Background: Systematic and real-time gathering of data is central to the feedback loop to help providers guide and continuously improve their practice in a Learning Healthcare System (Figure 1). Despite these worthy goals health systems rely on Electronic Medical Record systems (EMRs) that make the routine collection and analysis of data for providers a laborious, [...]

Background: In the emergency department (ED), patients living in unsafe conditions in the community, who do not have a clinical reason to be admitted, present the physician with a dilemma: admit the patient to the hospital, exposing the patient to the hazards of hospitalization, or have them return to the hazards of their living situation. [...]

Background: To address the risk of missed or delayed diagnoses, organizations need to identify and learn from their diagnostic opportunities. However, current approaches to identifying diagnostic opportunities are insensitive, resource intensive and often have low yield.(1,2) Evaluation of diagnostic trajectories can highlight diagnostic opportunities. For example, a patient may re-present to the healthcare system with [...]