Applied Clinical Informatics

Article	Citations
Acceptance of Acute Kidney Injury Alert by Providers in Cardiac Surgery Intensive Care Unit	101
What Goes Up, Must Come Down: A State-of-the-Art Electronic Health Record Downtime and Uptime Procedure in a Metropolitan Health Setting	70
Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health	36
Community Engagement in Research and Design of a Transgender Health Information Resource	32
Association between Electronic Health Record Implementations and Hospital-Acquired Conditions in Pediatric Hospitals	29
Data Science Implementation Trends in Nursing Practice: A Review of the 2021 Literature	28
Coincidence Analysis: A Novel Approach to Modeling Nurses' Workplace Experience	26
Comparing the Use of DynaMed and UpToDate by Physician Trainees in Clinical Decision-Making: A Randomized Crossover Trial	22
The Prevalence of Confidential Content in Adolescent Progress Notes Prior to the 21st Century Cures Act Information Blocking Mandate	21
Scenario-Based Evaluation of Team Health Information Technology to Support Pediatric Trauma Care Transitions	21
Searching the PDF Haystack: Automated Knowledge Discovery in Scanned EHR Documents	20
A Qualitative Description of Clinician Free-Text Rationales Entered within Accountable Justification Interventions	19
Pediatric Provider Utilization of a Clinical Decision Support Alert and Association with HIV Pre-exposure Prophylaxis Prescription Rates	19
Veteran and Staff Experience from a Pilot Program of Health Care System–Distributed Wearable Devices and Data Sharing	19
Virtual Sprint Outpatient Electronic Health Record Training and Optimization Effect on Provider Burnout	18
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A Novel Use of Bar Code Medication Administration Data to Assess Nurse Staffing and Workload	17
Evaluating the Effect of a COVID-19 Predictive Model to Facilitate Discharge: A Randomized Controlled Trial	16
Reducing Therapeutic Duplication in Inpatient Medication Orders	16
Providers Electing to Receive Electronic Result Notifications: Demographics and Motivation	16
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Linking Provider Specialty and Outpatient Diagnoses in Medicare Claims Data: Data Quality Implications	15
Partnering with Patients and Families to Improve Diagnostic Safety through the OurDX Tool: Effects of Race, Ethnicity, and Language Preference	15
Applied Clinical Informatics Journal: A Brief History	15
Consequences of Rapid Telehealth Expansion in Nursing Homes: Promise and Pitfalls	14

Visualizing Opioid-Use Variation in a Pediatric Perioperative Dashboard	13
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POINT: Pipeline for Offline Conversion and Integration of Geocodes and Neighborhood Data	13
Quantifying the Impact of Infusion Alerts and Alarms on Nursing Workflows: A Retrospective Analysis	13
The Intensive Care Unit Bundle Board: A Novel Real-Time Data Visualization Tool to Improve Maintenance Care for Invasive Catheters	12
Evaluating Electronic Health Record Limitations and Time Expenditure in a German Medical Center	12
Measuring and Maximizing Undivided Attention in the Context of Electronic Health Records	12
Physician Electronic Health Record Usage as Affected by the COVID-19 Pandemic	12
Effect of Telemedicine and the COVID-19 Pandemic on Medical Trainees' Usage of the Electronic Health Record in the Outpatient Setting	12
Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings	11
Comment on Dr. Chung's Editorial: Pediatric Health Information Technology—What We Need for Optimal Care of Children	11
Application of a Machine Learning–Based Decision Support Tool to Improve an Injury Surveillance System Workflow	11
Managing the Digital Disruption Associated with COVID-19-Driven Rapid Digital Transformation in Brisbane, Australia	11
Implementation of 2D Barcode Medication Labels and Smart Pumps in Pediatric Acute Care: Lessons Learned	11
Characterizing Multitasking and Workflow Fragmentation in Electronic Health Records among Emergency Department Clinicians: Using Time-Motion Data to Understand Documentation Burden	10
Enhancing Suicide Attempt Risk Prediction Models with Temporal Clinical Note Features	10
Transformation of Electronic Health Records and Questionnaire Data to OMOP CDM: A Feasibility Study Using SG_T2DM Dataset	10
