David K. Vawdrey
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View article: A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury
A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury Open
gov/ct2/show/NCT05628207 .
View article: Stakeholder Perspectives on the Meaningful Integration of Clinical Informatics Interventions Using Patient-Reported Outcomes in Healthcare
Stakeholder Perspectives on the Meaningful Integration of Clinical Informatics Interventions Using Patient-Reported Outcomes in Healthcare Open
Background Patient-reported outcomes (PROs) capture where patients are on their disease trajectory and can identify changes in health status from their perspective. Objectives This study applied the equity and sustainability-informed RE-AI…
View article: Clinical and financial impact of a machine learning powered screening program for abdominal aortic aneurysms
Clinical and financial impact of a machine learning powered screening program for abdominal aortic aneurysms Open
View article: <p>Machine Learning-Guided Cancer Screening: The&nbsp;<span>Benefits of Proactive Care</span></p>
Machine Learning-Guided Cancer Screening: The <span>Benefits of Proactive Care</span> Open
View article: Variation in pediatric and adolescent electronic health data sharing practices under the 21st Century Cures Act
Variation in pediatric and adolescent electronic health data sharing practices under the 21st Century Cures Act Open
Objective To describe real-world practices and variation in implementation of the Information Blocking provisions amongst healthcare organizations caring for pediatric patients. Materials and methods An online survey regarding implementati…
View article: Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments
Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments Open
Objective Understand the perceived role of electronic health records (EHR) and workflow fragmentation on clinician documentation burden in the emergency department (ED). Methods From February to June 2022, we conducted semistructured inter…
View article: How Are Leading Research Institutions Engaging with Data Sharing Tools and Programs?
How Are Leading Research Institutions Engaging with Data Sharing Tools and Programs? Open
With widespread electronic health record (EHR) adoption and improvements in health information interoperability in the United States, troves of data are available for knowledge discovery. Several data sharing programs and tools have been d…
View article: Analyzing Patient-Provided Responses to Improve Collection of Health Equity Data Elements.
Analyzing Patient-Provided Responses to Improve Collection of Health Equity Data Elements. Open
Self-report is purported to be the gold standard for collecting demographic information. Many entry forms include a free-text "write-in" option in addition to structured responses. Balancing the flexibility of free-text with the value of c…
View article: Effect of Expansion of Abbreviations and Acronyms on Patient Comprehension of Their Health Records
Effect of Expansion of Abbreviations and Acronyms on Patient Comprehension of Their Health Records Open
This randomized clinical trial compares patient comprehension of electronic health records in the US when common medical abbreviations are expanded.
View article: Providers Electing to Receive Electronic Result Notifications: Demographics and Motivation
Providers Electing to Receive Electronic Result Notifications: Demographics and Motivation Open
Background Automated electronic result notifications can alert health care providers of important clinical results. In contrast to historical notification systems, which were predominantly focused on critical laboratory abnormalities and o…
View article: Pandemic Telemedicine Adoption Trends in a Predominantly Rural Integrated Health System.
Pandemic Telemedicine Adoption Trends in a Predominantly Rural Integrated Health System. Open
Between March 2020 and February 2022, use of telemedicine services in the U.S. shifted dramatically in response to the evolving SARS-CoV2 pandemic. The initial wave caused many non-emergent clinical services to be postponed, including spec…
View article: The Role of Analytics Governance to Promote Health Care Transformation
The Role of Analytics Governance to Promote Health Care Transformation Open
Objectives Rapid digitization in health care during the 21st century has created significant data and analytics challenges for our providers and health systems. Just as information technology (IT) governance has helped manage exploding dem…
View article: Comparison of Ordering Tools on Adherence to Treatment Protocols in the Emergency Department.
Comparison of Ordering Tools on Adherence to Treatment Protocols in the Emergency Department. Open
Use of order sets increased after implementation of embedded order panels; however, they were still only used for about one-third of applicable encounters suggesting that more work is needed to increase treatment protocol adherence and ele…
View article: Overcoming technical and cultural challenges to delivering equitable care for LGBTQ+ individuals in a rural, underserved area
Overcoming technical and cultural challenges to delivering equitable care for LGBTQ+ individuals in a rural, underserved area Open
The lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) community is vulnerable to health-care disparities. Many health-care organizations are working to collect sexual orientation and gender identity in their electronic he…
View article: Effect of Electronic Health Record Reminders for Routine Immunizations and Immunizations Needed for Chronic Medical Conditions
Effect of Electronic Health Record Reminders for Routine Immunizations and Immunizations Needed for Chronic Medical Conditions Open
Background Immunization reminders in electronic health records (EHR) provide clinical decision support (CDS) that can reduce missed immunization opportunities. Little is known about using CDS rules from a regional immunization information …
View article: Published models that predict hospital readmission: a critical appraisal
Published models that predict hospital readmission: a critical appraisal Open
Introduction The number of readmission risk prediction models available has increased rapidly, and these models are used extensively for health decision-making. Unfortunately, readmission models can be subject to flaws in their development…
View article: A deep database of medical abbreviations and acronyms for natural language processing
A deep database of medical abbreviations and acronyms for natural language processing Open
View article: Medication use and physical assaults in the psychiatric emergency room
Medication use and physical assaults in the psychiatric emergency room Open
Objective To evaluate the relationship between medications used to treat acute agitation (antipsychotics, mood stabilizers and benzodiazepines) and subsequent assault incidence in the psychiatric emergency room. Methods Medication orders a…
View article: Medical Abbreviation and Acronym Meta-Inventory
Medical Abbreviation and Acronym Meta-Inventory Open
Please refer to the manuscript or internal README files for details. This version contains a new license.
