A5075176154- Electronic Health Records Systems
- Primary Care and Health Outcomes
- Clinical practice guidelines implementation
- Colorectal Cancer Screening and Detection
- Emergency and Acute Care Studies
- Innovations in Medical Education
- Healthcare Technology and Patient Monitoring
- Healthcare Systems and Technology
- Patient Satisfaction in Healthcare
- Hospital Admissions and Outcomes
- Gastric Cancer Management and Outcomes
- Healthcare Operations and Scheduling Optimization
- Telemedicine and Telehealth Implementation
- Chronic Disease Management Strategies
- Cardiac electrophysiology and arrhythmias
- ECG Monitoring and Analysis
- Medical Coding and Health Information
- Clinical Reasoning and Diagnostic Skills
- Ethics in Clinical Research
- Gastrointestinal Bleeding Diagnosis and Treatment
- Patient-Provider Communication in Healthcare
- Transportation and Mobility Innovations
- Traffic Prediction and Management Techniques
- Ultrasound in Clinical Applications
- Medication Adherence and Compliance
University of Colorado Denver
2011-2024
University of Colorado Hospital
2018-2024
University of Colorado Anschutz Medical Campus
2011-2021
University of Colorado Health
2021
Association of American Medical Colleges
2016
To evaluate a novel clinic-focused Sprint process (an intensive team-based intervention) to optimize electronic health record (EHR) efficiency.An 11-member team including 1 project manager, physician informaticist, nurse 4 EHR analysts, and trainers worked in conjunction with clinic leaders conduct on-site workflow optimization for 2 weeks. The intervention included clinician staff training, building specialty-specific tools, redesigning teamwork. We used Agile management principles...
High workloads in inpatient settings are associated with clinician burnout and have the potential to negatively impact patient care overall performance of organizations.1, 2 However, workload thresholds at which these effects occur unclear, a notable lack evidence-based guidance for optimizing work design settings. Conventional measures (i.e., relative value units [wRVUs] volume encounters) typically used capture patient-related but inadequately full effort or on key outcomes.3 To address...
The morbidity and mortality (M&M) conference is a vital event that can affect medical education, quality improvement, peer review in academic departments. Historically, M&M conferences have emphasized cases highlight diagnostic uncertainty or complex management conundrums. In this report, the authors describe development, pilot, refinement of systems-based model combines educational clinical missions improving patient safety University Colorado Department Medicine.In 2011, focused taskforce...
Abstract Objective Large health systems responding to the coronavirus disease 2019 (COVID-19) pandemic face a broad range of challenges; we describe 14 examples innovative and effective informatics interventions. Materials Methods A team 30 physician 17 nurse informaticists with an electronic record (EHR) associated tools. Results To meet demands posed by influx patients COVID-19 into system, built solutions accomplish following goals: 1) train physicians nurses quickly manage potential...
Delivering useful clinical decision support to providers who are ordering high risk drugs for patients is imperative safe pharmacotherapy. This paper presents a focused electronic intervention designed decrease the of corrected QT interval (QTc) related adverse drug events in patient population. Results showed that customized alert can both number alerts sent while still improving safety prescribing practices intravenous haloperidol. The leveraged components health record significantly rate...
We sought reduce electronic health record (EHR) burden on inpatient clinicians with a 2-week EHR optimization sprint.
Clinical decision support (CDS) alerts built into the electronic health record (EHR) have potential to reduce risk of drug-induced long QT syndrome (diLQTS) in susceptible patients. However, degree which providers incorporate this information prescription behavior and impact on patient outcomes is often unknown.We examined provider response data over a period from October 8, 2016 until November 2018 for CDS alert deployed within EHR 13-hospital integrated care system that fires when with QTc...
Background Typical solutions for improving discharge planning often rely on one-way communication mechanisms, static data entry into the electronic health record (EHR), or in-person meetings. Lack of timely and effective can adversely affect patients their care teams. Objective Applying robust user-centered design strategies, we aimed to an innovative EHR-based readiness tool (the Discharge Today tool) enable teams communicate any barriers discharge, status patient readiness, needs in real...
Hospitalized patients have a high prevalence of prolonged QTc and are high-risk population for Torsades de Pointes (TdP). One modifiable risk factor TdP is the use QT prolonging drugs. Electronically alerting providers who ordering drugs in at-risk may help to achieve safer prescribing practices. Our previous study decreased inappropriate prescription IV haloperidol by 36% using targeted "smart" electronic alert. We wanted assess an approach expanding this type alert commonly used...
Upper GI bleeding (UGIB) is a common indication for inpatient esophagogastroduodenoscopy (EGD). Guideline adherence improves post-EGD care, including appropriate medication dosing/duration and follow-up procedures that reduce UGIB-related morbidity. We aimed to optimize standardize documentation improve process clinical outcomes in care. performed prospective quality improvement study of UGIB endoscopies at an academic tertiary referral center during 6/2019–7/2021. Guidelines were used...
Measuring the adenoma detection rate (ADR) is critical to providing quality care, however it also challenging. We aimed develop a tool using pre-existing electronic health record (EHR) functions accurately and easily measure total ADR provide real-time feedback for endoscopists. utilized Epic EHR. With help of an analyst, existing tools, we developed method by which endoscopy staff could mark whether was detected given colonoscopy. Using these responses all colonoscopies performed...
Abstract Background and Significance When hospitals are subject to prolonged surges in patients, such as during the coronavirus disease 2019 (COVID-19) pandemic, additional clinicians may be needed care for rapid increase of acutely ill patients. How might we quickly prepare a large number ambulatory-based hospitalized patients using inpatient workflow electronic health record (EHR)? Objectives The aim study is create successful training intervention which prepares they transition services....
The implementation of OpenNotes and corresponding increase in patient access to medical records requires thorough assessment the risks benefits note-sharing. Ophthalmology notes are unique among that they extensively utilize non-standardized abbreviations drawings; often indecipherable even highly-educated clinicians outside ophthalmology. No studies date have assessed ophthalmologist perceptions OpenNotes.A cross-sectional study was conducted from 4/28 5/12/2016. A survey distributed 30 (25...
The authors declare no conflict of interest.
Abstract Background Leaders in Informatics, Quality, and Systems (LInQS) is a non-ACGME (Accreditation Council for Graduate Medical Education)-accredited 2-year training program developed to enhance the fields of health care delivery, quality improvement (QI), clinical informatics, leadership. Methods This single-institution longitudinal grounded QI informed by leadership informatics includes didactics, coaching, mentorship, all centered around individualized projects. The has been available...
In the face of hospital capacity strain, hospitals have developed multifaceted plans to try improve patient flow. Many these initiatives focused on timing discharges and lowering lengths stay, they met with variable success. We deployed a novel tool in electronic health record enhance discharge communication.The aim this study is evaluate effectiveness communication tool.This was prospective, single-center, pre-post study. Hospitalist physicians advanced practice providers (APPs) used...
<sec> <title>BACKGROUND</title> Typical solutions for improving discharge planning often rely on one-way communication mechanisms, static data entry into the electronic health record (EHR), or in-person meetings. Lack of timely and effective can adversely affect patients their care teams. </sec> <title>OBJECTIVE</title> Applying robust user-centered design strategies, we aimed to an innovative EHR-based readiness tool (the Discharge Today tool) enable teams communicate any barriers...