Cardiac e-learning: Development of a web-based implantable cardioverter defibrillator educational system.

OBJECTIVE: The objective of this study was to design a Web-based implantable cardioverter defibrillator (ICD) module that would allow greater access to learning which could occur at an individual's convenience outside the fast-paced clinical environment. MATERIALS AND METHODS: A Web-based ICD software educational program was developed to provide general knowledge of the function of the ICD and the interpretation of the stored electrocardiograms. This learning tool could be accessed at any time via the Columbia University Internet server, using a unique, password protected login. A series of basic and advanced ICD terms were presented using actual ICD screenshots and videos that simulated scenarios the practitioner would most commonly encounter in the fast-paced clinical setting. To determine the usefulness of the site and improve the module, practitioners were asked to complete a brief (less than 5 min) online survey at the end of the module. RESULTS: Twenty-six practitioners have logged into our Web site: 20 nurses/nurse practitioners, four cardiac fellows, and two other practitioners. The majority of respondents rated the program as easy to use and useful. CONCLUSION: The success of this module has led to it becoming part of the training for student nurse practitioners before a clinical electrophysiology rotation, and the module is accessed by our cardiac entry level fellows before a rotation in the intensive care unit or electrophysiology service. Remote electronic arrhythmia learning is a successful example of the melding of technology and education to enhance clinical learning.

Improving patient compliance with best practices guidelines: a web based automated and personalized reminders system.

Health Reminders is a prototype application that delivers personalized guidelines and recommended testing to the patient at the appropriate time and through multiple communication channels such as email, web, cellular text messaging (Simplified Message Service), automatic insertion into Personal Information Managers (schedulers like MS Outlook) as appointments and tasks.