{"id":"https://openalex.org/W4413051379","doi":"https://doi.org/10.3233/shti251040","title":"Understanding Clinicians\u2019 Usage Patterns of the CONCERN Early Warning System: Insights from a Multi-Site Pragmatic Cluster Randomized Controlled Trial","display_name":"Understanding Clinicians\u2019 Usage Patterns of the CONCERN Early Warning System: Insights from a Multi-Site Pragmatic Cluster Randomized Controlled Trial","publication_year":2025,"publication_date":"2025-08-07","ids":{"openalex":"https://openalex.org/W4413051379","doi":"https://doi.org/10.3233/shti251040","pmid":"https://pubmed.ncbi.nlm.nih.gov/40776058"},"language":"en","primary_location":{"id":"doi:10.3233/shti251040","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251040","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.3233/shti251040","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050718264","display_name":"Rachel Lee","orcid":"https://orcid.org/0000-0002-0392-5848"},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Rachel Y. Lee","raw_affiliation_strings":["Columbia University, Department of Biomedical Informatics, New York, NY"],"raw_orcid":"https://orcid.org/0000-0002-0392-5848","affiliations":[{"raw_affiliation_string":"Columbia University, Department of Biomedical Informatics, New York, NY","institution_ids":["https://openalex.org/I78577930"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048937462","display_name":"Kenrick Cato","orcid":"https://orcid.org/0000-0002-0704-3826"},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kenrick D. Cato","raw_affiliation_strings":["Columbia University, School of Nursing, New York, NY","University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Columbia University, School of Nursing, New York, NY","institution_ids":["https://openalex.org/I78577930"]},{"raw_affiliation_string":"University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055661680","display_name":"Patricia C. Dykes","orcid":"https://orcid.org/0000-0003-4597-0732"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patricia C. Dykes","raw_affiliation_strings":["Brigham and Women\u2019s Hospital, Boston, MA","Harvard Medical School, Boston, MA","Brigham and Women's Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women\u2019s Hospital, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Brigham and Women's Hospital, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003421625","display_name":"Graham Lowenthal","orcid":"https://orcid.org/0000-0002-5480-0711"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Graham Lowenthal","raw_affiliation_strings":["Brigham and Women\u2019s Hospital, Boston, MA","Brigham and Women's Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women\u2019s Hospital, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Brigham and Women's Hospital, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Sachleen Tuteja","orcid":null},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sachleen Tuteja","raw_affiliation_strings":["Columbia University, Department of Biomedical Informatics, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Columbia University, Department of Biomedical Informatics, New York, NY","institution_ids":["https://openalex.org/I78577930"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053695863","display_name":"Sarah Collins Rossetti","orcid":"https://orcid.org/0000-0003-2632-8867"},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah C. Rossetti","raw_affiliation_strings":["Columbia University, Department of Biomedical Informatics, New York, NY","Columbia University, School of Nursing, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Columbia University, Department of Biomedical Informatics, New York, NY","institution_ids":["https://openalex.org/I78577930"]},{"raw_affiliation_string":"Columbia University, School of Nursing, New York, NY","institution_ids":["https://openalex.org/I78577930"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5050718264"],"corresponding_institution_ids":["https://openalex.org/I78577930"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.4612766,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"329","issue":null,"first_page":"1256","last_page":"1260"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9703999757766724,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9703999757766724,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cluster","display_name":"Cluster (spacecraft)","score":0.6228124499320984},{"id":"https://openalex.org/keywords/cluster-randomised-controlled-trial","display_name":"Cluster randomised controlled trial","score":0.5627461075782776},{"id":"https://openalex.org/keywords/warning-system","display_name":"Warning system","score":0.48743656277656555},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4640452265739441},{"id":"https://openalex.org/keywords/randomized-controlled-trial","display_name":"Randomized controlled