From MedWreck to MedRec: A Call to Action to Improve Medication Reconciliation.
Author(s): Kashyap, Nitu, Jeffery, Sean, Agresta, Thomas
DOI: 10.1055/a-2181-1847
Author(s): Kashyap, Nitu, Jeffery, Sean, Agresta, Thomas
DOI: 10.1055/a-2181-1847
Electronic health records (EHRs) present navigation challenges due to time-consuming searches across segmented data. Voice assistants can improve clinical workflows by allowing natural language queries and contextually aware navigation of the EHR.
Author(s): Kumah-Crystal, Yaa A, Lehmann, Christoph U, Albert, Dan, Coffman, Tim, Alaw, Hala, Roth, Sydney, Manoni, Alexandra, Shave, Peter, Johnson, Kevin B
DOI: 10.1055/a-2177-4420
There is limited research on suicide risk screening (SRS) among head and neck cancer (HNC) patients, a population at increased risk for suicide. To address this gap, this single-site mixed methods study assessed oncology professionals' perspectives about the feasibility, acceptability, and appropriateness of an electronic SRS program that was implemented as a part of routine care for HNC patients.
Author(s): Kansara, Bhargav, Basta, Ameer, Mikhael, Marian, Perkins, Randa, Reisman, Phillip, Hallanger-Johnson, Julie, Rollison, Dana E, Nguyen, Oliver T, Powell, Sean, Gilbert, Scott M, Turner, Kea
DOI: 10.1055/s-0044-1787006
Antimicrobial dosing in critically ill patients is challenging and model-informed precision dosing (MIPD) software may be used to optimize dosing in these patients. However, few intensive care units (ICU) currently adopt MIPD software use.
Author(s): Chai, Ming G, Roberts, Natasha A, Dobbins, Chelsea, Roberts, Jason A, Cotta, Menino O
DOI: 10.1055/s-0044-1786978
This resident-driven quality improvement project aimed to better understand the known problem of a misaligned clinical decision support (CDS) strategy and improve CDS utilization.
Author(s): Sheehan, Kristin N, Cioci, Anthony L, Lucioni, Tomas M, Hernandez, Sean M
DOI: 10.1055/s-0044-1786682
Inefficient electronic health record (EHR) usage increases the documentation burden on physicians and other providers, which increases cognitive load and contributes to provider burnout. Studies show that EHR efficiency sessions, optimization sprints, reduce burnout using a resource-intense five-person team. We implemented sprint-inspired one-on-one post-go-live efficiency training sessions (mini-sprints) as a more economical training option directed at providers.
Author(s): Chen, July, Chi, Wei Ning, Ravichandran, Urmila, Solomonides, Anthony, Trimark, Jeffrey, Patel, Shilpan, McNulty, Bruce, Shah, Nirav S, Brown, Stacy
DOI: 10.1055/s-0044-1786368
Nurses are at the frontline of detecting patient deterioration. We developed Communicating Narrative Concerns Entered by Registered Nurses (CONCERN), an early warning system for clinical deterioration that generates a risk prediction score utilizing nursing data. CONCERN was implemented as a randomized clinical trial at two health systems in the Northeastern United States. Following the implementation of CONCERN, our team sought to develop the CONCERN Implementation Toolkit to enable other hospital [...]
Author(s): Hobensack, Mollie, Withall, Jennifer, Douthit, Brian, Cato, Kenrick, Dykes, Patricia, Cho, Sandy, Lowenthal, Graham, Ivory, Catherine, Yen, Po-Yin, Rossetti, Sarah
DOI: 10.1055/s-0044-1785688
We conducted a focus group to assess the attitudes of primary care physicians (PCPs) toward prostate-specific antigen (PSA)-screening algorithms, perceptions of using decision support tools, and features that would make such tools feasible to implement.
Author(s): Carlsson, Sigrid V, Preston, Mark, Vickers, Andrew, Malhotra, Deepak, Ehdaie, Behfar, Healey, Michael, Kibel, Adam S
DOI: 10.1055/s-0044-1782619
Our objective was to pilot test an electronic health record-embedded decision support tool to facilitate prostate-specific antigen (PSA) screening discussions in the primary care setting.
Author(s): Carlsson, Sigrid V, Preston, Mark A, Vickers, Andrew, Malhotra, Deepak, Ehdaie, Behfar, Healey, Michael J, Kibel, Adam S
DOI: 10.1055/s-0044-1780511
Clinical documentation is essential for conveying medical decision-making, communication between providers and patients, and capturing quality, billing, and regulatory measures during emergency department (ED) visits. Growing evidence suggests the benefits of note template standardization; however, variations in documentation practices are common. The primary objective of this study is to measure the utilization and coding performance of a standardized ED note template implemented across a nine-hospital health system.
Author(s): Evans, Christopher S, Bunn, Barry, Reeder, Timothy, Patterson, Leigh, Gertsch, Dustin, Medford, Richard J
DOI: 10.1055/a-2301-7496