Principles for Designing and Developing a Workflow Monitoring Tool to Enable and Enhance Clinical Workflow Automation	10
A Natural Language Processing Model to Identify Confidential Content in Adolescent Clinical Notes	10
Refining Clinical Phenotypes to Improve Clinical Decision Support and Reduce Alert Fatigue: A Feasibility Study	10
Analysis of Informatics Topics in Accreditation Council for Graduate Medical Education Program Requirements	10
Examining the Relationship between Health Literacy, Health Numeracy, and Patient Portal Use	10
Direct Secure Messaging in Practice—Recommendations for Improvements	9
A Conceptual Framework of Data Readiness: The Contextual Intersection of Quality, Availability, Interoperability, and Provenance	9
Electronic Medical Record–Based Electronic Messaging Among Patients with Breast Cancer: A Systematic Review	9
A Patient-Centered Approach to Writing Ambulatory Visit Notes in the Cures Act Era	9
Electronic Health Record Use and Perceptions among Urologic Surgeons	9
Impact of a Disease-Focused Electronic Health Record Dashboard on Clinical Staff Efficiency in Previsit Patient Review in an Ambulatory Pulmonary Hypertension Care Clinic	9
Facilitators and Barriers to Integrating Patient-Generated Blood Pressure Data into Primary Care EHR Workflows	8
Health Information Technology Documentation and Referrals for Intimate Partner Violence and Sexual Assault	8
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A Neurosurgical Readmissions Reduction Program in an Academic Hospital Leveraging Machine Learning, Workflow Analysis, and Simulation	8
A Standard Approach to Project-Based Learning in a Clinical Informatics Fellowship	8
Special Issue on Informatics Education: Vanderbilt Clinical Informatics Center Education Strategy: To Infinity and Beyond!	8
Comparing Clinician Estimates versus a Statistical Tool for Predicting Risk of Death within 45 Days of Admission for Cancer Patients	8
Behavioral Health Decision Support Systems and User Interface Design in the Emergency Department	8
Leveraging Novel Clinical Decision Support to Improve Preferred Language Documentation in a Neonatal Intensive Care Unit	8
From Headache to Handled: Advanced In-Basket Management System in Primary Care Clinics Reduces Provider Workload Burden and Self-Reported Burnout	8
Explaining Variability in Electronic Health Record Effort in Primary Care Ambulatory Encounters	8
Use of a Medication Safety Audit and Feedback Tool in the Emergency Department Is Affected by Prescribing Characteristics	8
A Multiyear Survey Evaluating Clinician Electronic Health Record Satisfaction	8
Improving Immunization Health Care Data Quality using Two-Dimensional Barcoding and Barcode Scanning Practices	7
Accuracy of Physician Electronic Health Record Usage Analytics using Clinical Test Cases	7
An mHealth Design to Promote Medication Safety in Children with Medical Complexity	7
Randomized Comparison of Electronic Health Record Alert Types in Eliciting Responses about Prognosis in Gynecologic Oncology Patients	7
Decision Support to Improve Critical Care Services Documentation in an Academic Emergency Department	7
Evaluation of Mobile Apps Used among Medical Students for Learning and Education: A Mixed-Method Concurrent Triangulation Approach	7
A Scoping Review of Integrated Medical Devices and Clinical Decision Support in the Acute Care Setting	7
Just-in-Time Electronic Health Record Retraining to Support Clinician Redeployment during the COVID-19 Surge	7
Engaging Patients and Other Stakeholders in “Designing for Dissemination” of Record Linkage Methods and Tools	7

Real-Time User Feedback to Support Clinical Decision Support System Improvement	7
Expanding Critical Care Delivery beyond the Intensive Care Unit: Determining the Design and Implementation Needs for a Tele-Critical Care Consultation Service	7
An Evidence-based Preoperative Evaluation Documentation Template Improves Perioperative Communication	7
Usability and Utility of Human Immunodeficiency Virus Pre-exposure Prophylaxis Clinical Decision Support to Increase Knowledge and Pre-exposure Prophylaxis Initiations among Pediatric Providers	7
Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility	7
Documentation Burden in Nursing and Its Role in Clinician Burnout Syndrome	7
