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Introduction: Mobile devices and medical apps are used by healthcare professionals in adult and paediatric emergency departments worldwide. Recently, there has been a drive toward increased digitalisation especially in the UK. This point prevalence survey aims to describe hardware and software provision and their use in paediatric emergency care in the UK and Ireland.Methods: A web-based self-report questionnaire of member sites of an international paediatric emergency research collaborative was performed. A lead site investigator completed the survey on behalf of each site.Results: Of the 54 sites, 46 (85%) responded. At 10 (21.7%) sites, the use of a personal mobile device at the bedside was not allowed; however, this was only enforced at 4 (8.7%) of these sites. Apple iOS devices accounted for the majority (70%) of institutional mobile devices. Most sites provided between 1 and 5 medical apps on the institutional mobile device. The British National Formulary (BNF/BNFc) app was the app which was most frequently provided and recommended. No site reported any harm from medical app use.Conclusion: The breadth of app use was relatively low. There was variability in trust guidance on app use and challenges in accessibility of Wi-Fi and devices. [ABSTRACT FROM AUTHOR]

Summary: There is a move towards online data collection across the world. Online survey response is complicated by respondents using different devices. So far, no research has been conducted in the UK to study characteristics of people using different devices in mixed‐device online surveys. This analysis uses all publicly available UK social surveys with an online component: Understanding Society Innovation Panel, Community Life Survey, European Social Survey, 1958 National Child Development Study and the Second Longitudinal Study of Young People in England. Descriptive analysis and logistic regressions are used to explore significant correlates of device use in online surveys. The results of bivariate analysis suggest that age, gender, marital status, employment, religion, household size, children in household, household income, number of cars and frequency of internet use are significantly associated with device used across surveys. The associations with age, gender, employment status, household size and education are consistent with the findings from other countries. The knowledge about respondents' characteristics using different devices in online surveys in the UK will help to understand better the response process in online surveys and to target certain subgroups more effectively. It is also important for designs of online surveys, understanding of data quality and post‐survey adjustments. [ABSTRACT FROM AUTHOR]

Criminal Procedure and Investigations Act 1996 s.23 and Code of Practice-- failure to investigate contents of mobile phone of complainant--whether breach of duty--whether abuse of process--concession made by Crown at trial--whether it can be withdrawn on appeal [ABSTRACT FROM AUTHOR]

It is commonly claimed that ubiquitous connectivity erodes the boundaries that once separated work from other aspects of life. Mobile devices in particular enable people to perform workrelated activities anytime anywhere. Surprisingly, however, we know little about how people nationwide organise their daily working time over a period that has witnessed rapid technological change. Using the United Kingdom Time Use Surveys 2000 and 2015, covering this period of technological change, we studied work extension practices, and the links between work extension, total work hours and subjective time pressure. We found a significant, though small, increase in work extension, and evidence that it was significantly associated with time pressure in 2015, but not in 2000. Additionally, work extension increased total work hours, which was concentrated entirely in time working with a mobile device. We discuss our results in light of some taken-forgranted narratives about mobile devices allowing work to colonise life. [ABSTRACT FROM AUTHOR]

Given recent advances in mobile technologies, there has been a shift from e-learning to mobile learning in UK universities, yet there are few data about how students select and use mobile devices, and whether e-learning systems and materials are fully compatible. Healthcare students have placements in clinical practice where they use mobile devices to access university course information and learning materials. This study investigated student use of devices in the School of Health Sciences, City University London. Eight final-year students from different disciplines participated: they were issued with a device and reported on how they used it via a personal blog, interviews and focus groups. Thematic analysis was applied to the data. Two groups of themes were identified: factors relating to the devices themselves (strengths and weaknesses; learning to use them; enjoying them) and to the course (university work; in clinical placement). Students had similar observations and experiences of the different devices, both at the university and in clinical practice, and this paper reports on their perceptions. The importance of Wi-Fi access, suitable learning spaces and permissions to use devices were important findings, as was evidence of the enjoyment students found in using the devices. [ABSTRACT FROM AUTHOR]

The UK has an increased length of hospital stay in comparison with other European countries, and the need for further investment in community services is required if patients are to truly receive care closer to home. The increase in hospital admissions over the last few years may be attributed to the ageing UK population, as well as poor management of long-term conditions. This may be due to variations in the service provision and availability of case managers and community matrons. The poor working relationships and fragmentation of health and social care services remain a significant issue, despite renewed calls to improve integrated working, which is considered fundamental to achieving a reduction in avoidable hospital admissions. Mobile working was introduced in the NHS to help reform community health-care practice and improve continuity of care. Among other things, it provides clinicians with access to electronic patient records in real time, thus helping to reduce delays in treatment. However, we have to bear in mind that a number of factors could hinder the reduction in hospital admissions. [ABSTRACT FROM AUTHOR]

