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Chamberlain University College of Nursing *

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MISC

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Medicine

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Dec 6, 2023

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The most recent evidence-based research must be easily accessible to healthcare professionals. Accessing the latest, trustworthy research in the field is possible with the help of smartphone medical applications. Additionally, smartphone medical apps may lead to improved decision-making, fewer medical errors, and improved communication among hospital medical staff. Using the critical appraisal evaluation criteria of medical applications, this paper aims to demonstrate the nursing informatics skills required to examine MDCalc apps and clinical decision support (CDS) systems designed to improve medical care delivery by providing clinicians and patients with information that can lead to more informed decision-making at crucial junctures along with workflow. The objective, applications, and endorsements of MDCalc will also be examined, along with the program's functionality, security, privacy practices, and applicability. MDcalc has become a popular resource among healthcare professionals, including physicians, nurses, pharmacists, and medical students, due to its user-friendly interface, extensive range of calculators, and evidence-based approach to medical decision-making. It is widely regarded as a valuable tool for clinical practice and medical education. NAME: The medical application chosen for this assignment is Medical Calculator (MDCalc), which corresponds to my birthday month of February. Healthcare is expanding quickly and is frequently getting updates. Smartphone applications can be installed on tablets or smartphones to increase productivity, enhance patient care, or provide specialized training for professionals (Teferi et al., 2019). AUTHOR: The app was created by Dr. Graham Walker and Dr. Joseph Habboushe, two emergency physicians, established MDCalc, a 14-year-old medical reference. In addition, MDCalc's content for the calculators is written by an extensive group of physicians. A private firm situated in the US named MD Aware, LLC created and maintains MDCalc. ENDORSEMENT The Food and Drug Administration (FDA) and other governmental bodies have not granted MDCalc a license. The American College of Emergency Physicians (ACEP), the Society of Critical Care Medicine (SCCM), and the American College of Cardiology (ACC) are a few academic institutions and medical professional organizations that support it. The

Postgraduate Institute for Medicine and MD Aware LLC have also planned and implemented the MDCalc medical application. OPERATION: Both mobile and web-based platforms support the app. Because of this, users may access and use the app from a variety of devices, including smartphones, tablets, and laptops. The application's information is presented in a user-friendly, intuitive manner with visual guidance that makes navigation simple. Furthermore, the app works with both the iPhone and iPad and keeps the same visual quality on both. AESTHETICS: The app provides very helpful visual assistance in addition to a simple structure and layout that is easy to understand. iPhones and iPads are capable of taking high-quality pictures. You will receive instructions on how to use the app as soon as you register an account. The information in the app is presented in a way that makes it simple to navigate, and the speciality selection tool lets you decide which calculations are linked to the specialty as well as the option to select none. Users may simply access the various calculators and tools thanks to the user-friendly and straightforward user interface. The program is simple and self-explanatory, so it may be used without any instructions.  PURPOSE: The app's intended use is to offer a variety of clinical decision assistance tools and medical calculators to healthcare practitioners. These tools support a variety of medical calculations, risk evaluations, and clinical judgments. Over 500 medical calculators and 200 clinical condition decision aids covering a variety of specializations and disorders are available in the MDCalc program, a resource for medical professionals. In order to enhance patient outcomes, it entails choosing a speciality and utilizing a variety of clinical decision tools, such as dose calculators, diagnostic criteria, risk assessments, processing algorithms, and scores. In a recent research of medical calculators, Kummer et al. (2021) asserted that millions of clinicians globally and over 65% of US-based physicians utilize the MDCalc application clinical decision support platform (CDS) on a monthly basis. CLINICAL DECISION MAKING: The app has a significant influence on clinical decision making as it provides healthcare professionals with evidence-based calculators and tools. These tools can aid in risk

