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
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
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
The implementation of information technology (IT) in patient care is on the rise. The nursing workforce should be prepared for using such technology to support the delivery of patient-centered care. The integration of informatics into nursing practice has been progressing at a slower rate than the development of advancements and in which areas nurses use IT is still not clear.
Author(s): Sarac, Elif, Yildiz, Esra
DOI: 10.1055/s-0044-1782229
Large language models (LLMs) like Generative pre-trained transformer (ChatGPT) are powerful algorithms that have been shown to produce human-like text from input data. Several potential clinical applications of this technology have been proposed and evaluated by biomedical informatics experts. However, few have surveyed health care providers for their opinions about whether the technology is fit for use.
Author(s): Spotnitz, Matthew, Idnay, Betina, Gordon, Emily R, Shyu, Rebecca, Zhang, Gongbo, Liu, Cong, Cimino, James J, Weng, Chunhua
DOI: 10.1055/a-2281-7092
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
Compared to White populations, multicultural older adults experience more gaps in preventive care (e.g., vaccinations, screenings, chronic condition monitoring), social determinants of health barriers (e.g., access to care, language, transportation), and disparities and inequities (e.g., comorbidities, disease burden, and health care costs).
Author(s): Craig, Kelly J T, Zaleski, Amanda L, MacKenzie, Shannon M, Butler, Brenda L, Youngerman, Rebecca A, McNutt, Sherrie L, Baquet-Simpson, Alena M
DOI: 10.1055/a-2297-4334
Standardizing and formalizing consent processes and forms can prevent ambiguities, convey a more precise meaning, and support machine interpretation of consent terms.
Author(s): Voronov, Anton, Jafari, Mohammad, Zhao, Lin, Soliz, Melissa, Hong, Qixuan, Pope, John, Chern, Darwyn, Lipman, Megan, Grando, Adela
DOI: 10.1055/a-2291-1482
Our objective was to evaluate the usability of an automated clinical decision support (CDS) tool previously implemented in the pediatric intensive care unit (PICU) to promote shared situation awareness among the medical team to prevent serious safety events within children's hospitals.
Author(s): Molloy, Matthew J, Zackoff, Matthew, Gifford, Annika, Hagedorn, Philip, Tegtmeyer, Ken, Britto, Maria T, Dewan, Maya
DOI: 10.1055/a-2272-6184