The DOI matches its Crossref record; 83 of the 84 references it cites were found in a registry or an index.
A review and a framework of handheld computer adoption in healthcare
Abstract
Wide adoption of mobile computing technology can potentially improve information access, enhance workflow, and promote evidence-based practice to make informed and effective decisions at the point of care. Handheld computers or personal digital assistants (PDAs) offer portable and unobtrusive access to clinical data and relevant information at the point of care. This article reviews the literature on issues related to adoption of PDAs in health care and barriers to PDA adoption. Studies showed that PDAs were used widely in health care providers' practice, and the level of use is expected to rise rapidly. Most care providers found PDAs to be functional and useful in areas of documentation, medical reference, and access to patient data. Major barriers to adoption were identified as usability, security concerns, and lack of technical and organizational support. PDAs offer health care practitioners advantages to enhance their clinical practice. However, better designed PDA hardware and software applications, more institutional support, seamless integration of PDA technology with hospital information systems, and satisfactory security measures are necessary to increase acceptance and wide use of PDAs in healthcare.
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“Competing priorities [42, 57, 59, 62, 63, 70, 82], lack of motivation [31, 39, 42, 57, 68, 81] and low awareness of the intervention [31, 35, 38, 39, 43, 44, 68, 75, 80, 81] were shown to impede implementation.”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [42]
In the citing paper
“patient values and preferences [3, 33] and concerns about clinician-patient relationships [42, 77] impeded implementation”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [42]
In the citing paper
“competencies, e.g. adequate training and good computer experience/skills were shown to facilitate implementation [16, 17, 31, 32, 34, 41, 42, 44, 54–58, 60, 67, 70, 77, 80, 81, 84–86].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [42]
In the citing paper
“The costs of an intervention and whether practices could obtain a positive return on investment [51] and in particular the time invested [42, 51] were considered to be features that would promote implementation.”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [42]
Citations
Cites
Davis, F. D. (1993) · International Journal of Man-Machine Studies · doi:10.1006/imms.1993.1022 · Cited by 4,754
Mellor, D. H. (1981) · Cited by 1,699
Improving Safety with Information Technology
Bates, D. W., & Gawande, A. A. (2003) · New England Journal of Medicine · doi:10.1056/nejmsa020847 · Cited by 1,544
Communication behaviours in a hospital setting: an observational study
Coiera, E. W., & Tombs, V. (1998) · BMJ · doi:10.1136/bmj.316.7132.673 · Cited by 488
Handheld Computing in Medicine
Fischer, S. E., Stewart, T. E., Mehta, S., Wax, R. S., & Lapinsky, S. E. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1180 · Cited by 318
Mobile information and communication tools in the hospital
Ammenwerth, E., Buchauer, A., Bludau, H.-B., & Haux, R. (2000) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(99)00056-8 · Cited by 208
Doctors' experience with handheld computers in clinical practice: qualitative study
McAlearney, A. S., Schweikhart, S. B., & Medow, M. A. (2004) · BMJ · doi:10.1136/bmj.328.7449.1162 · Cited by 187
Information technology and medication safety: what is the benefit?