Tracing the Progression of Sepsis in Critically Ill Children: Clinical Decision Support for Detection of Hematologic Dysfunction	7
Mapping Injection Order Messages to Health Level 7 Fast Healthcare Interoperability Resources to Collate Infusion Pump Data	7
The Future of Community Outreach: Using Patient Portals to Provide Voter Resources during the Coronavirus Disease 2019 Pandemic	6
A Unique Use of Regional Information Exchange by a Statewide Health System Serving Refugees: “Operation Allies Welcome”	6
Extracting International Classification of Diseases Codes from Clinical Documentation using Large Language Models	6
U.S. COVID-19 State Government Public Dashboards: An Expert Review	6
Optimizing Resident Charge Capture with Disappearing Help Text in Note Templates	6
Evaluating a Prototype Clinical Decision Support Tool for Chronic Pain Treatment in Primary Care	6
Clinician Acceptance of Order Sets for Pain Management: A Survey in Two Urban Hospitals	6
Drug Alert Experience and Salience during Medical Residency at Two Healthcare Institutions	6
Defining Documentation Burden (DocBurden) and Excessive DocBurden for All Health Professionals: A Scoping Review	6
Epidemiology of Patient Record Duplication	6
"Assessing the Effect of a Mobile Application on Cancer Risk Health Literacy: A Cross-Sectional Study Design"	6
Monitoring Approaches for a Pediatric Chronic Kidney Disease Machine Learning Model	6
Modulators Influencing Medication Alert Acceptance: An Explorative Review	6
Ethical Dimensions of Clinical Data Sharing by U.S. Health Care Organizations for Purposes beyond Direct Patient Care: Interviews with Health Care Leaders	6
Quantifying Electronic Health Record Data Quality in Telehealth and Office-Based Diabetes Care	6
Seamless Integration of Computer-Adaptive Patient Reported Outcomes into an Electronic Health Record	6
A Graphical Toolkit for Longitudinal Dataset Maintenance and Predictive Model Training in Health Care	6
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Examining the Concordance in the Documented Pressure Injury Site, Stage, and Count in Medical Information Mart for Intensive Care-III	5
Data Quality of Chemotherapy-Induced Nausea and Vomiting Documentation	5
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Rethinking PICO in the Machine Learning Era: ML-PICO	5
Text Messaging Real-Time COVID-19 Clinical Guidance to Hospital Employees	5
Workflow Improvement of Electronic Health Record Usage in a Tertiary Pediatric Burns Clinic	5
An Electronic Communication Workflow Optimization for Inpatient Specialist Consultation at an Academic Health Care System	5
Resident Physician Experience and Duration of Electronic Health Record Use	5
Low Efficacy of Medication Shortage Clinical Decision Support Alerts	5
Development of an Electronic Exchange of Medical Documentation for Power Mobility Devices	5
Evaluation of a Sepsis Alert in the Pediatric Acute Care Setting	5
Engaging Housestaff as Informatics Collaborators: Educational and Operational Opportunities	5
The Application of Dental Fluoride Varnish in Children: A Low Cost, High-Value Implementation Aided by Passive Clinical Decision Support	5
Anticipating Ambulatory Automation: Potential Applications of Administrative and Clinical Automation in Outpatient Healthcare Delivery	5
Evaluation of Patient-Friendly Diagnosis Clarifications in a Hospital Patient Portal	5
Characterization of Safety Events Involving Technology in Primary and Community Care	5
Electronic Health Record Adolescent Confidentiality in a Safety Net Setting	5
Defining Data Migration Across Multidisciplinary Ambulatory Clinics Using Participatory Design	5
Characterization of Laboratory Flow and Performance for Process Improvements via Application of Process Mining	5
Prospective Cohort Study of Remote Patient Monitoring with and without Care Coordination for Hypertension in Primary Care	5
mHealth and eHealth Applications for a Medicalized Quarantine Hotel during the COVID-19 Pandemic	5
Displaying Cost and Completion Time for Reference Laboratory Test Orders—A Randomized Controlled Trial	5
Beyond Information Design: Designing Health Care Dashboards for Evidence-Driven Decision-Making	5
Effectiveness of Clinical Decision Support Systems on the Appropriate Use of Imaging for Central Nervous System Injuries: A Systematic Review	5
