Characterizing the Patterns of Electronic Health Record-Integrated Secure Messaging Use: Cross-Sectional Study.

Background: Communication among health care professionals is essential for the delivery of safe clinical care. Secure messaging has rapidly emerged as a new mode of asynchronous communication. Despite its popularity, relatively little is known about how secure messaging is used and how such use contributes to communication burden.

Anesthesia Clinical Workload Estimated From Electronic Health Record Documentation vs Billed Relative Value Units.

Importance: Accurate measurements of clinical workload are needed to inform health care policy. Existing methods for measuring clinical workload rely on surveys or time-motion studies, which are labor-intensive to collect and subject to biases.

Objective: To compare anesthesia clinical workload estimated from electronic health record (EHR) audit log data vs billed relative value units.

Reducing perioperative red blood cell unit issue orders, returns, and waste using failure modes and effects analysis.

Background: Surgical transfusion has an outsized impact on hospital-based transfusion services, leading to blood product waste and unnecessary costs. The objective of this study was to design and implement a streamlined, reliable process for perioperative blood issue ordering and delivery to reduce waste.

Study Design And Methods: To address the high rates of surgical blood issue requests and red blood cell (RBC) unit waste at a large academic medical center, a failure modes and effects analysis was used to systematically examine perioperative blood management practices.

Characterizing the macrostructure of electronic health record work using raw audit logs: an unsupervised action embeddings approach.

Raw audit logs provide a comprehensive record of clinicians' activities on an electronic health record (EHR) and have considerable potential for studying clinician behaviors. However, research using raw audit logs is limited because they lack context for clinical tasks, leading to difficulties in interpretation. We describe a novel unsupervised approach using the comparison and visualization of EHR action embeddings to learn context and structure from raw audit log activities.

Temporal Associations Between EHR-Derived Workload, Burnout, and Errors: a Prospective Cohort Study.

Background: The temporal progression and workload-related causal contributors to physician burnout are not well-understood.

Objective: To characterize burnout's time course and evaluate the effect of time-varying workload on burnout and medical errors.

Design: Six-month longitudinal cohort study with measurements of burnout, workload, and wrong-patient orders every 4 weeks.