Kaushal, R. (2002) · BMJ Quality & Safety · doi:10.1136/qhc.11.3.261 · Cited by 154
Clinician Use of a Palmtop Drug Reference Guide
Rothschild, J. M. (2002) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1001 · Cited by 154
Leung, G. M., Johnston, J. M., Tin, K. Y. K., Wong, I. O. L., Ho, L.-M., Lam, W. W. T., & Lam, T.-H. (2003) · BMJ · doi:10.1136/bmj.327.7423.1090 · Cited by 130
Handheld Computer Use in U.S. Family Practice Residency Programs
Criswell, D., & Parchman, M. L. (2002) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2002.0090080 · Cited by 117
Pediatricians’ Use of and Attitudes About Personal Digital Assistants
Carroll, A. E., & Christakis, D. (2004) · PEDIATRICS · doi:10.1542/peds.113.2.238 · Cited by 104
Ruland, C. M. (2002) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m0891 · Cited by 96
Survey Assessment of Personal Digital Assistant Use among Trainees and Attending Physicians
McLeod, T. G., Ebbert, J. O., & Lymp, J. F. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1313 · Cited by 94
Handheld computers in critical care
Lapinsky, S. E., Weshler, J., Mehta, S., Varkul, M., Hallett, D., & Stewart, T. E. (2001) · Critical Care · doi:10.1186/cc1028 · Cited by 91
COMPUTERIZED SYSTEMS FOR COLLECTING REAL‐TIME OBSERVATIONAL DATA
Kahng, S., & Iwata, B. A. (1998) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1998.31-253 · Cited by 86
PalmCIS: A Wireless Handheld Application for Satisfying Clinician Information Needs
Chen, E. S., Mendonça, E. A., McKnight, L. K., Stetson, P. D., Lei, J., & Cimino, J. J. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1387 · Cited by 71
Reducing Errors in Discharge Medication Lists by Using Personal Digital Assistants
Grasso, B. C., Genest, R., Yung, K., & Arnold, C. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.10.1325 · Cited by 71
Professional monitoring and critical incident reporting using personal digital assistants
Bent, P. D., Bolsin, S. N. C., Creati, B. J., Patrick, A., & Colson, M. E. (2002) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2002.tb04918.x · Cited by 67
Handheld Computers in Radiology
Flanders, A. E., Wiggins, R. H., & Gozum, M. E. (2003) · Radiographics · doi:10.1148/rg.234035011 · Cited by 52
Using handheld computers to document family practice resident procedure experience.
Garvin, R. D., Otto, F., & McRae, D. (2000) · PubMed · Cited by 52
Carroll, A. E., Saluja, S., & Tarczy-Hornoch, P. Z. (2002) · Europe PMC (PubMed Central) · Cited by 48
Enabling remote access to personal electronic medical records
Hall, E. S., Vawdrey, D. K., Knutson, C. D., & Archibald, J. K. (2003) · IEEE Engineering in Medicine and Biology Magazine · doi:10.1109/memb.2003.1213636 · Cited by 46
Carroll, A. E., Saluja, S. S., & Tarczy-Hornoch, P. Z. (2001) · PubMed · Cited by 43
Information at hand: using handheld computers in medicine.
Embí, P. J. (2001) · Cleveland Clinic Journal of Medicine · doi:10.3949/ccjm.68.10.840 · Cited by 43
Handheld Technologies in a Clinical Setting
Tooey, M. J., & Mayo, A. (2003) · AACN Clinical Issues Advanced Practice in Acute & Critical Care · doi:10.1097/00044067-200308000-00009 · Cited by 42
Patient perceptions of physician use of handheld computers.
Houston, T. K., Ray, M. N., Crawford, M. A., Giddens, T., & Berner, E. S. (2003) · PubMed · Cited by 41
Clinical and Educational Uses of Handheld Computers
Torre, D. M., & Wright, S. M. (2003) · Southern Medical Journal · doi:10.1097/01.smj.0000051732.86014.5b · Cited by 41
Pharmacist Computer Skills and Needs Assessment Survey
Balen, R. M., & Jewesson, P. J. (2004) · Journal of Medical Internet Research · doi:10.2196/jmir.6.1.e11 · Cited by 39
Tracking pharmacist interventions with a hand-held computer
Reilly, J. C., Wallace, M., & Campbell, M. M. (2001) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/58.2.158 · Cited by 39
Why don't physicians use their personal digital assistants?
Lu, Y.-C., Lee, J. K., Xiao, Y., Sears, A., Jacko, J. A., & Charters, K. G. (2003) · PubMed · Cited by 38
Self-citationUse of the personal digital assistant for point-of-care trauma documentation
Eastes, L. S. (2001) · Journal of Emergency Nursing · doi:10.1067/men.2001.118759 · Cited by 38
Open source handheld-based EMR for paramedics working in rural areas.
