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The adoption of electronic health records (EHRs) into clinical practice has changed clinical workflows and, in some cases, increased documentation burden and clinician burnout. Identifying factors associated with perceived EHR usability after the implementation of a new EHR may guide efforts to reduce burden and burnout.This study measured: (1) group-level perceptions of EHR usability pre- and postimplementation of a new EHR; (2) adaptation to the new EHR; and (3) the [...]

Clinical decision support (CDS) tools are critical for improving care delivery and guideline adherence but are associated with clinician burnout when inadequately designed and implemented. User-centered design (UCD) and implementation science (IS) methods are evidence-based approaches to optimizing CDS tools, but are infrequently used in part due to limited guidance on how to apply them within resource-constrained health systems.This paper focuses on pragmatic application of an integrated UCD-IS approach, demonstrating [...]

Federated network studies allow data to remain locally while the research is conducted through the sharing of analytical code and aggregated results across different health care settings and countries. A large number of databases have been mapped to the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM), boosting the use of analytical pipelines for standardized observational research within this open science framework. Transparency, reproducibility, and robustness of results have [...]

This study aimed to leverage a large language model (LLM) to improve the efficiency and thoroughness of medical record documentation. This study focused on aiding clinical staff in creating structured summaries with the help of an LLM and assessing the quality of these artificial intelligence (AI)-proposed records in comparison to those produced by doctors.This strategy involved assembling a team of specialists, including data engineers, physicians, and medical information experts, to [...]

The timely administration of postoperative antibiotics is crucial for preventing surgical site infections. Despite surgical ordering workflows designed to facilitate care across settings, delays in antibiotic administration posttransfer to the pediatric intensive care unit (PICU) were identified. We aimed to develop a clinical decision support (CDS) system to enhance timely order activation in a large pediatric health system. We hypothesized that the time to release signed and held orders by [...]

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 [...]

Our objective was to identify barriers to implementing a custom clinical decision support (CDS) alert to randomize individuals in a pragmatic study, specifically those with a positive antinuclear antibody (ANA) test.We integrated a validated logistic regression model into the electronic health record to predict the risk of developing autoimmune disease for individuals with a positive ANA (titer ≥ 1:80). A custom CDS alert was created to randomize eligible individuals into [...]

The widespread adoption of health information technology (HIT) has deepened hospitals' reliance on electronic health records (EHR). However, EHR downtime events, which refer to partial or complete system failures, can disrupt hospital operations and threaten patient safety. Systematic research on HIT downtime events in China remains limited.This study aims to identify and classify reported EHR downtime events in a Chinese hospital, assess their frequency and severity, and propose improvement recommendations [...]

Patient portals are increasingly used to support digital health engagement, but little is known about how caregivers used patient portals before, during, and after the coronavirus disease 2019 (COVID-19) pandemic.This study aimed to examine longitudinal changes in caregiver engagement with pediatric patient portals, focusing on logins, session duration, messaging behaviors, and provider response times across prepandemic, pandemic, and postpandemic periods.We conducted a retrospective cohort study using deidentified MyChart data from [...]

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 [...]