assessment, treatment planning, and diagnostic evaluations. However, it is important to note that the app should be used as a supportive tool and not as a substitute for clinical judgment.  SAFETY: The app itself has no potential to hurt patients. To guarantee patient safety, however, it is essential that medical practitioners utilize the app correctly and interpret the results in light of each patient's specific clinical circumstances. PRIVACY/SECURITY: There is a privacy statement and a transparent privacy policy in the app. It assures that user data won't be disclosed to outside parties and will be encrypted. Information is not shared on social networks by the app. Users would be alerted in accordance with the privacy policy in the case of a breach of privacy involving health information. USER: Healthcare professionals, such as doctors, nurses, and other medical practitioners, are the app's main target audience. It offers them instruments and calculators to help in their therapeutic work. DISTRIBUTION: The app is accessible anywhere and is meant for broad distribution. It is accessible to medical practitioners from many nations and healthcare systems. . CREDIBILITY : In general, the app's information sources are reliable. The software includes sources and references for the calculators and tools it offers, enabling users to validate the data. Prior to making clinical choices, it is crucial for healthcare professionals to critically assess and validate the information. RELEVANCE: The data in the app is updated frequently. Every calculator and tool often includes the date of its most recent update. The majority of the information is in line with best practices and care standards as well as research-based publications. To guarantee that the material is accurate and up to date, healthcare practitioners should always cross-reference it with recent recommendations and studies. Conclusion:

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The critical evaluation questions aided in analyzing evidence-based research for the MDCalc app, which is one of the contributions of smartphone medical applications that will improve clinical practice, Nursing Informatics abilities, and professional progress. Kummer et al. (2021), for instance, claim that medical calculators are specialized CDS devices that combine user- entered clinical parameters to compute the discrete output of various functions. Additionally, the medical application of MDCalc combines evidence-based procedures, calculators, rules, and clinical decision aids that are intended to enhance the quality of clinical and patient decisions made at critical points in the course of therapy. MDcalc is a widely used online medical calculator that provides healthcare professionals with quick and easy access to various clinical calculators and decision support tools. While MDcalc has several strengths, there are also some limitations to consider when critically appraising its use. 2. Article: "Evaluation of Mobile Medical Applications in the Apple App Store: An Update" Authors: Singh, Karandeep, et al. Journal: Journal of Mobile Technology in Medicine Year: 2018 This study examines various medical applications available on the Apple App Store, including Mdcalc. It assesses their quality, functionality, and adherence to clinical guidelines, providing insights into the usefulness and reliability of these apps. Clinical Scenario for the MDCalc App Patient Age-Population and Clinical Setting History of Present Illness and Diagnosis or Condition: A 55-year-old woman with a history of hypertension presents to her primary care physician's office complaining of headaches and dizziness. Her blood pressure is elevated at 180/100 mmHg. The nurse practitioner suspects the patient may have hypertensive urgency and wants to determine the appropriate treatment plan.

For healthcare professionals, MDCalc is a smartphone app that provides a range of medical calculators and algorithms. The software can be used at the point of care, enabling healthcare professionals to input patient information and get evidence-based suggestions for diagnostic and therapeutic alternatives. For instance, in this case, the nurse practitioner might utilize the app to compute the patient's cardiovascular risk score and mean arterial pressure (MAP), which are crucial in establishing the best treatment strategy for hypertension. Calculators for calculating physiological parameters, such as MAP, were among the most commonly used calculators on the MDCalc platform, according to a recent study by Kummer et al. (2021). Additionally, the app offers a step-by-step methodology to assist medical professionals in choosing the right drugs and dosages based on on the patient's risk factors and comorbidities. Healthcare professionals are the target audience for the app. In this case, the nurse practitioner might utilize the app to decide on the patient's treatment plan based on the available evidence, which could enhance the patient's results and avoid subsequent issues. The app's instant access to vital clinical decision-making resources can also help providers save time and cut down on errors. Numerous evidence-based clinical decision-making tools are accessible through the app, including risk ratings, algorithms, equations, diagnostic criteria, formulae, classifications, and dosage calculators (Elovic & Pourmand, 2019). An extensive analysis of the physiology and elements affecting blood pressure is provided by Dr. Sheldon A. Magder's evidence appraisal. It focuses on the significance of individualized patient management with reference to blood patient objectives. Elovic, A., & Pourmand, A. (2019). MDCalc Medical Calculator App Review. Journal of digital imaging, 32(5), 682–684. https://doi.org/10.1007/s10278-019-00218-y Kummer, B., Shakir, L., Kwon, R., Habboushe, J., & Jetté, N. (2021). Usage Patterns of WebBased Stroke Calculators in Clinical Decision Support: Retrospective Analysis. JMIR medical informatics, 9(8), e28266. https://doi.org/10.2196/28266

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