Week 3 Discussion (2)

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Ivy Tech Community College, Indianapolis *

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205

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Medicine

Date

Jun 6, 2024

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docx

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Name of the app: Identify the name of the app. Dr. Gordon and class, For my first letter of my first name, I was prompted to download The Chief Complaint app. Author: Describe who created, developed, or maintains the app. The medical professional that created this specific app is Dr. Chris Feier, MD, who is an ER physician, and associate professor of emergency medicine at the University of Southern California (The Chief Complaint, 2022). The Chief Complaint app contains hundreds of pages of up-to-date evidence-based reference content presented in an algorithmic and easy to absorb manner that covers the most common conditions encountered in the ER. Endorsement: Identify whether the app is licensed by the Food and Drug Administration, another government agency, or endorsed by an academic institution or medical professional organization. Discuss the implications (or lack) of endorsement. Unfortunelty, I was not able to locate the specific endorsement or license for The Chief Complaint app. However, Los Angeles County, USC Medical Center, and Keck School of Medicine are recited multiple times throughout the app (The Chief Complaint, 2022). I did locate though that the app was developed by ESCAVO, Inc. ESCAVO Inc., is a mobile publishing platform. It allows a rapid and cost-effective integration system of mobile medical information (The Chief Complaint, 2022). Fun fact, the Sepsis Clinical Guide is one of the applications that was designed by them as well. Aesthetics: Discuss whether the information is displayed in a way that is easy to navigate. Is it easy to use? Can you use it without instructions? Explain. In my own opinion, I think that the app is very, very user friendly. There are no black and gray areas, everything is on the first page of the app and you click and choose wherever you need to. The best part is that the app is color coded. For example, cardiology is red, pulmonary is blue, pediatrics is pink, which I found to be neat. Every single body system or topic is displayed on that first page. The best part as well is on the bottom you have the option to choose from emergency medications, calculator, and references. It can be used with no instruction because everything is laid out in logical sense, right in front of you. Purpose: Describe the intended purpose or use of the app. The Chief Complaint app uses an approach of over hundreds of the most common complaints encountered in emergency medicine. It also strives for a purpose of never feeling confused. For example, it has the answers to the next steps in work ups, what tests need to be ordered, it even has if the patient is ready to be discharged, and much, much more (The Chief Complaint, 2022)! I for one, will not be deleting this app as I know it will help me immensely on my unit. Clinical decision-making: Discuss the influence of the app on clinical decision-making. The influence on The Chief Complaint app in the process of decision-making by guiding healthcare providers diagnostic decision making and care planning in EDs and other settings

such as urgent cares, primary care, and retail health settings (The Chief Complaint, 2022). While the chief complaint app guides also guide decision making and care, it also has a vital data element that is collected by regional and state public health systems to monitor for disease outbreaks. Safety: Is there potential for client harm? Explain. I do not think that there is a potential for client harm with this app as it is solely used for healthcare professions. However, I do feel that it will pose harm if a non-medical profession utilizes it. As I tell my patients, there is always a risk for patient harm if the patient does not understand what is going on with them. Also, this is an app so that makes it faulty, and might even endorse malfunctions. Even for me as a healthcare worker, I will always use my best clinical judgement before ever having to rely on something electronic. Privacy/security: Identify if the app has a privacy statement or setting. Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain. The Chief Complaint app has a privacy statement and it does state that it does not require/collect usernames, IDs, emails, addresses, phone numbers, credit card information, and other user information (The Chief Complaint, 2022). However, it does collect analytical such as app clicks which shows an improvement in its use. It did say that it shares some analytics with third parties such as the ones that advertise on their app (The Chief Complaint, 2022). User: Explain for whom is the app intended (providers, clients, or others). The app is intended for providers who work in an emergency medicine setting. I think it could be used by other providers, but it is listed for those that are in emergency medicine. I will add that if a person is not in the healthcare field, it would be hard to navigate and find what they are looking for. It is specifically designed for those who have knowledge and a background for medicine. Credibility: Discuss the credibility of the sources of information and how credibility is verified. The app itself has information and sources that appear to be very credible. I am confident in saying this because all the references are from medical professionals that have studied at highly credible emergency medicine schools (The Chief Complaint, 2022). The research itself are all from scholarly sites and texts as well. Also, the abundance of peer reviewed articles and immaculate credentials are all posted on it as well. Relevance: Discuss how current the information is in the app. When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain. The last app update was on May, 2023. The information that is on this specific app should be up to date. On the app itself, I located all the names of the peer reviewed section, the only downfall to that is that the references on the app are greater than five years. I believe to determine how

credible the information is, is to expand the apps researches as every year medicine integrates to a much stronger advancement. We live in a world today where everything is at a potential of change and it is important to stay on top of things. “Life saving modern medicine is more powerful than ever, but also increasingly overwhelming to practitioners (Gottinger et al., 2019) .” Linda Beidoun References The Chief Complaint. (2022). The chief complaint medical references (Version 2.3). [Mobileapp]. App Store. https://apps.apple.com/us/app/the-chief-complaint/id969426649 Gottinger, H. W., Pombo, N., Berlyand, Y., Kitchenham, B., Dreiseitl, S., Ruger, J. P., Riordan, J. P., Jinglin, Y., Tan, K. C., Zadeh, L. A., Binaghi, E., Zwick, R., Dombi, J., Andriulli, A., Das, A., Lorena, A. C., Meyfroidt, G., Kennedy, R., Kononenko, I., … Zhang, X. (2019, November 17). Clinical decision support systems for triage in the emergency department using Intelligent Systems: A Review . Artificial Intelligence in Medicine. https://www.sciencedirect.com/science/article/abs/pii/S0933365719301265

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Week 3 Discussion (2)

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