Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, hyperesthesia, and stiffness. Physical exam revealed well-demarcated cyanosis of the fourth, fifth, and medial third digits extending to the wrist [...]

Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, hyperesthesia, and stiffness. Physical exam revealed well-demarcated cyanosis of the fourth, fifth, and medial third digits extending to the wrist [...]

Background: To date, there are limited reports around the use of well-designed information technology tools to enhance throughput communication during interdisciplinary rounds (IDRs). In collaboration with our technology innovations center, we developed a Microsoft Teams IDR tool known as “NORA.” NORA is an automated process-oriented tool designed to extract patient summary information from electronic health [...]

Background: Diagnostic errors (DEs) are common and can lead to preventable harm in hospitalized patients.[1] To address this problem as part of our AHRQ-funded Patient Safety Learning Laboratory, we characterized diagnostic process failures that contribute to DEs.[2,3] Next, we refined three interventions (Figure 1) that addressed common process failures and were embedded into our electronic [...]

Background: Patient portals are a digital health technology that help caregivers engage with their child’s healthcare. Unfortunately, significant disparities in portal use exist, with caregivers who speak languages other than English (LOE) having lower usage rates compared with their English-speaking counterparts. No pediatric study has sought to understand why and how LOE caregivers use patient [...]

Background: Diagnostic error in acute care represents an unresolved safety issue: error rates range from 4.8 to 49.8%. If the diagnosis is delayed or incorrect, the patient may not get correct treatment in a timely manner. Underlying contributing factors include system flaws (e.g., communication barriers) and cognitive errors (e.g., anchoring), factors that are often overlooked [...]

Background: The rate of burnout among health care providers is unacceptably high and recent scholarship has advocated for organization-facing interventions to tackle this problem. To that end, our large academic hospital medicine group has developed a multi-modal strategy to identify high-yield interventions for provider well-being. A part of this initiative involved piloting a digital survey [...]

Background: In the years leading up to the COVID-19 pandemic, venture capital investment in digital health increased rapidly. Beginning in March of 2020, the COVID-19 pandemic led to a seismic shift toward asynchronous, remote care delivery to replace in-person care buttressed by passage of the Public Health Emergency Act which established payment parity between in-person [...]

Background: Heart failure (HF) hospital readmissions are a leading cause of US 30-day hospital readmissions. Factors related to clinical complexity and unmet social needs are among the key drivers associated with HF negative clinical outcomes. Digital platforms have shown promise in improving HF outcomes but limitations like patient lack of familiarity with technology and unmet [...]

Background: Patient portals are intended to engage caregivers with their child’s healthcare by allowing them to read clinical notes, access test results, make appointments, and message providers, and they are often used during hospitalization. While patient portals typically offer multiple language options, the extent to which medical information is translated remains limited. Understanding how caregivers [...]