J. Med. Internet Res. - Evidence of effectiveness of health care professionals using handheld computers: a scoping review of systematic reviews.

Tópicos

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Resumo

CKGROUND: Handheld computers and mobile devices provide instant access to vast amounts and types of useful information for health care professionals. Their reduced size and increased processing speed has led to rapid adoption in health care. Thus, it is important to identify whether handheld computers are actually effective in clinical practice.OBJECTIVE: A scoping review of systematic reviews was designed to provide a quick overview of the documented evidence of effectiveness for health care professionals using handheld computers in their clinical work.METHODS: A detailed search, sensitive for systematic reviews was applied for Cochrane, Medline, EMBASE, PsycINFO, Allied and Complementary Medicine Database (AMED), Global Health, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. All outcomes that demonstrated effectiveness in clinical practice were included. Classroom learning and patient use of handheld computers were excluded. Quality was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. A previously published conceptual framework was used as the basis for dual data extraction. Reported outcomes were summarized according to the primary function of the handheld computer.RESULTS: Five systematic reviews met the inclusion and quality criteria. Together, they reviewed 138 unique primary studies. Most reviewed descriptive intervention studies, where physicians, pharmacists, or medical students used personal digital assistants. Effectiveness was demonstrated across four distinct functions of handheld computers: patient documentation, patient care, information seeking, and professional work patterns. Within each of these functions, a range of positive outcomes were reported using both objective and self-report measures. The use of handheld computers improved patient documentation through more complete recording, fewer documentation errors, and increased efficiency. Handheld computers provided easy access to clinical decision support systems and patient management systems, which improved decision making for patient care. Handheld computers saved time and gave earlier access to new information. There were also reports that handheld computers enhanced work patterns and efficiency.CONCLUSIONS: This scoping review summarizes the secondary evidence for effectiveness of handheld computers and mhealth. It provides a snapshot of effective use by health care professionals across four key functions. We identified evidence to suggest that handheld computers provide easy and timely access to information and enable accurate and complete documentation. Further, they can give health care professionals instant access to evidence-based decision support and patient management systems to improve clinical decision making. Finally, there is evidence that handheld computers allow health professionals to be more efficient in their work practices. It is anticipated that this evidence will guide clinicians and managers in implementing handheld computers in clinical practice and in designing future research.

Resumo Limpo

ckground handheld comput mobil devic provid instant access vast amount type use inform health care profession reduc size increas process speed led rapid adopt health care thus import identifi whether handheld comput actual effect clinic practiceobject scope review systemat review design provid quick overview document evid effect health care profession use handheld comput clinic workmethod detail search sensit systemat review appli cochran medlin embas psycinfo alli complementari medicin databas ame global health cumul index nurs alli health literatur cinahl databas outcom demonstr effect clinic practic includ classroom learn patient use handheld comput exclud qualiti assess use assess multipl systemat review amstar tool previous publish conceptu framework use basi dual data extract report outcom summar accord primari function handheld computerresult five systemat review met inclus qualiti criteria togeth review uniqu primari studi review descript intervent studi physician pharmacist medic student use person digit assist effect demonstr across four distinct function handheld comput patient document patient care inform seek profession work pattern within function rang posit outcom report use object selfreport measur use handheld comput improv patient document complet record fewer document error increas effici handheld comput provid easi access clinic decis support system patient manag system improv decis make patient care handheld comput save time gave earlier access new inform also report handheld comput enhanc work pattern efficiencyconclus scope review summar secondari evid effect handheld comput mhealth provid snapshot effect use health care profession across four key function identifi evid suggest handheld comput provid easi time access inform enabl accur complet document can give health care profession instant access evidencebas decis support patient manag system improv clinic decis make final evid handheld comput allow health profession effici work practic anticip evid will guid clinician manag implement handheld comput clinic practic design futur research

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