Evidence map›Paper›PMID 22226927›Full record

ArticleInternational journal of medical informatics2012

Prospective pilot study of a tablet computer in an Emergency Department.

Steven Horng, Foster R Goss, Richard S Chen, Larry A Nathanson

Abstract read
In one paragraph

Article in International journal of medical informatics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Article
  5. The Effect of Mobile Tablet Computer (iPad) Implementation on Graduate Medical Education at a Multi-specialty Residency Institution.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2016
    Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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  14. Perceptions and use of iPad technology by pharmacy practice faculty members.American journal of pharmaceutical education · 2014
    Article
  15. Article
  16. Article
  17. EHR on the move: resident physician perceptions of iPads and the clinical workflow.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Steven HorngDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston,MA 02215, USA. shorng@bidmc.harvard.edu
Foster R Goss
Richard S Chen
Larry A Nathanson

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

backgroundThe recent availability of low-cost tablet computers can facilitate bedside information retrieval by clinicians.

objectiveTo evaluate the effect of physician tablet use in the Emergency Department.

designProspective cohort study comparing physician workstation usage with and without a tablet.

setting55,000 visits/year Level 1 Emergency Department at a tertiary academic teaching hospital.

participants13 emergency physicians (7 Attendings, 4 EM3s, and 2 EM1s) worked a total of 168 scheduled shifts (130 without and 38 with tablets) during the study period.

interventionPhysician use of a tablet computer while delivering direct patient care in the Emergency Department.

main outcome measuresThe primary outcome measure was the time spent using the Emergency Department Information System (EDIS) at a computer workstation per shift. The secondary outcome measure was the number of EDIS logins at a computer workstation per shift.

resultsClinician use of a tablet was associated with a 38min (17-59) decrease in time spent per shift using the EDIS at a computer workstation (p<0.001) after adjusting for clinical role, location, and shift length. The number of logins was also associated with a 5-login (2.2-7.9) decrease per shift (p<0.001) after adjusting for other covariates.

conclusionClinical use of a tablet computer was associated with a reduction in the number of times physicians logged into a computer workstation and a reduction in the amount of time they spent there using the EDIS. The presumed benefit is that decreasing time at a computer workstation increases physician availability at the bedside. However, this association will require further investigation.

Indexed as

Electronic Health RecordsEmergency MedicineAdultFemaleHumansMaleMicrocomputersOutcome Assessment, Health CarePatient Care TeamPilot ProjectsProspective StudiesTime and Motion StudiesWorkflow

Identifiers

PMID22226927
PMCPMC3320696

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.