Opportunities for the informatics community to advance learning health systems.

Objectives: There is rapidly growing interest in learning health systems (LHSs) nationally and globally. While the critical role of informatics is recognized, the informatics community has been relatively slow to formalize LHS as a priority area.

Materials And Methods: We compiled results from a short survey of LHS leaders and American Medical Informatics Association (AMIA) members, discussion from an LHS reception at the AMIA annual meeting, and a follow-up survey to inform priorities at the intersection of LHS and informatics.

Selection and Implementation of Virtual Scribe Solutions to Reduce Documentation Burden: A Mixed Methods Pilot.

Electronic health record (EHR) documentation is a leading reason for clinician burnout. While technology-enabled solutions like virtual and digital scribes aim to improve this, there is limited evidence of their effectiveness and minimal guidance for healthcare systems around solution selection and implementation. A transdisciplinary approach, informed by clinician interviews and other considerations, was used to evaluate and select a virtual scribe solution to pilot in a rapid iterative sprint over 12 weeks.

Crowdsourcing Electronic Health Record Improvements at Scale across an Integrated Health Care Delivery System.

Background And Objective: Despite widespread adoption of electronic health records (EHRs), these systems have significant room for improved efficiency and efficacy. While the idea of crowdsourcing EHR improvement ideas has been reported, little is known about how this might work across an integrated health care delivery system in practice.

Methods: Our program solicited EHR improvement submissions during two timeframes across 10 hospitals and 60 clinics in an upper-Midwest integrated health care delivery system.

Risk Factors for Concomitant Collateral Ligament Injuries in Children and Adolescents With Anterior Cruciate Ligament Tears.

Background: Risk factors for concomitant ligament injuries (CLIs) of the lateral collateral ligament (LCL) and medial collateral ligament (MCL) in children and adolescents with anterior cruciate ligament (ACL) tears are unknown.

Purpose: To determine whether body mass index (BMI), sex, age, and injury mechanism are associated with CLIs in children and adolescents with ACL tears and whether CLIs are associated with meniscal and chondral injuries and a delay to surgery.

Study Design: Cohort study; Level of evidence, 3.

Obesity and recovery of muscle strength after anterior cruciate ligament reconstruction in pediatric patients.

Purpose:: To explore factors influencing muscle strength after anterior cruciate ligament (ACL) reconstruction (ACLR) in pediatric patients. We hypothesized that obesity/overweight, autograft hamstring tendon, and concomitant injuries would be associated with slower muscle recovery.

Methods:: We retrospectively reviewed the records of pediatric ACLR patients during a 3-year period.

Referral Patterns of Emergent Pediatric Hand Injury Transfers to a Tertiary Care Center.

Several studies have identified the inappropriate use of emergent interfacility transfer as an opportunity to improve health care use. The authors sought to identify common characteristics among children who were transferred from a community hospital to a pediatric tertiary care center for definitive treatment of hand/wrist injuries. All patients undergoing emergent transfer to a pediatric Level I trauma center and academic tertiary referral center for evaluation and management of injuries to the hand/wrist during the 2-year study period were retrospectively identified.

Community-acquired Methicillin-resistant Staphylococcus aureus Musculoskeletal Infections: Emerging Trends Over the Past Decade.

Background: The emergence of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) has altered the management of pediatric musculoskeletal infections. Yet, institution-to-institution differences in MRSA virulence may exist, suggesting a need to carefully examine local epidemiological characteristics. The purpose of this study was to compare MRSA and methicillin-sensitive S.