Medical Decisions Software, Inc. finishes SBIR grant on TriageDoc
2006 published results in American Journal Emergency Medicine November 2006
Searches from various websites for Palm OS
PDA products related to CodeDoc will be done 4 x per year. If you are a developer
and want to send us name and price information please email cathy@md-software.com
and include the websites where you software is sold or listed. The application
list can not be comprehenisve, but the list will attempt to keep up with most
applications related to CodeDoc®. We will take star ranking from a website
and the price on the date listed from when we did the internet search. This
information is provided to help medical professionals look at much of the availalble
Palm OS products related to ACLS, ATLS, PALS, emergencies and CodeDoc®.
Below is a sample start of this project so
this page is under construction we will be adding searches of other sites
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MD-Software.com News
CodeDoc Wins Time Trial!
Albany, NY: REMO (Regional Emergency Medical Organization) was host
to our ' Code Blue' contest at their headquarters in Albany, NY on July 31,
2002. REMO selected eight EMS professionals for their excellence and years of
experience to participate. This group of participants had a total of over 100
years of real rescue experience. All were currently ACLS certified. One had
never used a PDA before and one had over 18 years of computer experience plus
several years of experience using a Palm OS Handspring.
Their goal was to produce a legible and accurate report for ongoing care of
a patient after an arrest in this contest. Each event they documented was given
a point and every accurately recorded event was given a point. These points
were added together and subtracted from their total time to produce a report.
Any word not legible reduced their total score by one point. Before the contest,
the group was given two hours of instruction that consisted of ten minutes on
the basics of using Palm m505. All participants used the Palm m 505 with the
same Operating System, and all of the Palm m505's were synchronized to the same
time and had PalmPrint 3.2 application as well as CodeDoc 1.49. After Palm m
505 basics, our President Dr. Cathy L. Schell (picture below) provided CodeDoc
instructions in 50 minutes. Then they were given practice codes using both methods,
traditional writing and CodeDoc. Their time included printout of a report with
a portable Canon BJC-85 IR Printer. The group was also instructed on a manual
hand written documentation method to improve legibility. Typical codes were
recorded prior to the contest on a cassette tape recorder. The same codes from
the same tape recorder were used in the contest. Codes on the cassette recorder
were carefully documented and scored prior to the contest to produce a master
key to score against. Participants listened and documented the same codes by
traditional handwriting and by using CodeDoc. The same code documented by CodeDoc
and documented by traditional writing from the same participant was scored and
compared for time and accuracy. Omission errors, spelling errors, sequence errors
were all subtracted by one point each from a participant's total score. Only
two codes from the recorder were repeated multiple times using both methods
of documentation so the result was a clear learning curve of improvement in
time and accuracy with both methods, but
THE BOTTOM LINE:
The mean average time for
documenting all codes by hand for the group was 14.285
minutes.
The mean average time documenting the same codes from
the same tape recording for the same
group, using CodeDoc was 7.12 minutes.
In other words CodeDoc cut their documentation
time in half.
Plus this time included a totally legible typed report with a summary
of the events for ongoing care of the patient. The average time for printing
via IR using a Canon BCJ-85 was one minute. However the portable SiPix
printer was clearly too slow in the practice sessions to be considered
by the participants for use in the contest.
THE BOTTOM LINE:
CodeDoc produced a 5 fold decrease in errors
compared to the same codes documented by hand from
the same tape recording.
When we were scoring, the participants provided us with feedback about CodeDoc
and suggestions. We reimbursed REMO with a small check for each participant
and providing small rewards for the winners. We had a winner for the fastest
time and most accurate with CodeDoc and this person was the one who had the
most experience using a PDA. We had a tie for the fastest and most accurate
with hand writing and we had an overall winner with the best pre and post test
scores and the overall best score for both documentation methods. We greatly
appreciated these participants and think that the actual results may reflect
their experience and excellence. So we hope to sponsor and find more sponsors
for more contests. For more details about the
pilot study look at our AMIA poster.
Pictures by George Jahn, EMS Albany area
professional photographer
CodeDoc® 1.64 New
Features:
1. View prior codes from your
Palm PDA.
2. Edit prior codes from your Palm PDA.
3. Most items are now printable with PalmPrint
including history and exam.
4. Companion Desktop for Windows Organizer,
CodeViewer, organizes codes by date and time.
5. CodeViewer keeps tally of outcomes. From
CodeViewer copy and paste into your word processing program.
6. Companion Desktop Drug Database Rx offers
many features that you may change including alert times.
7. Make your own Drug databases to install on
your PDA with CodeDoc's Drug database Rx. Only one list of medications may go
into CodeDoc at a time. Add and delete and change CodeDoc's drug database including
any information about a medication you wish to have on your PDA.
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