Jerry Fahrni

Category: Mobile Computing

  • New peripherals for Motion C5 and F5 tablets

    GottaBeMobile.com: “Motion Computing is introducing a two peripherals and some software that should help tablet users that work in the healthcare industry. The motion folks are exhibiting their wares at the Healthcare Information and Management Systems Society Conference in Atlanta.” – The peripherals being referred to are ReadyDock (PDF) for the C5 and F5 Tablet PCs and a new RAM Mount with integrated lock.

    The ReadyDock is a cabinet designed to charge up to 20 C5 or F5 tablets at once. In addition the ReadyDock offers standard network connection to the tablets while docked granting remote IT support like data backup. The ReadyDock is nice if you have the need to charge several devices at once, but each cabinet will set you back about $2300. I think I like the standard C5/F5 docking station better because you can attach an external keyboard and mouse to it which allows you to continue working while the tablet charges.
    The second peripheral, the RAM Mount with integrated combination lock, is actually supplied by a third party vendor. RAM Mounts makes mounting hardware for mobile devices like laptops and GPS units. The RAM Mount is simply a lockable port replicator that can be mounted on a wall or poll.
    I still prefer the J3400 tablet from Motion over the C5/F5.

    Posted via email from fahrni’s posterous

  • Facial recognition via your Android smartphone

    VentureBeat: “Recognizr uses FaceLib, a mobile face recognition library from Polar Rose, which is available for Android and iPhone. FaceLib can recognize faces in photo or video but, in common with other facial recognition products, is more accurate for photos. Recognizr also uses Polar Rose’s server-side solution FaceCloud because you can’t store profiles of all potential matches in the phone — although recognizing people who are already in the phone’s address book can be handled locally on the device.” – The application from Polar Rose combined with the interface from TAT (The Astonishing Tribe) pulls up information associated with the recognized faze from places like Facebook, YouTube and LinkedIn.

    Wouldn’t this be a great application to use in healthcare? Imagine a patient rolls in through the emergency department; can’t answer your questions because of a language barrier, is unconcious, is too young or simply can’t speak secondary to injuries. The physician grabs his/her smartphone and uses it to “recognize” the patient and pull up their medical records. Now that’s some cool technology!

  • Notion Ink’s slate tablet shouldn’t be ignored

    The Notion Ink Adam tablet was a popular item for bloggers during the Consumer Electronics Show (CES) earlier this year. The device runs the Android operating system and offers some very interesting technology for the end user like a touchpad on the back of the device and a 10.1” 1024×600 Pixel Qi display.

    The Pixel Qi screen offers the quick refresh of an LCD screen with the low power consumption and direct sunlight readability of e-ink. I’m excited about the Pixel Qi technology and have been waiting for their screens to appear in consumer devices for quite some time. In fact, I’m holding off my purchase of a Kindle DX until I see a Pixel Qi screen for myself. I’m just not a fan of reading PDF files on a backlit LCD display, and reading them on a Nook or Kindle isn’t a great experience either.

    The addition of the touchpad on the back of the Adam tablet is interesting. It gives the user the ability to move around the screen while holding the device in its natural slate configuration. It may take some getting used to, but overall the rear touchpad is a novel concept that I think offers value. Other nice features include a camera, the ability to multi-task and an SD card slot.

    The Adam could rival the iPad if given a fair comparison. The one major downside to the Notion tablet will be the same disadvantage I’m finding with my DROID; a lack of software available for healthcare. Then again, if your software is delivered over the web and accessed via the device browser it won’t make any difference.

    Some great photos of the Notion Ink’s Adam tablet can be found at Flickr.

  • Epocrates beta for webOS

    It looks like Epocrates beta is available for the Palm webOS platform. Check out the video below to get the gist for the look and feel of the app.

    I don’t use Epocrates myself. My mobile drug information resources of choice come from Lexi-Comp. However, Epocrates is a very popular and highly respected resource among healthcare professionals.

    Unfortunately Palm and the webOS don’t appear to have a good long-term prognosis in the smartphone arena. I’ve been reading various reports that Palm may be on its way out secondary to the iPhone, BlackBerry and newer android devices. That’s really too bad. I’ve been a big fan of the Palm operating system since its inception back in the 1990’s. In fact, I would be using a Palm Pre today if it would have been available through Verizon when I purchased my DROID.

    I’d love to talk with someone at Palm about building an 8-10” slate tablet device running webOS. The simplicity of the operating system and the ability to really have multiple applications open at once is very appealing. Consider that you can also run legacy Palm OS software on webOS-based devices via emulator software like Classic from Motionapps, and you really have something to like. I fear that this is only a dream, however, as I haven’t heard a peep about anything from Palm even remotely resembling a tablet device.

