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The goal of national interoperability is to improve care quality and decrease administrative burden and costs. Patients, providers, and other stakeholders are increasingly concerned that indiscriminate sharing of data may have deleterious, permanent consequences, as well as fail to provide granular control over the sharing of individual health data. Data segmentation and consent standards to date have been limited in scope and implementation, which has hindered efforts to scale data [...]

As healthcare delivery becomes increasingly digital, nursing informatics knowledge has become essential for nurses to participate effectively in digitally enabled healthcare environments. The Canadian Association of Schools of Nursing (CASN) released updated nursing informatics entry-to-practice competencies in 2025 to inform nursing education in Canada. However, the integration of informatics knowledge and content into nursing curricula and professional practice education remains inconsistent. Mapping the teaching strategies used by nursing educators to [...]

Electronic patient-reported outcome measures (ePROMs) can improve care for people with cancer, but effectiveness hinges on well-supported integration in clinical settings.We evaluated clinician use of specific clinical decision support (CDS) tools in the electronic health record (EHR) designed to facilitate timely, clinically appropriate responses to ePROM scores for six symptoms commonly experienced by cancer patients.The parent pragmatic trial, which took place at Mayo Clinic (Rochester, Minnesota, United States) and its [...]

Interruptive alerts can negatively impact clinical workflows and contribute to alert fatigue, provider frustration, and burnout. Given that interruptive alert overriding is a heterogeneous and recurring phenomenon, occurring across different organizational contexts with varying characteristics and circumstances, we hypothesize a pragmatic approach with multimodal interventions to address malfunctioning alert populations and maintain those contributing to better patient care.This study aimed to develop a systematic approach to screen, identify, and correct [...]

Electronic health records (EHRs) have revolutionized clinical practice, but clinicians and institutions have not yet fully optimized their use. Inconsistent documentation of ophthalmic test results can increase potential medicolegal risks if providers bill for tests without properly documenting clinical interpretations.To address this, we developed and implemented a logic tool in Epic (Epic Systems, Verona, Wisconsin, United States) that prompts clinicians to document diagnostic test interpretations as discrete data before closing [...]

Patient mobility during hospitalization is essential for high-quality healthcare as mobility is linked to physical function and quality of life. The Johns Hopkins Highest Level of Mobility (JH-HLM) scale is a validated method to assess mobility in hospitalized patients. Although the JH-HLM is widely utilized, it has limitations including ceiling effects, unobserved mobility events going unrecorded, and the staff time needed to observe and document.We explored the feasibility of using [...]

Interruptive clinical decision support (CDS) alerts are intended to improve patient care, but can contribute to alert fatigue, diminishing their effectiveness. The alert demonstrated minimal clinical effect while contributing significantly to alert fatigue.This study aims to evaluate if transitioning a high-firing medication on hold alert from interruptive to noninterruptive would change provider practices.The alert was triggered when at least two medications were held for >48 hours. A pre-post intervention cohort study [...]

The CONCERN Early Warning System (CONCERN EWS) is an artificial intelligence-based clinical decision support system (AI-CDSS) for the prediction of clinical deterioration, leveraging signals from nursing documentation patterns. While a recent multisite randomized controlled trial (RCT) demonstrated its effectiveness in reducing inpatient mortality and length of stay, evaluating implementation outcomes is essential to ensure equitable results across patient populations.This study aims to (1) assess whether clinicians' usage of the CONCERN [...]

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 [...]

Major depression in adolescents is recognized as a serious psychiatric illness and a risk factor for suicide. It is important for providers to screen for depression and suicidality and have clinical decision support (CDS) for evaluation, risk assessment, and initial management. Our efforts focused on leveraging the electronic health record (EHR) to ensure that high-risk adolescents received appropriate interventions before leaving the office.This study aims to improve notification of positive [...]