Use, Impact, Weaknesses, and Advanced Features of Search Functions for Clinical Use in Electronic Health Records: A Scoping Review	5
Voting with Their Thumbs: Assessing Communication Technology Use by Medical, Nursing, Midwifery, and Allied Health Clinicians	5
User-Centered Design to Reduce Inappropriate Blood Transfusion Orders	5
An Exploratory Study of Allied Health Students' Experiences of Electronic Medical Records During Placements	5
A Call to Support Informatics Curricula in U.S.-Based Residency Education	4
Uncovering Discrepancies in IV Vancomycin Infusion Records between Pump Logs and EHR Documentation	4
A Mobile Game Platform for Improving Social Communication in Children with Autism: A Feasibility Study	4
Health IT Regulation: Report of an Implementation Challenge	4
Patient–Clinician Diagnostic Concordance upon Hospital Admission	4
Defining Electronic Health Record Standards for Child Health: A State-of-the-Art Review	4
Clinical Decision Support Tool to Promote Adoption of New Neonatal Hyperbilirubinemia Guidelines	4
Machine Alarm Fatigue among Hemodialysis Nurses in 29 Tertiary Hospitals	4
Laboratory Results Release to Patients under the 21st Century Cures Act: The Eight Stakeholders Who Should Care	4
The Voice of the Patient and the Electronic Health Record	4
Novel Nonproprietary Measures of Ambulatory Electronic Health Record Use Associated with Physician Work Exhaustion	4
The Effect of WeChat on Parental Care Burden, Anxiety, and Depression in Children after CHD Surgery during COVID-19 Pandemic	4
A Framework for Social Needs-Based Medical Biodesign Innovation	4
Pharmacoinformatics-enabled Interventions Improved Care Coordination and Identified Pharmacy-Related Safety Issues in a Multicultural Medicare Population	4
Increasing Generative Artificial Intelligence Competency among Students Enrolled in Doctoral Nursing Research Coursework	4
Family Perception of OpenNotes in the Neonatal Intensive Care Unit	4
Engaging Multidisciplinary Clinical Users in the Design of an Artificial Intelligence–Powered Graphical User Interface for Intensive Care Unit Instability Decision Support	4
Health Information Technology Supporting Adherence Memory Disorder Patients: A Systematic Literature Review	4
The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review	4
An Analysis of Electronic Health Record Work to Manage Asynchronous Clinical Messages among Breast Cancer Care Teams	4
Effect of a Real-Time Risk Score on 30-day Readmission Reduction in Singapore	4
Impact of a Vendor-Developed Opioid Clinical Decision Support Intervention on Adherence to Prescribing Guidelines, Opioid Prescribing, and Rates of Opioid-Related Encounters	4
Human-Centered Design and Development of a Fall Prevention Exercise App for Older Adults in Primary Care Settings	4
Centralized Multipatient Dashboards' Impact on Intensive Care Unit Clinician Performance and Satisfaction: A Systematic Review	4
A Survey of Clinicians' Views of the Utility of Large Language Models	4
Social Media's Lessons for Clinical Decision Support: Strategies to Improve Engagement and Acceptance	4

Interprofessional Evaluation of a Medication Clinical Decision Support System Prior to Implementation	4
Implementation of a Real-Time Documentation Assistance Tool: Automated Diagnosis (AutoDx)	4
Remote Digital Microscopy Improves Hematology Laboratory Workflow by Reducing Peripheral Blood Smear Analysis Turnaround Time	4
Avoiding Unintended Consequences of Pediatric Blood Order Set Updates through In Situ Usability Testing	4
Dashboard Design to Identify and Balance Competing Risk of Multiple Hospital-Acquired Conditions	4
The Rise, Fall, and Readjustment of Telehealth: Effect of COVID-19 on its Use in an Academic Health Clinic	3
The Effect of Ambient Artificial Intelligence Notes on Provider Burnout	3
Usability Testing of Situation Awareness Clinical Decision Support in the Intensive Care Unit	3
The State-of-the-Art of Patient Portals: Adapting to External Factors, Addressing Barriers, and Innovating	3
Privacy versus Convenience: A Historical Perspective, Analysis of Risks, and an Informatics Call to Action	3
Using a Shared Gratitude Experience to Support Well-Being among Health Informatics Students during a Crisis	3
