Medical residents’ efficiency ameliorates by providing personal mobile computers, it also reduces delays in patient care and imporves continuity of care, states a `research letter`.

"Residents face a vast and increasing workload packed into tightly regulated hours," said the study's first author, Bhakti Patel, MD, pulmonary critical care fellow at the University of Chicago Medicine. "They spend much of their time completing documentation and updating patient charts. This study indicates that personal mobile computers can streamline that process."
The study had two components. First was a survey that asked residents how their work was affected by the availability of mobile computers. Almost 90 percent of the residents responded that they routinely used the iPads for clinical responsibilities; 78 percent felt it made them more efficient, and 68 percent reported that it averted patient care delays.
Next was a close look at data collected from the hospital's electronic medical record system on when the residents placed patient-care orders during the first 24 hours of each new hospital admission. The researchers compared order placement from January through March 2010, before acquiring iPads, with the same three months in 2011, after implementation.
The records confirmed the survey responses. Residents in the study submitted 5 percent more orders before 7 a.m. rounds, at which they update senior physicians about overnight admissions. They placed 8 percent more orders before handing off their responsibilities and leaving the hospital by 1 p.m., as required by duty-hour rules.
The impetus for the iPad project came from internal medicine residency program leadership. A task force of chief residents, residents and administrative staff helped coordinate implementation. One of the residents, Nancy Luo, MD, contacted the iPad's maker "to see if maybe Apple wanted to help us out," she recalled.
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The hospital invests about $650 on each iPad, including insurance, protective covers, straps and software. To keep patients' personal information safe, the devices are password-protected. They provide access to the hospital's wireless network but do not store records. Applications on each unit include access to medical journals and a clinical calculator. Required links include Pub Med, the hospital paging directory, journal club, a scheduling tool and a list of discount drug prices.
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Source-Eurekalert