffalo, NY, USA

Fellow, CHIRAD

Peter J. Murray

Associate Lecturer, The University of Winchester, UK

Founding Fellow and Director, CHIRAD

Collaborating on blogs, podcasts,vodcasts and other projects

www.hi-blogs.info

http://differance-engine.net/SINI2007blog/

Objectives

At the completion of the session, the participants will be able to:

1. list a range of current and emerging tools and technologies that are and might be of use in healthcare settings

2. provide examples of ways in which these tools and technologies might be adopted by nurses

3. explain some of the reasons that issues such as patient safety and data access might be influenced by introducing new tools and technologies

Content

1. some current tools and technologies

2. convergence of tools and technologies; new tools

3. how tools and technologies are being used

4. how tools and technologies might impact nursing and healthcare

5. some issues in introducing new technologies into healthcare -

6. some strategies for incorporation into practice

7. a look further into the future - from the NI2006 Post Congress

Conference

An INTERACTIVE session – please contribute.

Some current tools / technologies

1. Some current tools / technologies(above and beyond PC’s et al)

Technologies• PDAs• Tablets

• Smartphones• Biometrics• VoIP

• Storage

Use (example)• POC, real-time access• Large screen/writing

recognition• All-in-one• Security• Low-cost communication

• Real-time data/information; low cost

2. Convergence and new directions

Multi-function devices:- phone, PDA, email, Internet access, camera, MP3

player ... all in one

What does/will a computer look like?

Online versus local storage

Free software on proprietary OS – and vice versa

Ubiquitous wireless

2. Convergence and new directions

... and then there's Web 2.0 ...

• O’Reilly 2004

• Second generation of the Web

• Web 2.0 doesn't have a

• hard boundary,

• but rather, a gravitational core

Collaboration

Interaction

customization

Openness is the core paradigm

of content, tools and services in Web 2.0 digital environments

From: http://headrush.typepad.com/creating_passionate_users/2005/10/the_best_thing_.html

The best thing about Web 2.0

is that…

nobody knows

what the hell it really means.

Even the ones who coined the term are still

struggling to find a compact definition.

And this is the true beauty and power of Web 2.0

- it makes people think.

Web 2.0 websites are different from those of early web development, retroactively labelled Web 1.0.

They are designed to deliver interactive, versus static, applications to end-users. Their content is characterised by open communication, decentralised authority, and freedom to share and re-use materials across a more dynamic, interlinked and interactive World Wide Web.

They are often referred to as 'read/write web' applications.

3. How tools and technologies arebeing used

Personal PIM / organizer Individual clinical use

Reference Patient tracking

Clinical practice POC Reference EMR interface

Blending Via WiFi 24/7 accessibility?

4. How tools and technologies might impact nursing and healthcare

Clinical practice Increased EBP Increased safety Decreased errors

Economic Decreased personal costs Efficient care Improved patient conditions Increased patient care of patient

5. Some issues in introducing new technologies into healthcare

Safety

Security

Training

Future-proofing

A look at future interaction with your computer???

http://www.youtube.com/watch?v=PLhMVNdplJc

Future new ‘things’ to watch out for: Wearables

http://www.zypad.com/zypad/home.aspx http://www.myvu.com http://www.redwoodhouse.com/wearable/

6. Some strategies for incorporationinto practice

Traditional

Superuser Train the trainer

Mandate

Active user participation

aka grassroot movement Workforce tools

Vendor support(ed)

? New – JIT etc.

7. A look further into the future - from the NI2006 Post Congress Conference

The changing role of the nurse and nature of nursing

Genomics as a basis for healthcare

Wearable monitoring and computing

Ubiquitous, always-on access

A variety of demographic and other timebombs

NURSING INFORMATICS 2020: TOWARDS DEFININGOUR OWN FUTURE

(available August 2007)

Further information and contactwww.hi-blogs.info

(for link to full presentation)

peterjmurray@gmail.com

scott.erdley@gmail.com