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To assess the effect of a digital scribe among pediatric providers on documentation time, cognitive load, burnout, and caregiver satisfaction.

Health consumers can use generative artificial intelligence (GenAI) chatbots to seek health information. As GenAI chatbots continue to improve and be adopted, it is crucial to examine how health information generated by such tools is used and perceived by health consumers.To conduct a scoping review of health consumers' use and perceptions of health information from GenAI chatbots.Arksey and O'Malley's five-step protocol was used to guide the scoping review. Following PRISMA [...]

Ambient artificial intelligence scribes have become widespread commercial products in the era of generative artificial intelligence. While studies have examined the effect of these tools on the experience of attending physicians, little evidence is available regarding their use by resident physician trainees.To assess trainee experience with an ambient artificial intelligence scribe using measures of usability, acceptability, and documentation burden.This prospective observational study enrolled 47 trainees in a 2-month pilot. Pre/postsurveys [...]

To develop and test a novel machine learning approach for monitoring impact of computerized clinical decision support (CDS) tools on clinicians' electronic health record (EHR) activities.

Human-centered design (HCD) methods in machine learning generally focus on workflow, user interfaces, and data visualizations, but there is the potential to apply these methods to inform the model development and testing process.This study aimed to demonstrate the potential of HCD methods to support the design and testing of machine learning models developed for clinical decision-making.In preparing for formative user testing of clinician facing representations of a machine learning model [...]

The current study examined the moderating effect of self-control on the relationship between attitudes toward cybersecurity and risky online behaviors among direct care nurses.A cross-sectional study collected data from 260 direct care nurses in Saudi Arabia using a self-reported questionnaire. Hierarchical multiple regression analysis and simple slope analysis examined the moderation effect of self-control on the relationship between attitudes toward cybersecurity and risky online behaviors.We found that a better attitude [...]

Ensuring clinician safety in health care settings is critical, particularly regarding exposure to hazardous drugs and bodily fluids, which can be carcinogenic, teratogenic, genotoxic, or cause organ toxicity at low doses. At SickKids a safety issue arose when a clinician was unknowingly exposed to hazardous bodily fluids due to inadequate communication of a patient's hazardous medication status.This clinical decision support (CDS) redesign aimed to reduce alert fatigue while ensuring timely [...]

Terminologies, such as Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) and Solor, assist with knowledge representation and management, data integration, and triggering clinical decision support (CDS) rules. Semantic relations in these terminologies provide explicit meaning in compositional expressions, which assist with many of the above-listed activities.The aims of this research are to: (1) identify semantic relations that are not fully present in SNOMED CT and Solor and (2) use [...]

Electronic health record (EHR) systems have become integral to hospital-based care, with studies showing physicians spending significant time interfacing with these systems. While EHR interactions are necessary for patient care, understanding usage patterns can identify opportunities for system optimization and workflow improvement. Previous studies have focused on outpatient settings, making this study among the first to comprehensively analyze inpatient EHR interaction patterns.This study aims to characterize EHR utilization patterns among [...]

While nursing summaries in electronic health records are used for initial orientation to a patient's status, research on nurses' use of these summaries remains scarce. This case study conducted an eye-tracking simulation to identify (1) key information types (orders, vital signs, etc.), (2) frequently paired information types, and (3) common sequential patterns of information types within nursing summaries as nurses review simulated patient cases.We recruited 33 medical-surgical nurses from a [...]