Eric S. Kirkendall
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View article: A practical framework for appropriate implementation and review of artificial intelligence (FAIR-AI) in healthcare
A practical framework for appropriate implementation and review of artificial intelligence (FAIR-AI) in healthcare Open
Health systems face the challenge of balancing innovation and safety to responsibly implement artificial intelligence (AI) solutions. The rapid proliferation, growing complexity, ethical considerations, and rising demand for these tools re…
View article: <b>Novel Use of a Simulation in Pediatric Type 1 Diabetes Sick-Day Education for Patients and Caregivers</b>
<b>Novel Use of a Simulation in Pediatric Type 1 Diabetes Sick-Day Education for Patients and Caregivers</b> Open
Objective. Management of type 1 diabetes during illness confers risk for serious harm because sick days happen infrequently, management is complex and multistep, and errors can result in diabetic ketoacidosis and hospitalization. Simulatio…
View article: Evaluating the Remote Patient Monitoring Infrastructure Framework in the Management of Hypertension
Evaluating the Remote Patient Monitoring Infrastructure Framework in the Management of Hypertension Open
The collection of patient data outside of a healthcare clinic or physician’s office through remote patient monitoring (RPM) has been touted to improve patient care and clinician decision making. However, these implementations can be challe…
View article: Screening for the Spectrum of Cognitive Impairment in Primary Care: Development of a Machine Learning Informed, Workflow‐Friendly Care Model
Screening for the Spectrum of Cognitive Impairment in Primary Care: Development of a Machine Learning Informed, Workflow‐Friendly Care Model Open
Introduction Over 9 million Americans are projected to have dementia by 2030, and adults with mild cognitive impairment (MCI), a potential pre‐cursor to dementia, will also rise. With recent and emerging clinical trial evidence for interve…
View article: An Infrastructure Framework for Remote Patient Monitoring Interventions and Research
An Infrastructure Framework for Remote Patient Monitoring Interventions and Research Open
Remote patient monitoring (RPM) enables clinicians to maintain and adjust their patients’ plan of care by using remotely gathered data, such as vital signs, to proactively make medical decisions about a patient’s care. RPM interventions ha…
View article: Assessing the Revised Safer Dx Instrument <sup>®</sup> in the understanding of ambulatory system design changes for type 1 diabetes and autism spectrum disorder in pediatrics
Assessing the Revised Safer Dx Instrument <sup>®</sup> in the understanding of ambulatory system design changes for type 1 diabetes and autism spectrum disorder in pediatrics Open
Objectives We sought within an ambulatory safety study to understand if the Revised Safer Dx instrument may be helpful in identification of diagnostic missed opportunities in care of children with type 1 diabetes (T1D) and autism spectrum …
View article: A Personalized and Interactive Web-Based Advance Care Planning Intervention for Older Adults (Koda Health): Pilot Feasibility Study
A Personalized and Interactive Web-Based Advance Care Planning Intervention for Older Adults (Koda Health): Pilot Feasibility Study Open
Background Advance care planning (ACP) is a process that involves patients expressing their personal goals, values, and future medical care preferences. Digital applications may help facilitate this process, though their use in older adult…
View article: Telehealth Use and Access to Neurology Outpatient Clinical Services for Children: An Observational Cohort Study
Telehealth Use and Access to Neurology Outpatient Clinical Services for Children: An Observational Cohort Study Open
Background Access to neurology services is important for children’s well-being. We sought to evaluate the effects of telehealth on pediatric neurology appointment outcomes for children. Methods Using electronic health record (EHR) data, i…
View article: An Infrastructure Framework for Remote Patient Monitoring Interventions and Research (Preprint)
An Infrastructure Framework for Remote Patient Monitoring Interventions and Research (Preprint) Open
UNSTRUCTURED Remote patient monitoring (RPM) enables clinicians to maintain and adjust their patients’ plan of care by using remotely gathered data, such as vital signs, to proactively make medical decisions about a patient’s care. RPM in…
View article: Safer Type 1 Diabetes Care at Home: SEIPS-based Process Mapping with Parents and Clinicians
Safer Type 1 Diabetes Care at Home: SEIPS-based Process Mapping with Parents and Clinicians Open
Introduction: The limited data indicate that pediatric medical errors in the outpatient setting, including at home, are common. This study is the first step of our Ambulatory Pediatric Patient Safety Learning Lab to address medication erro…
View article: Audio or Video? Access to Pediatric Neurology Outpatient Services Varies by the Type of Telehealth, Especially for Black Children
Audio or Video? Access to Pediatric Neurology Outpatient Services Varies by the Type of Telehealth, Especially for Black Children Open
Background Children of minority race/ethnicity face barriers to accessing specialty services. During the COVID pandemic, health insurance companies reimbursed telehealth services. Our objective was to evaluate the effect of audio versus vi…
View article: Development of an Advance Care Planning Portal-Based Tool for Community-Dwelling Persons Living With Cognitive Impairment: The ACPVoice Tool
Development of an Advance Care Planning Portal-Based Tool for Community-Dwelling Persons Living With Cognitive Impairment: The ACPVoice Tool Open
Background: Patient portals can be an innovative and efficient way to engage patients in advance care planning (ACP). However, comprehension and judgment in older adults with cognitive impairment presents several barriers and challenges to…
View article: Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts
Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts Open
Interruptive clinical decision support systems, both within and outside of electronic health records, are a resource that should be used sparingly and monitored closely. Excessive use of interruptive alerting can quickly lead to alert fati…
View article: Design, Implementation, Utilization, and Sustainability of a Fast Healthcare Interoperability Resources–Based Inpatient Rounding List
