For hospital patients, bedside tablets and apps are providing some control over care

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The interactive systems often give access to charts, lab results, medicine dosage, photos of doctors and nurses, and entertainment.

By Fran Kritz April 7 at 9:00 AM Shannon Olson got more sleep than she expected during her daughter Emilia’s hospital stay in January. Emilia, 2½ , was hospitalized for 10 days at the Geisinger Janet Weis Children’s Hospital in Danville, Pa., to treat an infected cyst on her face. Olson slept in Emilia’s room and had planned to wait up for the nurses’ last rounds.

Hospitals decide when to release the information. For example, some release lab results to patients at the same time that they are sent to the health-care team, while others have a delay of several hours to give physicians a chance to review the information before sharing it with the patient. Just about all do not disclose life-changing information, such as a cancer diagnosis, to allow the physician to discuss it in person.

The systems can also root out medical errors. Kelly said her research has shown that parents who accessed their children’s hospital charts sometimes find errors in medication information, including specific drugs and drug doses. “We heard during focus groups that patients often didn’t want to bother a nurse even if they were cold or thirsty,” said James Fitter, chief executive of Oneview Healthcare, based in Australia, which has sold several interactive systems to U.S. hospitals. Fitter said the features “give patients, who have so little control over what’s happening to them in the hospital, some control over their environment and comfort.

The relative simplicity of the apps belies the years it took hospitals to build in not only patient-friendly features but also secure ones. Every patient gets to set up a password that usually has to be entered each time they use the tablet. In some hospitals, the task of training patients about the interactive patient-care systems has fallen to nurses, a study that surveyed physicians and nurses about the systems found. The study also noted concern over messages, which could often be on top of email, phone calls and in-person visits, and that patients might expect to hear back from their physicians immediately. Some hospitals have shut off that messaging option.

 

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