Case studies

Three case studies:

1 - Internal medicine department in large teaching hopsital in USA
2 - OktoberFest 2005 emergency ward
3 - St Mary's Hospital drug infusion calculations

Internal medicine department in large teaching hopsital in USA

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In the beginning

- Senior asks IT department what the best available device is
- Junior doctor tells medical students that handheld computers essential for their studies

Investment

- $150,000
- 60 devices, WiFi
- UpToDate site license

Result

- 40 unopened boxes
- few residents and no medical students aware of UpToDate

Oktoberfest 2005

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Video conference

Paper

St Marys Hospital

Study design

- 25 nurses participated
- Two clinical simulations
- 5 questions – repeated in each simulation

Nurses timed and answers checked

Hypotheses

- PDA method faster
- Pocket calculator faster