Mobile working refers to a practitioner’s ability to access information systems and applications while ‘on the move’. This relatively new concept has yielded a number of benefits, including the ability to access patients’ electronic records in real time and a reduction in travelling time for clinicians, thereby improving efficiency within community nursing practice. For a change in practice to be successful, it is necessary to ensure that the proposals are discussed with the staff group implementing them and that appropriate help and support are provided during the period of transition. Maintaining engagement with community nursing teams may be challenging due to increasing workloads and limited resources, potentially affecting health professionals’ ability to attend workshops and associated events. Considering the specific needs of the workforce requires consideration and planning, including provision of additional support for members of staff who may lack confidence in working with mobile devices. [ABSTRACT FROM AUTHOR]

The paper investigates the requirements for multimodal interaction on mobile devices in an end-to-end journey context. Traditional interfaces are deemed cumbersome and inefficient for exchanging information with the user. Multimodal interaction provides a different user-centred approach allowing for more natural and intuitive interaction between humans and computers. It is especially suitable for mobile interaction as it can overcome additional constraints including small screens, awkward keypads, and continuously changing settings - an inherent property of mobility. This paper is based on end-to-end journeys where users encounter several contexts during their journeys. Interviews and focus groups explore the requirements for multimodal interaction design for mobile devices by examining journey stages and identifying the users' information needs and sources. Findings suggest that multimodal communication is crucial when users multitask. Choosing suitable modalities depend on user context, characteristics and tasks. [ABSTRACT FROM AUTHOR]

Background: Despite the established evidence and theoretical advances explaining human judgments under uncertainty, developments of mobile health (mHealth) Clinical Decision Support Systems (CDSS) have not explicitly applied the psychology of decision making to the study of user needs. We report on a user needs approach to develop a prototype of a mHealth CDSS for Parkinson's disease (PD), which is theoretically grounded in the psychological literature about expert decision making and judgement under uncertainty., Methods: A suite of user needs studies was conducted in 4 European countries (Greece, Italy, Slovenia, the UK) prior to the development of PD_Manager, a mHealth-based CDSS designed for Parkinson's disease, using wireless technology. Study 1 undertook Hierarchical Task Analysis (HTA) including elicitation of user needs, cognitive demands and perceived risks/benefits (ethical considerations) associated with the proposed CDSS, through structured interviews of prescribing clinicians (N = 47). Study 2 carried out computational modelling of prescribing clinicians' (N = 12) decision strategies based on social judgment theory. Study 3 was a vignette study of prescribing clinicians' (N = 18) willingness to change treatment based on either self-reported symptoms data, devices-generated symptoms data or combinations of both., Results: Study 1 indicated that system development should move away from the traditional silos of 'motor' and 'non-motor' symptom evaluations and suggest that presenting data on symptoms according to goal-based domains would be the most beneficial approach, the most important being patients' overall Quality of Life (QoL). The computational modelling in Study 2 extrapolated different factor combinations when making judgements about different questions. Study 3 indicated that the clinicians were equally likely to change the care plan based on information about the change in the patient's condition from the patient's self-report and the wearable devices., Conclusions: Based on our approach, we could formulate the following principles of mHealth design: 1) enabling shared decision making between the clinician, patient and the carer; 2) flexibility that accounts for diagnostic and treatment variation among clinicians; 3) monitoring of information integration from multiple sources. Our approach highlighted the central importance of the patient-clinician relationship in clinical decision making and the relevance of theoretical as opposed to algorithm (technology)-based modelling of human judgment.

mHealth (mobile health) is a general term for the use of mobile phones and other wireless technology in medical care. The most common application of mHealth is the use of mobile phones and wearable devices and software applications ("Apps") for health purposes, mainly to educate consumers about preventive health care services. However, mHealth is also used for disease surveillance, treatment support, epidemic outbreak tracking and chronic disease management. World population of 7 billion mobile devices could give a nice opportunity for monitoring of physiology, behavior and disease and patient education.1-3 We present the management of patient with atrial fibrillation using mHealth applications at a distance of 2000 km. This App facilitates earlier and more accurate diagnosis and could create more efficient, convenient and potentially more cost effective delivery of care. Based on the future potential of digital-Health, UK secretary Jeremy Hunt said: NHS app will put patients in control of their healthcare and will be available to everyone in England in December 2018. This is a future for every country. E-Health is also a key area for the European Society of Cardiology because smartphone and apps can also provide education, encourage behavior change, and increase treatment adherence in patients as well as deliver interactive treatment algorithms to aid clinicians. Digital-Health has to be a human imperative. [ABSTRACT FROM AUTHOR]