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This systematic literature review aims to critically evaluate the use of mathematical and simulation models within emergency departments (EDs) and assess their potential to improve the quality of care. This review emphasises the critical need for quality enhancement in healthcare systems, specifically focusing on EDs. This review incorporates studies investigating the quality of care provided in ED settings, employing assorted mathematical and simulation models for adult populations. Based on the [...]

To develop a continual process for linking more comprehensive external mortality data to electronic health records (EHRs) for a large healthcare system, which can serve as a template for other healthcare systems.

This study aims to develop and evaluate an approach using large language models (LLMs) and a knowledge graph to triage patient messages that need emergency care. The goal is to notify patients when their messages indicate an emergency, guiding them to seek immediate help rather than using the patient portal, to improve patient safety.

Despite their potential, Clinical Decision Support (CDS) systems often lack alignment with clinicians' needs and are underutilised in practice. Pilot implementations can help to improve the fit between systems and local needs by engaging users in real-world testing and refinement. Although pilot implementations of CDS have been reported, limited evidence has explored the factors contributing to pilot success.

The objective was to understand the association between people with adequate and inadequate health literacy (HL) in the All of Us cohort.

Nursing documentation burden is a growing point of concern in the United States healthcare system. Documentation in the electronic health record (EHR) is a contributor to perceptions of burden. Efficiency tools like flowsheet macros are one development intended to ease the burden of documentation.

This study compared the time efficiency of the hospital admission process using personal mobile devices to traditional walk-in methods, thereby assessing the effectiveness of the mobile admission process.

This study aims to evaluate the impact of using a large language model (LLM) for generating draft responses to patient messages in the electronic health record (EHR) system on clinicians and support staff workload and efficiency.

Large language models (LLMs) have shown potential in biomedical applications, leading to efforts to fine-tune them on domain-specific data. However, the effectiveness of this approach remains unclear. This study aims to critically evaluate the performance of biomedically fine-tuned LLMs against their general-purpose counterparts across a range of clinical tasks.