(2002) · PubMed Central · Cited by 37
Using a personal digital assistant to document clinical pharmacy services in an intensive care unit
Lau, A., Balen, R. M., Lam, R., & Malyuk, D. L. (2001) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/58.13.1229 · Cited by 36
Implementing a personal digital assistant to document clinical interventions by pharmacy residents
Brody, J., Camamo, J. M., & Maloney, M. E. (2001) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/58.16.1520 · Cited by 35
Silva, M. A., Tataronis, G. R., & Maas, B. (2003) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/60.9.911 · Cited by 33
Wilcox, R. A., & Telia, R. R. L. (2001) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2001.tb143768.x · Cited by 32
Utility of palmtop computers in a residency program: a pilot study.
Beasley, B. W. (2002) · PubMed · Cited by 30
Barriers to rural physician use of a digital health sciences library.
D’Alessandro, D. M., D’Alessandro, M. P., Galvin, J. R., KASH, J. B., Wakefield, D. S., & Erkonen, W. E. (1998) · PubMed Central · Cited by 30
Can handheld computers improve the quality of care?
Larkin, M. (2001) · The Lancet · doi:10.1016/s0140-6736(01)06550-3 · Cited by 30
Hand-held computers in healthcare: what software programs are available?
Gillingham, W., Holt, A., & Gillies, J. (2002) · PubMed · Cited by 29
The usefulness of handheld computers in a surgical group practice
Blackman, J. A. (1999) · PubMed Central · doi:10.6083/m43n21pf · Cited by 27
A Chemotherapy Incident Reporting and Improvement System
France, D. J., Miles, P. V., Cartwright, J. E., Patel, N., Ford, C., Edens, C., & Whitlock, J. A. (2003) · The Joint Commission Journal on Quality and Safety · doi:10.1016/s1549-3741(03)29021-3 · Cited by 26
Iregui, M. G., Ward, S., Clinikscale, D., Clayton, D., & Kollef, M. H. (2002) · Critical Care Medicine · doi:10.1097/00003246-200209000-00014 · Cited by 25
Personal Digital Assistant Applications for the Healthcare Provider
Keplar, K. E., & Urbanski, C. J. (2003) · Annals of Pharmacotherapy · doi:10.1177/106002800303700223 · Cited by 25
Use of Personal Digital Assistants With Acute Care Nurse Practitioner Students
Scordo, K. A., Yeager, S., & Young, L. (2003) · AACN Clinical Issues Advanced Practice in Acute & Critical Care · doi:10.1097/00044067-200308000-00010 · Cited by 24
Goldstein, D. H., VanDenKerkhof, E. G., & Rimmer, M. J. (2002) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/bf03017457 · Cited by 24
Shiffman, R. N., Liaw, Y., Navedo, D. D., & Freudigman, K. A. (1999) · PubMed Central · Cited by 24
Use of a PDA-based pharmacist intervention system
Lynx, D. H., Brockmiller, H. R., Connelly, R. T., & Crawford, S. Y. (2003) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/60.22.2341 · Cited by 23
Surgical procedure logging with use of a hand-held computer.
