Archive for Clinical Care

Portable Information in the Dental Practice

With the wide selection of mobile medical applications available to health care providers, for many practicing dentists and dental students in training there is an increase need to be able to locate vetted information pertaining to the management of the medically complex patient.     Dentists now treat with more regularity persons with special needs whose oral care is challenged by their overall physical fitness.  The Lister Hill Library of the Health Sciences licenses several resources, offers a suggested Mobile Technology guide, but there are also many free applications that a dentist can refer to when determining the treatment and management of their patient.   Below is a quick list that I recommend to students, faculty and staff at the UAB School of Dentistry.

FirstConsult is designed for the health care student and is a clinical decision support tool that provides quick answers.    For those who have more experience treating the medically challenged patient, consider DynaMed Mobile as your first choice.  However, both resources complement each other and I have both apps on my smart phone.

The American Dental Association’s Center for Evidence-Based Dentistry offers a web optimized version of its website containing clinical recommendations that include a patient information section.   If you want to wow your colleagues, this handy site will link you to authoritative guidelines to use in practice.

I am a huge fan of Visual Dx, a medical images database.  It is easy for students to use because the search function does not require knowing a diagnosis name.  Antidotal feedback from students who have incorporated this medical application in to their training report fewer mistakes in visually identifying an oral lesion.

Last, two good drug apps are Epocrates and MicroMedex Drug Information.  I personally think Epocrates is easier for the student in training to use.  And, don’t forget to add LactMed which provides vetted information on drug effects on lactation and breastfed infants. 

Please comment on other favorites that you use in practice below!

- Liz Lorbeer

Librarian to the UAB School of Dentistry

Staying Healthy: Apps for Preventive Care

My Health Checklist 2012 is an iPhone/iPad App that provides patients evidence-based recommendations on preventive health measures.  Developed by a Preventive Medicine Physician, it identifies and includes recommendations from United States Preventive Services Task Force (USPSTF) and the Advisory Committee on Immunization Practices (ACIP). The price is $2.99.

The interface is simple to use. For general recommendations, put in your age/gender (or use this app look up information for others.)

View a scrollable list of recommendations:

Click the arrow to get more information on any topic. This same information can be searched for on the A-Z Topic list on the opening screen.

See the complete review in iMedicalApps

AHRQ ePSS for iPad/iPhone or Android was developed by the US Dept of Health and Human Services Agency for Healthcare Research and Quality (AHRQ) to assist primary care physicians identify the screening, counseling, and preventive medication services appropriate for their patients.  USPSTF recommendations are searchable by patient characteristics and risk factors. This app is free.

The opening screen offers a variety of options. Choose Browse to see an alphabeical list of topics, sortable by type.  To see recommendations for a specific patient, choose Search.

Search screen and results:

 

 

Click on “>” for more information about each recommendation:

A list of tools and handouts is also available.


Read a review on iMedicalApps

LactMed App

LactMed logo

LactMed, part of the National Library of Medicine’s (NLM) Toxicology Data Network (TOXNET®), is a database of drugs and other chemicals to which breastfeeding mothers may be exposed. It includes information on the levels of substances in breast milk and infant blood, the potential effects on lactation and in the nursing infant, the American Academy of Pediatrics category indicating the level of compatibility of the drug with breastfeeding, and alternate drugs to consider.

Geared to the healthcare practitioner and nursing mother, LactMed is peer-reviewed.  All data are derived from the scientific literature and fully referenced.

The LactMed app is available from the iTunes App Store and the Android Market. It is free.

 

 

MD Consult Mobile with First Consult App

"screenshot of MDConsult on iphone" Lister Hill Library licenses MD Consult, a popular clinical tool that provides searching of textbooks, journals, the Clinics (review articles), drug information, and images. MD Consult also includes patient education handouts and CME. Clinicians can “stay in the know while on the go” with MD Consult Mobile, included in our institutional access. A mobile-optimized website, MDC Mobile works on any smartphone or tablet with Internet access.  Using MDConsult Mobile, you can:

  • Use “Quick Reference” links to growing list of medical topics
  • Search books, the Clinics, journals, MEDLINE®, practice guidelines and images.  Read full text and view images on your phone/tablet.
  • Email content links to yourself or a colleague

Follow these four steps to get started:

  1. Access MD Consult from a computer within the institution
  2. Click on “Create an Account” in the top right
  3. Complete the registration form, create a username and password, click “Submit” and log out
  4. Log into MD Consult Mobile by visiting http://mobile.mdconsult.com from a mobile browser. or scan the code below:

Note: Users must log out of MD Consult on the workstation before logging into their phone.  Create a shortcut to the link on your phone/tablet for easy access going forward.

The First Consult iphone/ipad app is offered free to UAB users, because we have an MD Consult institutional site license.  First Consult is clinical support resource designed to serve as a quick reference at the point of care. Main content is stored on your device so you can use it when there is no Internet connection. It integrates seamlessly with MD Consult when online to provide additional content.

Download First Consult from the Apple App store (free) and then log in with your MD Consult user name and password or scan this code.

Here is a video demonstrating the iPhone app.

This one shows how the First Consult app and MD Consult (for in-depth information) work together.

I found First Consult to work very well on the iPad.  The screens were easy to navigate, the links were fast on the UAB network, and there is a lot of information quickly available as shown in the screenshot below.