    So, Palm, if you ever feel the need to build a tablet device please give me a call. I have some ideas for you.

  • Lenovo has been busy

    Tablet PC
    CNet    : “Lenovo updated its x series tablet with a new x201 model that packs Intel’s newest low-power Core i5 and i7 processors. In addition to the performance improvement that comes with the faster Core i series chips, the x201 also boasts better battery life over previous models, according to Mika Majapuro, senior worldwide product marketing manager at Lenovo.” – Lenovo currently makes one of the premiere tablet PCs on the market; the ThinkPad X200. I’m thrilled that they are continuing their great tradition of convertible tablets despite the popularity of slate devices so far this year; the iPad, the windows based HP Slate and the Notion Ink Adam, an android based tablet device. According to the article Lenovo continues to make convertible tablets secondary to feedback from customers. Hey, I think the convertible tablet is the way to go.

    Dual Screen laptop
    The same CNet article mentions that “Lenovo also announced 17-inch ThinkPad models, including the W701 and W701ds (dual screen) ThinkPad. These also come with new Intel Core i series processors.” – My opinions regarding dual screen laptops can be found here. Overall I like the concept and think they’re pretty cool now that I’ve had some time to get used to the idea. I will definitely give one a try if and when I can.

  • Apple, AT&T and Verizon: Can’t you boys figure out a way to play together?

    Medical Smartphones: “We all know that the AT&T network is having difficulty keeping up with the data load caused by a multitude of iPhone users. What will happen when the iPad becomes available? Will the networks get more congested? Will AT&T have the necessary infrastructure to provide adequate 3G services for all these new iPads that will be floating around?” – Joseph goes on to ponder how long it will take Versizon to get the iPhone as his wife is eagerly waiting for it. I too have been waiting for the iPhone to drop into Verizon hands. Even though I’m satisfied with my Droid, I will convert to the iPhone once available through my carrier. Unless, of course, something better comes along in the meantime. The reason why I would switch is simple; the iPhone is so widely used among healthcare professionals that application development for the device is on the forefront of technology. If you can’t find it for the iPhone, then it probably doesn’t exist.

    So, what will happen when the iPad hits AT&T? I have no idea because I don’t plan to buy one with 3G. I will use the device like I use my iPod touch now; inside the walls of my house, the hospital and Starbucks.

  • Efficacy of handhelds for radiologic consultation

    To continue with the radiology theme from yesterday: Toomey RJ, Ryan JT, McEntee MF, et al. Diagnostic Efficacy of Handheld Devices for Emergency Radiologic Consultation. Am. J. Roentgenol. 2010;194(2):469-474.

    Abstract: Diagnostic Efficacy of Handheld Devices for Emergency Radiologic Consultation
    OBJECTIVE. Orthopedic injury and intracranial hemorrhage are commonly encountered in emergency radiology, and accurate and timely diagnosis is important. The purpose of this study was to determine whether the diagnostic accuracy of handheld computing devices is comparable to that of monitors that might be used in emergency teleconsultation.
    SUBJECTS AND METHODS. Two handheld devices, a Dell Axim personal digital assistant (PDA) and an Apple iPod Touch device, were studied. The diagnostic efficacy of each device was tested against that of secondary-class monitors (primary class being clinical workstation display) for each of two image types—posteroanterior wrist radiographs and slices from CT of the brain—yielding four separate observer performance studies. Participants read a bank of 30 wrist or brain images searching for a specific abnormality (distal radial fracture, fresh intracranial bleed) and rated their confidence in their decisions. A total of 168 readings by examining radiologists of the American Board of Radiology were gathered, and the results were subjected to receiver operating characteristics analysis.
    RESULTS. In the PDA brain CT study, the scores of PDA readings were significantly higher than those of monitor readings for all observers (p 0.01) and for radiologists who were not neuroradiology specialists (p 0.05). No statistically significant differences between handheld device and monitor findings were found for the PDA wrist images or in the iPod Touch device studies, although some comparisons approached significance.
    CONCLUSION. Handheld devices show promise in the field of emergency teleconsultation for detection of basic orthopedic injuries and intracranial hemorrhage. Further investigation is warranted.

    I’m not as sharp as many of you so I had to actually look up the word roentenology, which means “Radiology, the science of radiation and, specifically, the use of both ionizing (like X-ray) and nonionizing (like ultrasound) modalities for the diagnosis and treatment of disease.”

    According to the article “the scores of PDA readings were significantly higher than those of monitor readings when all observers’ readings are taken into account” and “no statistically significant differences between handheld device and monitor findings were found for the PDA wrist images or in the iPod Touch devices studies, although some comparisons did approach significance.”

