TechTool Thursday 009

TechTool review of WoundSmart by Pocket Professions Inc on iOS (reviewed on iPhone)

WoundSmart allows the user to keep track of patient wounds and document their progress.  As well as storing serial photos of the wound, the user can also enter all the patient information; detailed medical history and specifics about the size and shape of the wound.

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Design

  • The app looks great and the developers have clearly spent time with the design of this app.
  • It is intuitive but has a few nice extra touches with the graphics that makes it look particularly lovely.
  • One of the most well thought-out medical app UI designs I’ve seen.

User Interface

Clinical Content

There really is so much here, I do wonder if anyone ever needs to know all this about wounds.  Well, wound nurses and vascular surgeons might, but I’m not sure ED doctors would use all the sections.

  • Add photos of the wound
  • Input patient demographic info and medical history
  • Insert info about the wound itself – dressing, procedures, grading
  • Handy reference library with info about wound staging and management

The detail really is endless – and you can choose which parts you want to fill in.  Once it’s complete, the user can review a nice summary of the wound and the info they’ve entered.

For ED doctors, I can’t see the advantage to having all this documentation on your iPhone – clearly you will have to write this in the notes anyway so the next person can see it too.  In fact, it is most useful if you are the only person seeing the patient, or you want to keep a log of patients that you have seen.

The most helpful part is the photo documentation – being able to look back at what a wound looked like last week and compare it is really helpful (although I can do this on my iPhone camera roll anyway).

Cost

  • $20.99! Gulp.  Although the design is great, I can’t see any particularly advanced features it offers to justify anywhere near this price.

Room for Improvement

  • Reduce the price by at least 50%
  • It crashed on me once when I tried to access the reference library (I’m sure this is a minor bug but should be repaired)

Overall

The graphics and UI are fantastic but the price will really limit sales on this app.  Not sure it’s of much benefit to ED docs but if you have a specific interest in wound management it might come in handy

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Comments

  1. Dr. Alec Hochstein says

    Thank you for the review but I wanted to respond and hopefully help users understand a bit better, the way the app should be used.

    You write:
    “For ED doctors, I can’t see the advantage to having all this documentation on your iPhone – clearly you will have to write this in the notes anyway so the next person can see it too. In fact, it is most useful if you are the only person seeing the patient, or you want to keep a log of patients that you have seen.”

    I would disagree, in documenting a wound of any type, diabetic foot, decubitus ulceration, ostomy, trauma, to give a meaningful report, the evaluation of the wound should be completely documented, using the format the app presents. In the US insurance companies are often looking to audit charts ( I am not familiar with these standards outside of the US) and the app protects against this by allowing the user to create a document that will stand up to all audits.

    In addition the app gives the user the ability to export the document as a .PDF or email the complete document for sharing with other consultants, residents, colleagues and inclusion in the medical record, without requiring redundant note taking.

    We are currently continuing to develop the app, and have plans for future releases to allow for cross device syncing and cloud based data collection, this will likely all be included in the price of the app., without any monthly or ongoing fees.

    For the ED Doctor, the ability to do the documentation on your iPhone or iPad, and then give it in a easy to read document via email or printed document we feel would save tremendous amount of time and increase accuracy of the assessment and ultimately provide better patient care.

    Thanks again for taking the time to review our app

    Dr. Alec Hochstein
    Developer -- WoundSmart® App

  2. ian erskine says

    The biggest issue for me with this type of app is the storage of patient photos and identifiable information on a personal device. In the UK i would consider this foolish as would my hospital trust and i’m sure,the data commissioner. Keep track of your own wounds by all means,but keep patients off your iPhone…

  3. Jen Taylor says

    I think Wound Smart is an amazing tool that changes the treatment of wound care significantly! The ability to save the file as a PDF and download to an EMR saves tremendous time for doctors and nurses. In an ER setting, time is of the essence and I would think this tool would be invaluable! It could be used to document anything from burns, trauma wounds, etc. Anyone who is used to dealing with wound care would highly agree that the price is well justified.

  4. Dr. Alec Hochstein says

    I agree, with the safety of the patient data. In the US we have a huge initiative for this called HIPAA ( Health Insurance Portability and Accountability Act).

    When I was developing the app I can tell you it was in my thoughts at all times. I had many discussions and come up withmany incarnations of the app, and data protection. Ultimately we settled on giving the user guidelines that should be adhered to as well as giving them the ability to password protect the app itself even if the user keeps their mobile device unlocked without a password.

    Is it completely encrypted, and secure…I would have to say no, but either is the scraps of paper , index cards, and the like that we have all seen medical professionals, students, nurses etc: use when documenting on rounds. The mobile iOS and the iOS devices that the app is designed to run on is without question more secure.

    We are all keeping data on our phones whether we admit it or not that could be deemed “sensitive”, we need to exercise a healthy amount of common sense. To say to keep all of this data off your iPhone is not the answer, the technology is here use it wisely.

    Dr. Alec Hochstein

  5. Peter Cabeceiras says

    Based on what I have read, this seems secure, and it probably saves on time and waste as a doctor can reference it while charting, dictating or filling out an EMR. I think WoundSmart is particularly useful because the doctor could keep track of patient progress while keeping the patient informed along the way. However; most of that could be done with the camera roll and e-mail. I know this helps doctors collaborate with each other, but does it facilitate better doctor-patient communication? Can a patient post their comments, questions and concerns on their picture after they send it to the physician? It would be superb if the doctor could keep in touch with the patient on the app, but this definitely depends on the number of patients a doctor keeps track of.

    A better educated patient can better manage their condition, and part of the doctor’s job is to teach the patient. The patient cannot absorb all of the knowledge they need in one visit to the doctor; especially if they are still shaken from being rushed to an ED.

    In this era of connectivity, people are much more accustomed to interacting online. Modern e-patients are motivated to learn how to best take care of themselves, and they have the technology to find the information they want through communicating or researching on the internet.

    I’m sure doctors want to answer important questions and make sure that their patients get information from quality sources. Secure healthcare apps could help to connect the doctor and patient in a way that facilitates this.

Comments