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An Innovative PDA Application to Optimize Learning/Teaching and Patient Care in the NICU

An Innovative PDA Application to Optimize Learning/Teaching and Patient Care in the NICU. Yuezhen Lin MD, PGY3 Garrett Levin MD, Associate Professor Dept. of Pediatrics Texas Tech Univ. HSC at El Paso. Disclosure.

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An Innovative PDA Application to Optimize Learning/Teaching and Patient Care in the NICU

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  1. An Innovative PDA Application to Optimize Learning/Teaching and Patient Care in the NICU Yuezhen Lin MD, PGY3 Garrett Levin MD, Associate Professor Dept. of Pediatrics Texas Tech Univ. HSC at El Paso

  2. Disclosure • I have no relevant financial relationships with the manufacture(s) of any commercial products(s) and/or provider(s) of commercial services discussed in this CME activity. • I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation.

  3. Technology & Education • Technology has changed every aspect of our life, education is not an exception. • “The future of education lies in the adoption of technology, such as mobile and wireless, that connects people, unifies the education process, and enhances learning.” --Dr. John D. Halamka, Associate Dean, Harvard Medical School

  4. PDAs will be as Common as the Stethoscope

  5. The First PDA

  6. Palm Pocket PC Today’s PDA

  7. “Must have” Tool for Physicians Technology Diffusion Curve Garritty et al. “Who’s using PDAs? Estimates of PDA use by health care providers: a systemic review of surveys”. J Med. Internet Res. Vol 8, No 2, 2006

  8. What a PDA Can Do for a Physician • Organizer • Multimedia: excellent teaching tool • ‘Just-in-time’ access to most up-to-date medical information • EBM (Evidence-based-medicine) • Critical clinical decision making • As gateways to complicated webs of medical knowledge

  9. Objectives • Be more effective as a physician • Create a PDA application (software) to optimize learning/teaching  patient care

  10. My Favorite

  11. Pilot Project • Setting: NICU (Neonatal Intensive Care Unit) • Problem: NRD (Neonatal Respiratory Distress)

  12. Setting: NICU • NICU (Neonate Intensive Care Unit) • Fast pace • Highly-specialized nature • More accessible, easy-to-use resource desired

  13. Problem: NRD • NRD (Neonatal Respiratory Distress) • One of the most common problems in NICU • Assessment and Management are critical components for the outcome of neonates

  14. How, What & Who • Professional software development tool (Microsoft Visual Studio .Net 2003) • Platform: Any Pocket PC • End users: Neonatologists, residents, medical students.

  15. Neonatal Respiratory Distress Assessment for Pocket PC(NRDA v1.0) • Impart the knowledge about the elements of neonatal respiratory distress • Include 3 modules Module 1 Module 2 Module 3

  16. Module 1 • Recognize the signs of NRD by looking and listening. Cyanosis Grunting • Learning/teaching • Parent education • NICU/inpatient/clinic Description Mechanism

  17. Module 2 • Most common cases of NRD • Built-in Calculator - NRDC - to assess the severity of respiratory distress and predict the mortality Severe Pneumothorax NRD Calculator Case senario Hx, PE, Lab Estimate the severity Predict the mortality

  18. X =((A-B)/A) * ((C-D) + X) Module 3 • “Must have” NICU calculators to facilitate the management of NRD NICU Calculators 2 Vol Exchange Transfusion

  19. Summary • First PDA application for assessment and management of neonatal respiratory distress • Very user friendly & easy to use • Very practical and useful tools for both education and patient care • Users & usage • Neonatologists, pediatricians, residents, medical students, others • NICU, Inpatient & Clinic

  20. On-going Projects • NRDA v2.0 - x.0: • Interactive algorithm-driven program to interpret X-rays and ABG’S, and manage the ventilator for a variety of newborn respiratory disorders • Expand application for other systems, not just limited to NICU & NRD

  21. Acknowledgments • Dr. Antonio Jesurun, Professor and director of NICU at TTUHSC • Dr. Hoi Ho, Assistant Dean of Medical Affairs at TTUHSC • All users

  22. Thank You If you are interested in NRDA, please email drlin@drlinforkids.com

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