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Posted on Apr 19, 2013 in Perspective Pieces | 0 comments

Digital devices in psychiatry


Prof. John Tiller1
1Department of Medicine and Surgery, University of Melbourne, Australia
JournalMTM 2:1:30-33, 2013
DOI:10.7309/jmtm.2.1.6


Introduction

The stereotype of the psychiatrist with a notepad sitting behind a patient on a couch is now quaint and largely historical with little relevance to contemporaneous practice (1). The digital revolution has brought about major changes in psychiatry. Psychiatric information used to sit in books and journals in physical libraries and is now largely available in electronic libraries or on the web. References with this article reflect that trend, which give rise to the concept of mobile technology enhancing the practice of the psychiatrist. Consent for the use of such devices and methodologies is implied.

The change began with use of word processors and then computers in the writing of reports and general correspondence. This progressed with the use of voice dictation in writing doctor’s letters and reports. With a new generation of doctors being skilled at touch typing, some even record their patient notes as interviews proceed. The availability of assessment templates has meant that doctors following such templates may be more likely to complete an adequate assessment covering the relevant clinical areas than completing assessments with a blank piece of paper and no structure. Adaptive templates can allow brief notes in one area or an extensive elaboration in another, depending on the clinical presentation. Though this process began with mainframe and then desktop computers, it has now migrated to notebooks, ultrabooks, and tablets.

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Posted on Jul 16, 2019 in Perspective Pieces | 1 comment

An Affordable Smart Phone Communication System from Highway to Helipad: A Case Series

 

Jordan Koll1, Douglas Martin MD FRCP(C)2,3, Gregory Hansen MD FRCP(C) MPH MSc4

1Public Health Agency of Canada, Winnipeg, Manitoba, Canada; 2Department of Emergency Medicine, University of Manitoba, Health Sciences Centre, Winnipeg, Manitoba, Canada; 3Shock Trauma Air Rescue Society (STARS), Winnipeg, Manitoba, Canada; 4Divison of Pediatric Critical Care, University of Saskatchewan, Royal University Hospital, Saskatoon, Saskatchewan, Canada.

Corresponding Author: gregory.hansen@usask.ca

Journal MTM 8:1:53–60, 2019

doi:10.7309/jmtm.8.1.7


Introduction: Improving communication between all providers involved with rural trauma and urgent care patients may be beneficial. In our proof of concept study, we examine the potential of an open architecture and flexible smart phone system, utilizing an affordable, off-the-shelf and secure application called Wickr.

Methods: Two patient scenarios were constructed to test the capabilities of the Wickr application for data transfer. Roles were distributed between three players: one represented the transport medical doctor, another played the air medical crew, and the final assumed all the other roles. As the two scenarios unfolded simultaneously, phone conversations, text messages, pictures, and imaging files were conducted between the players by smart phones via downloaded Wickr applications. Upon completion, players answered nine questions on a 5-point Likert scale that focused on the quality of the videos, texts and pictures shared, as well as indicators that we deemed essential to transport communication systems from our experience.

Results: Scores on video, picture and sound quality ranged from good to excellent. Scores on user friendliness, task suitability, speed, information discretion and customizable data retention ranges from somewhat agree to agree.

Conclusion: Wickr was quick, user friendly, and well suited for the clinical communication during simultaneous patient scenarios. Whether it is a capable system for a busy helicopter emergency medical service has not been evaluated.

Key Words: emergency medical services, mhealth, rural health, telemedicine, emergency care, Prehospital


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