Fischer, S. E., Lapinsky, S. E., Weshler, J., Howard, F., ROTSTEIN, L. E., Cohen, Z., & Stewart, T. E. (2002) · Europe PMC (PubMed Central) · Cited by 23
Data Security Issues Arising from Integration of Wireless Access into Healthcare Networks
Frenzel, J. C. (2003) · Journal of Medical Systems · doi:10.1023/a:1021865011765 · Cited by 22
Use of Personal Digital Assistants by Adolescents With Severe Asthma
Chang, B. L., Omery, A., & Mayo, A. M. (2003) · AACN Clinical Issues Advanced Practice in Acute & Critical Care · doi:10.1097/00044067-200308000-00013 · Cited by 20
Point of Care Use of a Personal Digital Assistant for Patient Consultation Management
Bosma, L., Balen, R. M., Davidson, E., & Jewesson, P. J. (2003) · CIN Computers Informatics Nursing · doi:10.1097/00024665-200307000-00007 · Cited by 20
New uses for wireless technology
Newbold, S. K. (2003) · Nursing Management · doi:10.1097/00006247-200310002-00006 · Cited by 19
Using a Personal Digital Assistant to Streamline the OR Workload
McCord, L. (2003) · AORN Journal · doi:10.1016/s0001-2092(06)60590-5 · Cited by 19
Utility of Palmtop Computers in a Residency Program
Beasley, B. W. (2002) · Southern Medical Journal · doi:10.1097/00007611-200202000-00010 · Cited by 18
Extending the Hand of Knowledge
Crowell, K., & Shaw‐Kokot, J. (2003) · Medical Reference Services Quarterly · doi:10.1300/j115v22n01_01 · Cited by 18
Sittig, D. F., Jimison, H. B., Hazlehurst, B. L., Churchill, B. E., Lyman, J. A., Mailhot, M., Quick, E., & Simpson, D. A. (2000) · Europe PMC (PubMed Central) · Cited by 15
Clinical documentation: the handheld computer as a survival tool.
Wofford, M. M., Secan, R., Herman, C., Moran, W. P., & Wofford, J. (1998) · PubMed · Cited by 13
Emerging Technology at the Point of Care
Felkey, B. G., & Fox, B. I. (2003) · Journal of the American Pharmacists Association · doi:10.1331/154434503322612474 · Cited by 13
Mobile Computing for Ambulatory Health Care
Barbash, A. (2001) · Journal of Ambulatory Care Management · doi:10.1097/00004479-200110000-00004 · Cited by 12
Implementing a Total Joint Registry Using Personal Digital Assistants
Giammattei, F. P. (2003) · Orthopaedic Nursing · doi:10.1097/00006416-200307000-00009 · Cited by 12
Personal Digital Assistant Applications for the Healthcare Provider
Keplar, K. E., & Urbanski, C. J. (2003) · Annals of Pharmacotherapy · doi:10.1345/aph.1c394 · Cited by 11
Easy access to a world of information: Using a handheld computer
Schneider, T. (2001) · Journal of Emergency Nursing · doi:10.1067/men.2001.112978 · Cited by 10
Mobile documentation. Wireless PDAs boost job satisfaction for utilization review nurses.
Lanway, C., & Graham, P. L. (2003) · PubMed · Cited by 9
Stammer, L. (2001) · PubMed · Cited by 9
Data Collection and "Real-Time" Learning Using Handheld Computers
Malter, D. E., & Davis, T. J. (2003) · Applied Occupational and Environmental Hygiene · doi:10.1080/10473220301362 · Cited by 7
Qiang, F., Zhanggang, X., & Klein, G. O. (2003) · Studies in health technology and informatics · doi:10.3233/978-1-60750-939-4-629 · Cited by 7
Williams, B. (2001) · PubMed · Cited by 6
Practical applications of hand-held computers in dermatology
Goldblum, O. M. (2002) · Seminars in Cutaneous Medicine and Surgery · doi:10.1053/sder.2002.34947 · Cited by 6
Qualitative Analysis of Handheld Computers in Critical Care.
Lapinsky, S. E., Mehta, S., Varkul, M., & Stewart, T. E. (2000) · PubMed Central · Cited by 5
Evidence-Based-Medicine Tools for Your Palm-Top Computer
Lewis, M. (2003) · Family practice management · Cited by 5
THE SURGICAL GLOVE AS A BREAST SIZER
Choudhary, S., & Curnier, A. (2003) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000063131.35537.8e · Cited by 4
So, you'd like a handheld computer
Al‐Ubaydli, M. (2003) · BMJ · doi:10.1136/bmj.326.7381.s17a · Cited by 3
d’Hemecourt, P. A. (2001) · PubMed · Cited by 3
Monahan, T. (2002) · PubMed · Cited by 3
Vendors see a wireless revolution.
