A Comparison of One- and Four-Open-Chart Access: No Change in Computerized Provider Order Entry Error Rates.

Objective: To assess changes in computerized provider order entry error rates among providers who with less than 24-hour notice were switched from four-chart access to one-chart-only access.

Methods: An interrupted time series analysis of emergency medicine providers, hospitalists, and maternal child health providers was performed with pairwise comparison of computerized provider order entry error rates within and between specialties. This retrospective snapshot consisted of four phases.

Impact of a decision aid on reducing uncertainty: pilot study of women in their 40s and screening mammography.

Background: In 2009 the United States Preventive Services Task Force updated its breast cancer screening guidelines to recommend that average-risk women obtain a screening mammogram every two years starting at age 50 instead of annually starting at age 40. Inconsistencies in data regarding the benefit versus risk of routine screening for women less than 50-years-of-age led to a second recommendation - that women in their forties engage in a shared decision making process with their provider to make an individualized choice about screening mammography that was right for them. In response, a web-based interactive mammography screening decision aid was developed and evaluated.

Mammography Decision Aid Reduces Decisional Conflict for Women in Their Forties Considering Screening.

Background: Clinical guidelines recommend a personalized approach to mammography screening for women in their forties; however, methods to do so are lacking. An evidence-based mammography screening decision aid was developed as an electronic mobile application and evaluated in a before-after study.

Methods: The decision aid (Mammopad) included modules on breast cancer, mammography, risk assessment, and priority setting about screening.

The utility of a health risk assessment in providing care for a rural free clinic population.

Background: Free clinics are an important part of our country's health safety net, serving a working poor uninsured population. With limited resources and heavily dependent upon volunteer health care providers, these clinics have historically focused on stopgap, band-aid solutions to the population's health problems. Embracing a new paradigm, free clinics are now prioritizing resources for disease prevention and health promotion.

Having the talk--and it's not about sex!

The end of life is a difficult time for individuals and their families; some families find it devastating. Although the majority of Americans express a desire to die at home, only 25% achieve this goal. This finding and others from the landmark Last Acts state-by-state report card suggest we can do more to help ease the end-of-life transition.

Beating asthma: a community-based asthma education initiative.

Beating Asthma is a community-based educational intervention designed to empower people with asthma by providing them with information about their pulmonary disease. The project consists of a series of three lectures delivered in a single 2-hour evening program by a pulmonologist, a health educator, and a licensed clinical psychologist. Surveys were distributed to participants before and after the program to assess general knowledge of asthma, the disease's pathophysiology, and asthma-management skills.