Most residents who used the devices to access patient records and coordinate their care said they cut about an hour per day off their workload. Researchers also found that the internal medicine trainees tended to put in orders for patient procedures earlier than before they got an iPad.
"What's happening to medicine now is it's very data-driven, and a lot of the data is being put into computers and the computers aren't at the (patient's) bedside," said Dr. Bhakti Patel, the study's lead author from the University of Chicago.
"A lot of people are feeling that they can't spend a lot of time at the bedside because they're kind of shackled to the computer," she told Reuters Health.
When they're carrying around tablets, Patel said, residents can check test results on the spot, as well as order up whatever a patient needs as soon as a treatment-related decision is made, right from that patient's room.
After a first try of giving a few residents iPads went well, Patel and her colleagues handed the devices out to all 115 of their internal medicine doctors-in-training in late 2010.
The iPads allowed residents to see patients' electronic health records, to contact the hospital laboratory or other departments if they needed tests done, and to show patients their own x-rays and other test results, as well as access medical journals.
The devices were locked with passwords, and the researchers also consulted the infection control staff to learn how best to keep them clean.
A few months into using the iPads, Patel's team surveyed the residents and found that almost four out of five said they were more efficient on the wards with the devices, and 68% said they avoided delays in patient care by using them.
Compared to before they got the tablets, the residents put in the same number of orders for tests and procedures for their patients, but slightly more of those were placed within two hours of a patient's hospital admission.
The devices cost the program about $650 each, including insurance and software.
The results, published Monday in the Archives of Internal Medicine, come less than a week after Apple unveiled the third generation of the iPad.
"Clearly this is demonstrating a new trend in integration of personal computing devices with the electronic health record," said Yan Xiao, from the Baylor Health Care System in Dallas. Xiao said his personal views don't represent those of his institution.
"There's a lot of interest in using the iPad, not only by residents but by nurses and others -- and also other devices like the Android," said Xiao, who has studied those trends but wasn't involved in the new study.
Still, he told Reuters Health, there are some barriers to using the devices, such as security issues and the fact that not all electronic health record systems are designed so they're easy to use with tablets.
Patel said that training programs for other specialties at the University of Chicago have reached out to the internal medicine team about using iPads with their residents as well, and they've had interest from a few other teaching hospitals.
The researchers didn't test the iPads against any different devices, such as other brands of tablets or smartphones. Patel said that other programs might consider varying types of devices, depending on what fits their needs and is convenient.
"It's about delivering an education to our residents," she said. "I think it's a novel way of trying to use technology."
The researchers said they had no financial interests to disclose.
By Genevra Pittman
Archives of Internal Medicine, online March 12, 2012.
Last Updated: 2012-03-12 16:00:27 -0400 (Reuters Health)
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