id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-304070-jw1lxwyd	Lapinsky, Stephen E	Prospective evaluation of an internet-linked handheld computer critical care knowledge access system	2004-10-14		.txt	text/plain	3221	164	42	We evaluated the feasibility and potential benefits of a handheld computer based knowledge access system linking a central academic intensive care unit (ICU) to multiple community-based ICUs. METHODS: Four community hospital ICUs with 17 physicians participated in this prospective interventional study. Before and after the intervention period, participants underwent simulated patient care scenarios designed to evaluate the information sources they accessed, as well as the speed and quality of their decision making. CONCLUSION: An updateable handheld computer system is feasible as a means of point-of-care access to medical reference material and may improve clinical decision making. In the present study we evaluated whether it would be feasible and effective to provide updateable reference information from a central academic centre to handheld computers used by critical care specialists in community hospitals. Information sources that physicians accessed to make clinical decisions were evaluated during simulated patient care scenarios, completed in the physicians' own ICU utilizing a computerized patient simulator (SimMan; Laerdal Medical Corporation, Wappingers Falls, NY, USA).	./cache/cord-304070-jw1lxwyd.txt	./txt/cord-304070-jw1lxwyd.txt