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
To compare the ability of different electronic health record alert types to elicit responses from users caring for cancer patients benefiting from goals of care (GOC) conversations.
Author(s): Musser, Robert Clayton, Senior, Rashaud, Havrilesky, Laura J, Buuck, Jordan, Casarett, David J, Ibrahim, Salam, Davidson, Brittany A
DOI: 10.1055/a-2247-9355
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
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
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
Electronic health record (EHR) user interface event logs are fast providing another perspective on the value and efficiency EHR technology brings to health care. Analysis of these detailed usage data has demonstrated their potential to identify EHR and clinical process design factors related to user efficiency, satisfaction, and burnout.
Author(s): Overhage, J Marc, Qeadan, Fares, Choi, Eun Ho Eunice, Vos, Duncan, Kroth, Philip J
DOI: 10.1055/s-0044-1782228
Pharmacogenetics (PGx) is increasingly important in individualizing therapeutic management plans, but is often implemented apart from other types of medication clinical decision support (CDS). The lack of integration of PGx into existing CDS may result in incomplete interaction information, which may pose patient safety concerns. We sought to develop a cloud-based orchestrated medication CDS service that integrates PGx with a broad set of drug screening alerts and evaluate it through [...]
Author(s): Dolin, Robert H, Shenvi, Edna, Alvarez, Carla, Barrows, Randolph C, Boxwala, Aziz, Lee, Benson, Nathanson, Brian H, Kleyner, Yelena, Hagemann, Rachel, Hongsermeier, Tonya, Kapusnik-Uner, Joan, Lakdawala, Adnan, Shalaby, James
DOI: 10.1055/a-2274-6763
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
Timelines have been used for patient review. While maintaining a compact overview is important, merged event representations caused by the intricate and voluminous patient data bring event recognition, access ambiguity, and inefficient interaction problems. Handling large patient data efficiently is another challenge.
Author(s): Park, Heekyong, Wang, Taowei David, Wattanasin, Nich, Castro, Victor M, Gainer, Vivian, Murphy, Shawn
DOI: 10.1055/a-2269-0995
Manual data entry is time-consuming, inefficient, and error prone. In contrast, leveraging two-dimensional (2D) barcodes and barcode scanning tools is a rapid and effective practice for automatically entering vaccine data accurately and completely. CDC pilots documented clinical and public health impacts of 2D barcode scanning practices on data quality and completeness, time savings, workflow efficiencies, and staff experience.
Author(s): Reza, Faisal, Jones, Caroline, Reed, Jenica H
DOI: 10.1055/a-2255-9749