EMnote by NacreData L.L.C. (iPad)
Released: Jul 28, 2013
Version: 1.0.2
Size: 345 KB
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Ranking - Medical (iPad)


NacreData L.L.C.
Patient sign out is considered the most dangerous procedure in the emergency department. With up to 80 percent of serious medical errors involving miscommunication during handoffs, we have designed EMnote specifically for the iPad to decrease vulnerability and provide high reliability to the physician sign out process.

EMnote is a practical quality assurance tool intended to help standardize handoff communication and not to be used as part of the medical record. It's functionality and clean UI provides a secure and convenient means to manage beds and record patient information involving key issues and safety concerns, time stamped notes, and clinical photographs relevant to patient safety.

This data can be securely exported from EMnote via email using a password protected 128 bit encrypted PDF that can be reviewed as a checklist & communication tool during the sign out process.

Yes EMnote is THE solution for standardizing the sign out process. It is HIPAA compliant and can be used in any scenario involving the need for a secure and safe sign out.

It can work as follows using intern sign out as an example:

Intern A is on call. As soon as she starts her call the ED calls for an admission. Intern A gets called for a rapid response and has a floor call at the same time.

In comes my EMnote app. Intern A opens her app on her iPad mini, enters her password (which decrypts text and allows for entry into the app) quickly enters info for ED patient which might include patient name and MRN at this point. She responds to rapid response and stabilizes patient and enters this patient info into app including bed number and safety concerns. In the meantime she had already responded to a call for a Tylenol order and entered this information as well.

Now fast forward to end of shift. Intern A has admitted 6 patients and has had 20 floor calls (some of which for the same patient) and 2 rapid responses. Now it's time to sign out to Intern B. Phew...

Intern A presses the send button within EMnote app and is prompted to provide a password to create an encrypted PDF in sign out format to be shared with a recipient (Intern B)

Intern B now has a sign out sheet that can be used for a number of purposes.

1 He can make a copy for his floor team to be used on rounds to ensure appropriate transition of care and address any safety concerns without involving the medical record as this is "a sign out sheet"

2 He can use it for his on call shift (since its the weekend) and patients safety concerns and responsibilities can be discussed with other interns on call

3 I'll let you think of this one :-)

Of course these scenario can be different. This app can be used in any scenario when a secure patient "hand off" is necessary - Inpatient, ED attending to attending, IM attending to attending, Intern to Intern - etc

Airdrop functionality will be added as soon as iOS 7 released. Eventually a medical provider will also be able to archive patient data as needed.

What's new in version 1.0.2
• Handle cancel of PDF sending correctly
• Disallow empty passwords for PDF creation
• Add swipe-from-left in portrait view to show list of beds, including ability to add and edit beds in portrait orientation
Our verdict: Good
  • + EMnote is a highly rated app (4.5-star).
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