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End-of-life care (EoLC), such as advance care planning, advance directives, hospice, and palliative care consults, can improve patient quality of life and reduce costs, yet such interventions are underused. Machine learning-based prediction models show promise in identifying patients who may be candidates for EoLC based on increased risk of short-term (less than 1 year) mortality. Clinical decision support systems using these models can identify candidate patients at a time during [...]

Falls among adults over 60 are a global health concern, including Australia.This study aimed to investigate temporospatial fall alert patterns-across time and location-detected by ambient fall detection sensors in three Australian aged care settings, to inform fall prevention strategies.A mixed-methods approach was used to analyze fall alert patterns and fall risks. Ambient fall detection sensors collected data from three care settings (residential aged care facilities [RACFs], retirement villages [RVs], and [...]

The effective operation of magnetic resonance imaging (MRI) systems relies on physical interactions with complex imaging environments, equipment, and user interfaces (UIs). However, there is limited empirical data evaluating how physical interactions with MRI equipment and accessories, workspace configuration, MRI UI design, and technical proficiency influence clinical workflow.In this study, a cross-sectional survey was conducted among MRI end-users, across public and private health facilities (n = 13), using a structured questionnaire to [...]

Health equity is greatly impacted by the systems and processes with which health systems deliver care. Given the minimal guidance on measurement and reporting of health inequities specific to key population health outcomes, a solution for measurement of health equity is proposed.The concept of a lens of equity was adopted to disaggregate common measures such as breast cancer screening rates to expose inequities across neighborhoods and races in populations served [...]

Quantify the effect of ambient artificial intelligence (AI) scribe technology on work experience, clinical operations, and patient experience in pediatric primary care.We conducted a 12-week study of 39 clinicians within a large pediatric primary care network. Clinician experience was measured using a custom survey instrument which included a combination of discrete and free-text responses. Qualitative analysis of free-text responses provided additional context and identified key facilitators and barriers to optimal [...]

Health professionals (HPs) trainee burnout is hard to capture. A lack of rigorous review and systematic methodological consideration hinders the development of qualitative methodological tools that can elicit rich and trustworthy qualitative data on HPs trainee burnout.This study aimed to report the process, results, and lessons learned while developing and pilot testing a qualitative tool to assess HPs' trainee experiences of burnout to complement quantitative tools.We developed a set of [...]

In recent years, there has been an expansion in the literature on the effects of computerized alerts on prescribing and patient outcomes. The aim of our study was to examine the impact of these systems on clinician prescribing and patient outcomes.We searched three databases (Medline, Embase, and PsychINFO) for studies that had been conducted since 2009 and included studies that examined the effects of alerts at the point of prescribing [...]

Clinical decision support systems (CDSS) are central to modern health care, but their effectiveness is compromised during system downtimes, which affect 96% of health care organizations. During these failures, clinicians lose access to critical decision-making tools like order sets, increasing the risk of medical errors. Traditional downtime solutions, such as paper-based protocols, are often impractical and difficult to maintain.This study introduces and evaluates Offsite Repository for Clinical Assets (ORCA), a [...]

Electronic health records (EHRs) are widely implemented and consume nearly half of physicians' work time. Despite the importance of efficient data entry, physicians' typing skills-potential contributors to documentation burden-remain poorly studied.This study aims to evaluate the typing skills of physicians and their associations with demographic characteristics and professional roles.This cross-sectional pilot study included a convenience sample of physicians (residents, chief residents, and attending physicians) from the internal medicine division of [...]

Health informatics continues to be a continuously evolving discipline. As a result, faculty in health informatics training programs cover a broad range of topics and work in highly diverse academic contexts. This is a strength of the field, and also introduces challenges in understanding faculty salary ranges and assessing potential salary disparities across contexts. Although limited studies have been done on salary ranges in specific academic contexts, prior to this [...]