    An interesting follow-up to this study would be to insert an iPad into the same scenario against the iPod touch. I would be very interested to see how radiologists would react to that. The iPad would offer similar functionality to the iPod touch with the advantage of a larger screen. I can only speculate that more screen real estate would be preferred over less screen real estate for radiologists if given a choice. Just a thought.

  • Will hype for iPad in healthcare translate into benefits for pharmacy?

    Unless you’ve been comatose for a while, you’ve certainly heard about the Apple iPad. The device has already been crowned the de facto device for everything from e-reading to creating a new wave in healthcare unlike anything we’ve ever seen. Of course this is all speculation as the device hasn’t been officially released yet.

    Many people have speculated that the iPad will be a great device for healthcare. Whether or not that will be the case remains to be seen. One thing is for certain: everyone is banking on the iPad being a big hit in healthcare. Based on the success of the iPhone as a favorite among physicians and nurses, this certainly isn’t a wild prediction. Will this success translate to the pharmacy? Good question.
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  • Has interest in technology come and gone for pharmacsits?

    I spent some time yesterday talking with some good people over at Pharmacy OneSource about pharmacy technology, clinical decision support, data mining, and a whole bunch of other interesting items. During one point of a conversations the history of Pharmacy OneSource came up. Part of that history includes the merger of Pharmacy OneSource with HealthProLink (HPL) sometime in late 2005.

    The mention of HealthProLink (HPL) brought back fond memories of a time when pharmacy informatics was really starting to take off and I was infatuated with the Palm Pilot <insert flashback sequence here>. HPL was a set of software tools for collecting and quantifying pharmacist intervention data as well as ADR/ADE information. In addition, the application offered access to several clinical calculators and a fairly robust reporting system. I was part of the implementation team for HPL when I worked at Community Medical Centers – Fresno and used it daily for a couple of years.

    This was also a time when Palm Pilots were all the rage and every pharmacist I knew carried one in their lab coat pocket. The Palm OS was a stroke of genius because of its minimalistic approach to the user interface. Anyone could pick up a device using the Palm OS and figure out how to use it in a matter of minutes. They were a model of simplicity and functionality. In addition, several development environments were available for application development as well as several “readers” and database applications. This led to the development of hundreds of medical references, medical calculators, free and commercial peripheral brains and countless ways to track patients, labs, and medications available for devices running the Palm OS. It is the only time in my career as a pharmacist that the entire profession embraced a new technology and used it to their advantage. The literature was full of “studies” using handheld devices for documenting clinical interventions1-4, carrying individually created documents and “peripheral brains”5,6 performing pharmacokinetic calculations, accessing drug information and performing drug interaction checking.7-12 The entire handheld movement was quite impressive to watch.
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  • Conceptual design for electronic communication in the outpatient setting

    From Implementation Science 2009 Sep 25;4:62:

    Abstract:

    BACKGROUND: Health information technology and electronic medical records (EMRs) are potentially powerful systems-based interventions to facilitate diagnosis and treatment because they ensure the delivery of key new findings and other health related information to the practitioner. However, effective communication involves more than just information transfer; despite a state of the art EMR system, communication breakdowns can still occur. 123 In this project, we will adapt a model developed by the Systems Engineering Initiative for Patient Safety (SEIPS) to understand and improve the relationship between work systems and processes of care involved with electronic communication in EMRs. We plan to study three communication activities in the Veterans Health Administration’s (VA) EMR: electronic communication of abnormal imaging and laboratory test results via automated notifications (i.e., alerts); electronic referral requests; and provider-to-pharmacy communication via computerized provider order entry (CPOE). AIM: Our specific aim is to propose a protocol to evaluate the systems and processes affecting outcomes of electronic communication in the computerized patient record system (related to diagnostic test results, electronic referral requests, and CPOE prescriptions) using a human factors engineering approach, and hence guide the development of interventions for work system redesign. DESIGN: This research will consist of multiple qualitative methods of task analysis to identify potential sources of error related to diagnostic test result alerts, electronic referral requests, and CPOE; this will be followed by a series of focus groups to identify barriers, facilitators, and suggestions for improving the electronic communication system. Transcripts from all task analyses and focus groups will be analyzed using methods adapted from grounded theory and content analysis.

    Although the information in the article is only a design concept, it is still worth reading. Concepts like these could be useful for many outpatient as well as many inpatient alerts; labs that are outside normal parameters, results from blood tests, incorrect antibiotic choice following culture results, etc. With the advances in mobile technology, especially mobile communication devices, this is worth serious consideration.