User-Centered Evaluation and Design Recommendations for an Internal Medicine Resident Competency Assessment Dashboard	3
A Systematic Review of Quantitative Methods for Evaluating Electronic Medication Administration Record and Bar-Coded Medication Administration Usability	3
Pseudorandomized Testing of a Discharge Medication Alert to Reduce Free-Text Prescribing	3
Design, Implementation, Utilization, and Sustainability of a Fast Healthcare Interoperability Resources–Based Inpatient Rounding List	3
Comparison of the Causes of Death Identified Using Automated Verbal Autopsy and Complete Autopsy among Brought-in-Dead Cases at a Tertiary Hospital in Sub-Sahara Africa	3
Continuous Glucose Monitoring and Other Wearable Devices to Assess Hypoglycemia among Older Adult Outpatients with Diabetes Mellitus	3
Nursing Attitudes and Practices in Code Documentation Employing a New Electronic Health Record	3
Nudging towards Sleep-Friendly Health Care: A Multifaceted Approach on Reducing Unnecessary Overnight Interventions	3
Predictors of Concordance between Patient-Reported and Provider-Documented Symptoms in the Context of Cancer and Multimorbidity	3
Implementing an Application Programming Interface for PROMIS Measures at Three Medical Centers	3
Electronic Health Record Usage Patterns Across Surgical Subspecialties	3
What Do We Mean by Sharing of Patient Data? DaSH: A Data Sharing Hierarchy of Privacy and Ethical Challenges	3
Surgery and Anesthesia Preoperative “Virtual Huddle”: A Pilot Trial to Enhance Communication across the Drape	3
Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts	3
Disparities in Telemedicine Access: A Cross-Sectional Study of a Newly Established Infrastructure during the COVID-19 Pandemic	3
Reference Ranges for All: Implementing Reference Ranges for Transgender and Nonbinary Patients	3
Revisiting Provider Role in Patient Use of Online Medical Records	3
Health Information System's Responses to COVID-19 Pandemic in China: A National Cross-sectional Study	3
A Transformer-Based Pipeline for German Clinical Document De-Identification	3
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Patient Perceptions of Receiving COVID-19 Test Results via an Online Patient Portal: An Open Results Survey	3
Effects of Aligning Residency Note Templates with CMS Evaluation and Management Documentation Requirements	3
A Narrative Review of Clinical Decision Support for Inpatient Clinical Pharmacists	3
Exploring the Impact of GitHub Copilot on Health Informatics Education	3
Using the Electronic Health Record User Context in Clinical Decision Support Criteria	3
Improving Tobacco Cessation Rates Using Inline Clinical Decision Support	3
Physicians' Perspectives with the E-prescribing System in Five Teaching Hospitals	3
Application of the Consolidated Framework for Implementation Research Model to Design and Implement an Optimization Methodology within an Ambulatory Setting	3
Doctors Identify Hemorrhage Better during Chart Review when Assisted by Artificial Intelligence	3
Increasing Completion of Daily Patient-Reported Outcomes in Psychotherapies for Late-Life Depression through User-Centered Design	3
A Semantic-Based Framework for Verbal Autopsy to Identify the Cause of Maternal Death	3
PCaGuard: A Software Platform to Support Optimal Management of Prostate Cancer	3
MyEDCare: Evaluation of a Smartphone-Based Emergency Department Discharge Process	3
Using Existing Clinical Information Models for Dutch Quality Registries to Reuse Data and Follow COUMT Paradigm	3
Reporting Outcomes of Pediatric Intensive Care Unit Patients to Referring Physicians via an Electronic Health Record-Based Feedback System	3
Heterogeneity of Drug Allergies and Reaction Lists in Two U.S. Health Care Systems' Electronic Health Records	3
Searching of Clinical Trials Made Easier in cBioPortal Using Patients' Genetic and Clinical Profiles	3
“It Attracts Your Eyes and Brain”: Refining Visualizations for Shared Decision-Making with Heart Failure Patients	3
Facilitating Health Information Exchange to Improve Health Outcomes for School-Aged Children: School Nurse Electronic Health Record Access	2
External Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care	2
Characteristics of Adult Primary Care Patients Who Use the Patient Portal: A Cross-Sectional Analysis	2
