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Emergency department (ED) handoff to inpatient teams is a potential source of error. Generative artificial intelligence (AI) has shown promise in succinctly summarizing large quantities of clinical data and may help improve ED handoff.Our objectives were to: (1) evaluate the accuracy, clinical utility, and safety of AI-generated ED-to-inpatient handoff summaries; (2) identify patient and visit characteristics influencing summary effectiveness; and (3) characterize potential error patterns to inform implementation strategies.This exploratory [...]

Copy-paste (CP) and copy-forward (CF) are common electronic health record (EHR) documentation tools that purportedly improve provider efficiency, but they can also contribute to documentation burden while increasing note bloat and errors. Our understanding of provider perceptions of these tools remains limited.This study aimed to increase understanding of provider perceptions and self-reported usage patterns of CP and CF across different clinical environments and provider roles, including the impact of these [...]

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 [...]

Hypertension is a significant contributor to cardiovascular disease, yet evidence-based blood pressure (BP) control practices are inconsistently applied. The Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) is a digital clinical decision support tool designed to improve BP self-management and support clinician workflows. While the patient perspective on COACH has been evaluated in a separate study, this study evaluates organizational readiness for COACH implementation across three health systems using [...]

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 [...]

Clinical decision support (CDS) tools in electronic health records (EHRs) often face low uptake due to limited usability, workflow integration, and other implementation issues. We recently designed and implemented the STRATIFY-CDS tool, which calculates a validated risk-prediction model and recommends disposition for emergency department (ED) patients with acute heart failure. Despite applying human-centered design and implementation science strategies, initial utilization in the first 3 months of the STRATIFY-CDS tool was [...]

Hospitals are looking to AI and other innovative applications to help alleviate provider burden and dissatisfaction associated with clinical documentation in oncology. Ambient artificial intelligence (AI) scribes are a promising technology to address these issues. However, they generally have not been optimized for oncology. This study aimed to evaluate an ambient AI scribe application with oncology providers to determine opportunities and potential challenges.This prospective pilot study of a scribe application [...]

Aging populations strain health care systems. Assisted Living Technologies (ALTs) emerge as a potential solution for promoting independent living among older adults. However, the real-world effect of ALTs remains unclear.This study explores benefits and challenges (anticipated and unanticipated) of ALTs for older adults and informal caregivers across three aged care settings (residential aged care facilities [RACFs], retirement villages [RVs], and home-dwelling communities [HDCs]) in Australia.Three ALTs (fall detection sensors, sleep [...]