Table 3.
Summary of handheld computer functions and reported effective outcomes.
Function of handheld computer | Description of function | Evidence of effectiveness (as documented in included studies) |
Patient documentation | Electronic collection and documentation of patient data | More interventions recorded |
Improved documentation rates | ||
More accurate and detailed description of clinical findings | ||
More accurate diagnostic coding | ||
More frequent documentation of side effects | ||
Increased rate of electronic prescribing | ||
Fewer errors in discharge lists | ||
Improved patient identification | ||
Less information lost | ||
Patient care | Access to electronic evidence based decision support systems, pharmaceutical information, transmission of investigatory images, and access to patient management systems | Reduced prescription error rates |
Fewer unsafe drug treatment decisions | ||
More changes in drug prescriptions | ||
Increased self-reported drug knowledge | ||
Reduced antibiotic prescription | ||
Decreased average length of stay | ||
Improved practice efficiency | ||
Improved diagnosis and patient care | ||
Shorter intervention times | ||
More consistent care, according to patient preferences | ||
Information seeking | Looking for information about patients, drugs, guidelines, references, at point of care | Saves time |
More frequent access to electronic resources | ||
Informs patient education about medication use | ||
Earlier learning about new developments | ||
Professional work patterns | Integration of handheld computers into work flows to improve efficiency and communication | Integrates well into clinical workflow |
Saves time when retrieving drug information | ||
Perceived efficient decision making | ||
Saves time in ward rounds accessing, retrieving, recording data | ||
More time for direct patient care | ||
Quicker response times and less failures to respond than with mobile phones and pagers |