View article: A Practical Approach for Monitoring the Use of Copy-Paste in Clinical Notes.
A Practical Approach for Monitoring the Use of Copy-Paste in Clinical Notes. Open
The use of copy-paste in authoring clinical notes has been widely embraced by busy providers, but inappropriate copy-paste has been lambasted by critics for introducing risks related to patient safety and regulatory compliance. At an integ…
View article: Ten principles for data sharing and commercialization
Ten principles for data sharing and commercialization Open
Digital medical records have enabled us to employ clinical data in many new and innovative ways. However, these advances have brought with them a complex set of demands for healthcare institutions regarding data sharing with topics such as…
View article: Measurement of hemorrhage-related severe maternal morbidity with billing versus electronic medical record data
Measurement of hemorrhage-related severe maternal morbidity with billing versus electronic medical record data Open
Use of administrative billing codes for postpartum hemorrhage complications may be appropriate for measuring trends related to disease burden and resource utilization, particularly in the case of transfusion, but may be suboptimal for meas…
View article: Bringing Cultural Competency to the EHR: Lessons Learned Providing Respectful, Quality Care to the LGBTQ Community.
Bringing Cultural Competency to the EHR: Lessons Learned Providing Respectful, Quality Care to the LGBTQ Community. Open
The lesbian, gay, bisexual, transgender, queer (LGBTQ) community is vulnerable to healthcare disparities. Many healthcare organizations are contemplating efforts to collect sexual orientation and gender identity in the electronic health re…
View article: Characterizing non-heroin opioid overdoses using electronic health records
Characterizing non-heroin opioid overdoses using electronic health records Open
Introduction The opioid epidemic is a modern public health emergency. Common interventions to alleviate the opioid epidemic aim to discourage excessive prescription of opioids. However, these methods often take place over large municipal a…
View article: A Framework for Improving Characterization of Obstetric Hemorrhage Using Informatics Data
A Framework for Improving Characterization of Obstetric Hemorrhage Using Informatics Data Open
OBJECTIVE: To characterize postpartum hemorrhage trends and outcomes using bioinformatics and electronic health record data. METHODS: This retrospective analysis included all women who delivered in a four-hospital system from July 2014 to …
View article: Medication stewardship using computerized clinical decision support: A case study on intravenous immunoglobulins
Medication stewardship using computerized clinical decision support: A case study on intravenous immunoglobulins Open
Background Healthcare delivery organizations face increasing pressure to manage the use of medications in terms of safety, waste reduction, and cost containment. Objective To describe a computerized provider order entry (CPOE) system inter…
View article: Risk of Wrong-Patient Orders Among Multiple vs Singleton Births in the Neonatal Intensive Care Units of 2 Integrated Health Care Systems
Risk of Wrong-Patient Orders Among Multiple vs Singleton Births in the Neonatal Intensive Care Units of 2 Integrated Health Care Systems Open
This study suggests that multiple-birth status in the NICU is associated with significantly increased risk of wrong-patient orders compared with singleton-birth status. This excess risk appears to be owing to misidentification between sibl…
View article: Challenges with quality of race and ethnicity data in observational databases
Challenges with quality of race and ethnicity data in observational databases Open
Objective We sought to assess the quality of race and ethnicity information in observational health databases, including electronic health records (EHRs), and to propose patient self-recording as an improvement strategy. Materials and Meth…
View article: Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on Wrong-Patient Order Errors
Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on Wrong-Patient Order Errors Open
clinicaltrials.gov Identifier: NCT02876588.
View article: Interventions to increase patient portal use in vulnerable populations: a systematic review
Interventions to increase patient portal use in vulnerable populations: a systematic review Open
Background More than 100 studies document disparities in patient portal use among vulnerable populations. Developing and testing strategies to reduce disparities in use is essential to ensure portals benefit all populations. Objective To s…