Design, Implementation, Utilization, and Sustainability of a Fast Healthcare Interoperability Resources–Based Inpatient Rounding List Open
Objective We designed and implemented an application programming interface (API)-based electronic health record (EHR)-integrated rounding list and evaluated acceptability, clinician satisfaction, information accuracy, and efficiency relate…
View article: Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics Open
Background Excessive electronic health record (EHR) alerts reduce the salience of actionable alerts. Little is known about the frequency of interruptive alerts across health systems and how the choice of metric affects which users appear t…
View article: The Effect of Electronic Health Record Burden on Pediatricians' Work–Life Balance and Career Satisfaction
The Effect of Electronic Health Record Burden on Pediatricians' Work–Life Balance and Career Satisfaction Open
Objectives To examine pediatricians' perspectives on administrative tasks including electronic health record (EHR) documentation burden and their effect on work–life balance and life and career satisfaction. Methods We analyzed 2018 survey…
View article: Creating learning health systems and the emerging role of biomedical informatics
Creating learning health systems and the emerging role of biomedical informatics Open
Introduction The nature of information used in medicine has changed. In the past, we were limited to routine clinical data and published clinical trials. Today, we deal with massive, multiple data streams and easy access to new tests, idea…
View article: The Generalizability of a Medication Administration Discrepancy Detection System: Quantitative Comparative Analysis
The Generalizability of a Medication Administration Discrepancy Detection System: Quantitative Comparative Analysis Open
Background As a result of the overwhelming proportion of medication errors occurring each year, there has been an increased focus on developing medication error prevention strategies. Recent advances in electronic health record (EHR) techn…
View article: The Generalizability of a Medication Administration Discrepancy Detection System: Quantitative Comparative Analysis (Preprint)
The Generalizability of a Medication Administration Discrepancy Detection System: Quantitative Comparative Analysis (Preprint) Open
BACKGROUND As a result of the overwhelming proportion of medication errors occurring each year, there has been an increased focus on developing medication error prevention strategies. Recent advances in electronic health record (EHR) tech…
View article: Integrating and Evaluating the Data Quality and Utility of Smart Pump Information in Detecting Medication Administration Errors: Evaluation Study
Integrating and Evaluating the Data Quality and Utility of Smart Pump Information in Detecting Medication Administration Errors: Evaluation Study Open
Background At present, electronic health records (EHRs) are the central focus of clinical informatics given their role as the primary source of clinical data. Despite their granularity, the EHR data heavily rely on manual input and are pro…
View article: Integrating and Evaluating the Data Quality and Utility of Smart Pump Information in Detecting Medication Administration Errors: Evaluation Study (Preprint)
Integrating and Evaluating the Data Quality and Utility of Smart Pump Information in Detecting Medication Administration Errors: Evaluation Study (Preprint) Open
BACKGROUND At present, electronic health records (EHRs) are the central focus of clinical informatics given their role as the primary source of clinical data. Despite their granularity, the EHR data heavily rely on manual input and are pr…
View article: Smart Pumps Improve Medication Safety but Increase Alert Burden in Neonatal Care
Smart Pumps Improve Medication Safety but Increase Alert Burden in Neonatal Care Open
Background: Smart pumps have been widely adopted but there is limited evidence to understand and support their use in pediatric populations. Our objective was to assess whether smart pumps are effective at reducing medication errors in the…
View article: Electronic Health Record–Embedded Decision Support Platform for Morphine Precision Dosing in Neonates
Electronic Health Record–Embedded Decision Support Platform for Morphine Precision Dosing in Neonates Open
Morphine is the opioid most commonly used for neonatal pain management. In intravenous form, it is administered as continuous infusions and intermittent injections, mostly based on empirically established protocols. Inadequate pain control…
View article: Smart Pumps Improve Medication Safety but Increase Alert Burden in Neonatal Care
Smart Pumps Improve Medication Safety but Increase Alert Burden in Neonatal Care Open
Background: Smart pumps have been widely adopted but there is limited evidence to understand and support their use in pediatric populations. Our objective was to assess whether smart pumps are effective at reducing medication errors in the…
View article: Performance of a Clinical Decision Support Tool to Identify PICU Patients at High Risk for Clinical Deterioration*
Performance of a Clinical Decision Support Tool to Identify PICU Patients at High Risk for Clinical Deterioration* Open
Objectives: To evaluate the translation of a paper high-risk checklist for PICU patients at risk of clinical deterioration to an automated clinical decision support tool. Design: Retrospective, observational cohort study of an automated cl…
View article: Smart Pumps Improve Medication Safety but Increase Alert Burden in Neonatal Care
Smart Pumps Improve Medication Safety but Increase Alert Burden in Neonatal Care Open
Background: Smart pumps have been widely adopted but there is limited evidence to understand and support their use in pediatric populations. Our objective was to assess whether smart pumps are effective at reducing medication errors in the…
View article: Inpatient Communication Networks: Leveraging Secure Text-Messaging Platforms to Gain Insight into Inpatient Communication Systems
Inpatient Communication Networks: Leveraging Secure Text-Messaging Platforms to Gain Insight into Inpatient Communication Systems Open
Objective This study attempts to characterize the inpatient communication network within a quaternary pediatric academic medical center by applying network analysis methods to secure text-messaging data. Methods We used network graphing an…