Enhancing Resilience in Family Caregivers Using an mHealth App	2
Qualitative Analysis of Team Communication with a Clinical Texting System at a Midwestern Academic Hospital	2
An Electronic Health Record Alert for Inpatient Coronavirus Disease 2019 Vaccinations Increases Vaccination Ordering and Uncovers Workflow Inefficiencies	2
A Prescription for Internet: Feasibility of a Tablet Loaner Program to Address Digital Health Inequities	2
Developing Dashboards to Address Children's Health Disparities in Ohio	2
The My Diabetes Care Patient Portal Intervention: Usability and Pre-Post Assessment	2
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Building a Learning Health System: Creating an Analytical Workflow for Evidence Generation to Inform Institutional Clinical Care Guidelines	2
Usability Evaluation of a Community Pharmacy Health Information Exchange Interface Prototype	2
Integration of Risk Scores and Integration Capability in Electronic Patient Records	2
From MedWreck to MedRec: A Call to Action to Improve Medication Reconciliation	2
Sharing Clinical Notes while Protecting Adolescent Confidentiality and Maintaining Parental Insight	2
Shifting into Action: from Data Segmentation to Equitable Interoperability for Adolescents (and Everyone Else)	2
Representation of Diagnosis and Nursing Interventions in OpenEHR Archetypes	2
Effects of a Pharmacist-Designed Clinical Decision Support System on Antimicrobial Stewardship	2
How a Digital Case Management Platform Affects Community-Based Palliative Care of Sub-Saharan African Cancer Patients: Clinician-Users' Perspectives	2
Understanding the Digital Disruption of Health Care: An Ethnographic Study of Real-Time Multidisciplinary Clinical Behavior in a New Digital Hospital	2
Predicting Health Care Providers' Acceptance of a Personal Health Record Secure Messaging Feature	2
A Discount Approach to Reducing Nursing Alert Burden	2
Medication Reconciliation during Transitions of Care Across Institutions: A Quantitative Analysis of Challenges and Opportunities	2
Standardization of Emergency Department Clinical Note Templates: A Retrospective Analysis across an Integrated Health System	2
Survey of Hospital Chargemaster Transparency	2
The Detection of Date Shifting in Real-World Data	2
Can Prehospital Data Improve Early Identification of Sepsis in Emergency Department? An Integrative Review of Machine Learning Approaches	2
Addressing Alert Fatigue by Replacing a Burdensome Interruptive Alert with Passive Clinical Decision Support	2
A Systematic Approach to the Design and Implementation of Clinical Informatics Fellowship Programs	2
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Development and User Testing of a Dynamic Tool for Rheumatic Heart Disease Management	2
Creating a Guardrail System to Ensure Appropriate Activation of Adolescent Portal Accounts	2
Provider Perspectives on Patient- and Provider-Facing High Blood Pressure Clinical Decision Support	2
Developing a Quality Improvement Implementation Taxonomy for Organizational Employee Wellness Initiatives	2
Higher Electronic Health Record Functionality Is Associated with Lower Operating Costs in Urban—but Not Rural—Hospitals	2
Improving the User Experience with Discount Site-Specific User Testing	2
Interaction Time with Electronic Health Records: A Systematic Review	2
Integrating a Patient Engagement App into an Electronic Health Record-Enabled Workflow Using Interoperability Standards	2
Improving Patient-Reported Outcomes in Stroke Care using Remote Blood Pressure Monitoring and Telehealth	2
Barriers to Adoption of Tailored Drug–Drug Interaction Clinical Decision Support	2
Health Information Technology Use among Chronic Disease Patients: An Analysis of the United States Health Information National Trends Survey	2
Telehealth Education via WeChat Improves the Quality of Life of Parents of Children with Type-1 Diabetes Mellitus	2
Evaluation of an Online Decision Aid for Selection of Contraceptive Methods	2
Sociodemographic Differences in Perspectives on Postpartum Symptom Reporting	2
Design, Implementation, and Validation of an Automated, Algorithmic COVID-19 Triage Tool	2
Multisite implementation of a sexual health survey and clinical decision support to promote adolescent sexually transmitted infection screening	2