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 Inappropriate antibiotic prescribing contributes to antimicrobial resistance. Antimicrobial stewardship (AMS) programs increasingly rely on electronic health record (EHR)-based clinical decision support (CDS) alerts to guide evidence-based care, yet poorly designed alerts can increase cognitive burden and contribute to burnout. Usability testing offers a structured approach to improving alert design and adoption.

Objectives Patient portal use has steadily increased across most populations. Prior, now dated, studies indicated lower adoption rates among Spanish- vs. English- speaking patients. This study compared patient portal activation and use patterns between Spanish- and English-speaking patients. Methods This retrospective cohort study was conducted at three North Texas health systems using the MyChart patient portal (Epic Systems Co.) and included patients ≥18 years with ≥1 completed clinician encounter between [...]

Despite advances in interoperability, patient-supplied medical histories commonly use paper-based forms. Dissatisfaction with this inefficiency has led to the "Kill the Clipboard" initiative from the Centers for Medicare & Medicaid Services to advance digital alternatives. During the COVID-19 pandemic, patient-controlled vaccination record sharing demonstrated that Quick Response (QR) codes and digital data standards provide an effective option. Building on this, several nations are using three standards to securely view and [...]

Intravenous (IV) and oral (PO) acetaminophen have equivalent bioavailability and effectiveness, but IV formulations are significantly more expensive. Clinical decision support (CDS) tools can encourage cost-effective prescribing. We evaluated the effectiveness and acceptability of different CDS strategies on prescribing patterns of acetaminophen.

Falls are the leading cause of injury and injury-related death among older adults. Clinical decision support (CDS) may improve clinician referral and patient access to fall prevention exercise.

Automated patient outreach (APO) approaches offer promising solutions to patient engagement for outstanding health care services. Little is known about APO effectiveness.

Interprofessional teams are central to high-quality patient care. However, identifying the daily frontline clinician who performs direct care-related tasks for a patient requires labor-intensive methodologies. Although electronic health record (EHR) audit logs offer a scalable alternative, their use for identifying frontline clinicians is underdeveloped.

China's hospital-integrated Internet Hospital model embeds virtual outpatient care within hospital information systems, pharmacy workflows, and regulatory oversight structures. However, encounter-level evidence on real-world utilization, operational efficiency, online prescribing, and repeat use remains limited.

This study aimed to describe the usage and perceptions of physicians and nurses in primary and specialty care on the acceptability, usability, and quality of artificial intelligence (AI)-generated draft replies to patient portal messages.

Ambulatory central line-associated bloodstream infections (A-CLABSIs) cause significant morbidity, are costly, and are a relatively new patient safety target. To calculate A-CLABSI rates, the total ambulatory line-day denominator must be known; however, few hospitals can measure this accurately. Access to this data is vital to the quality improvement process.