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Submitted on April 25, 2003
Accepted on September 4, 2003
Affiliation of the authors: 1 Department of Biomedical Informatics, Columbia University, New York, NY
* To whom correspondence should be addressed.
Wireless handheld technology provides new ways to deliver and present information. As with any technology, its unique features must be taken into consideration and its applications designed accordingly. In the clinical setting, availability of needed information can be crucial during the decision-making process. Preliminary studies performed at New York Presbyterian Hospital (NYPH) determined that there is inadequate access to information and ineffective communication among clinicians (potential proximal causes of medical errors). In response to these findings, we have been developing extensions to our Web-based clinical information system including PalmCIS, an application that provides access to needed patient information via a wireless PDA (Personal Digital Assistant). The focus was on achieving end-to-end security and developing a highly usable system. This paper discusses the motivation behind PalmCIS, design and development of the system, and future directions.
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