Goedert, J. (2003) · PubMed · Cited by 3
Electronic solutions to implementing lipid guidelines.
Fox, G. N. (2002) · PubMed · Cited by 2
POCKET PC: AN AID TO CLINICAL CONSULTATION
Ali, S. N., & Choudhary, S. (2003) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000063137.39838.38 · Cited by 2
Bergeron, B. P. (1998) · Postgraduate Medicine · doi:10.3810/pgm.1998.06.501 · Cited by 2
Are PDAs the future of health care I.T.?
Schuerenberg, B. K. (2003) · PubMed · Cited by 2
Patient satisfaction planner. Bedside registration: wireless system's a hit.
(2002) · PubMed · Cited by 2
Craig, A. (2003) · PubMed · Cited by 1
Research works printed but not linked: 5
- Carroll, 2001, Proc. AMIA Symp.
- d’Hemecourt, 2001, Assistance in the palm of your hand, Healthc. Inform., 18, 102
- Rosenberg, 2001, Personal digital assistants: an asset to managing healthcare, J. Massachusetts Dent. Soc., 49, 32
- Rosenbloom, 2003, Medical error reduction and PDAs, Int. Pediatr., 18, 69
- Kiel, 2001, Using personal digital assistant to enhance outcomes, J. Healthc. Inf. Manage., 15, 237
Cited by
Sorted by citations
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Mobile computing acceptance factors in the healthcare industry: a structural equation model
Wu, J.-H., Wang, S.-C., & Lin, L.-M. (2007) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2006.06.006 · Cited by 603
Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Treweek, S., Eldridge, S., Everitt, H., Kennedy, A., Qureshi, N., Rogers, A., et al. (2015) · Implementation Science · doi:10.1186/s13012-016-0396-4 · Cited by 533
“Infrastructure [14, 15, 42, 53, 58, 67, 72, 74, 75, 82, 86, 101, 104] B: Inadequate employment contracts, practice facilities and functioning of the primary care team [85] F: Mechanism of support and infrastructure to support health care professionals [85] √ √ √ √ √”
BackgroundInfluentialMair, F. S., May, C., O’Donnell, C., Finch, T., Sullivan, F., & Murray, E. (2012) · Bulletin of the World Health Organization · doi:10.2471/blt.11.099424 · Cited by 553
Using a modified technology acceptance model in hospitals
AGGELIDIS, V, & CHATZOGLOU, P. (2009) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2008.06.006 · Cited by 553
Metadata
- Authors
- Lu, Y.-C., Xiao, Y., Sears, A., & Jacko, J. A.
- Affiliations
- University of Maryland, Baltimore (US)
- University of Maryland, Baltimore County (US)
- Georgia Institute of Technology (US)
- Corresponding author
- Xiao, Yan
- ORCID
- Xiao, Yan
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2005-06
- Volume
- 74
- Issue
- 5
- Pages
- 409-422
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2016477529
- Cited by
- 315
- References
- 84
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 9 · 2021: 2 · 2020: 7 · 2019: 8 · 2018: 18 · 2017: 9 · 2016: 15 · 2015: 15 · 2014: 24 · 2013: 23 · 2012: 18
- FWCI
- 4.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Keywords
- personal digital assistants, technology adoption, barriers to adoption, clinical documentation, patient data access, usability, data security, organizational support, hospital information system integration
- MeSH terms
- Attitude to Computers, Delivery of Health Care, Diffusion of Innovation, Health Personnel, United States, Access to Information, Computers, Handheld
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