trial","score":0.45778289437294006},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.36207836866378784},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.34479326009750366},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.32089322805404663},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.2549280822277069},{"id":"https://openalex.org/keywords/pathology","display_name":"Pathology","score":0.07163673639297485},{"id":"https://openalex.org/keywords/telecommunications","display_name":"Telecommunications","score":0.05426448583602905}],"concepts":[{"id":"https://openalex.org/C164866538","wikidata":"https://www.wikidata.org/wiki/Q367351","display_name":"Cluster (spacecraft)","level":2,"score":0.6228124499320984},{"id":"https://openalex.org/C176400912","wikidata":"https://www.wikidata.org/wiki/Q3058662","display_name":"Cluster randomised controlled trial","level":3,"score":0.5627461075782776},{"id":"https://openalex.org/C29825287","wikidata":"https://www.wikidata.org/wiki/Q1427940","display_name":"Warning system","level":2,"score":0.48743656277656555},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4640452265739441},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.45778289437294006},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.36207836866378784},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.34479326009750366},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.32089322805404663},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2549280822277069},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.07163673639297485},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.05426448583602905},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000075902","descriptor_name":"Clinical Deterioration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000075902","descriptor_name":"Clinical Deterioration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000075902","descriptor_name":"Clinical Deterioration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000075902","descriptor_name":"Clinical Deterioration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000075902","descriptor_name":"Clinical Deterioration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000075902","descriptor_name":"Clinical Deterioration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000080162","descriptor_name":"Early Warning Score","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000080162","descriptor_name":"Early Warning Score","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000080162","descriptor_name":"Early Warning Score","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000080162","descriptor_name":"Early Warning Score","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000080162","descriptor_name":"Early Warning Score","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000080162","descriptor_name":"Early Warning Score","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.3233/shti251040","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251040","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:40776058","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40776058","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:12765646","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12765646/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Stud Health Technol Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3233/shti251040","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251040","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2355769538","https://openalex.org/W2081816252","https://openalex.org/W2015216653","https://openalex.org/W2373885168","https://openalex.org/W2112436308","https://openalex.org/W2362391294","https://openalex.org/W3139914494","https://openalex.org/W2914553161","https://openalex.org/W1556819926","https://openalex.org/W3179965273"],"abstract_inverted_index":{"The":[0],"CONCERN":[1,95,120,157],"Early":[2],"Warning":[3],"System":[4],"(EWS)":[5],"uses":[6],"artificial":[7],"intelligence":[8],"(AI)":[9],"to":[10,213],"analyze":[11],"nursing":[12],"documentation":[13],"patterns,":[14],"predicting":[15],"hospitalized":[16],"patients'":[17],"risk":[18,25],"of":[19,67,112,119],"clinical":[20,99,197,222],"deterioration.":[21],"It":[22],"generates":[23],"real-time":[24],"scores":[26],"displayed":[27],"on":[28,82,204,221],"the":[29,36,83,94],"electronic":[30],"health":[31],"record":[32],"(EHR)":[33],"interface":[34],"for":[35,72],"inpatient":[37,60],"care":[38,171,183,208],"team,":[39],"enhancing":[40],"situational":[41],"awareness":[42],"and":[43,69,106,143,150,168,181,207,217],"supporting":[44],"timely":[45,182],"interventions.":[46],"A":[47],"recent":[48],"multi-site":[49],"pragmatic":[50],"cluster":[51],"randomized":[52],"controlled":[53],"trial":[54],"demonstrated":[55,154],"a":[56],"35.6%":[57],"reduction":[58],"in":[59,65,169],"mortality,":[61],"an":[62],"11.2%":[63],"decrease":[64],"length":[66],"stay,":[68],"improved":[70],"outcomes":[71],"patients":[73],"requiring":[74],"unplanned":[75],"ICU":[76],"transfers.":[77],"To":[78],"gain":[79],"better":[80],"insights":[81,189],"mechanisms":[84],"driving":[85],"these":[86],"positive":[87],"outcomes,":[88],"we":[89],"examined":[90,116],"clinicians'":[91],"engagement":[92],"with":[93,175,194],"detailed":[96,121,158],"display":[97,122,159],"by":[98,124,136],"role,":[100,138],"patient":[101,144],"comorbidity":[102],"level,":[103],"site,":[104,139],"shift,":[105,140],"unit":[107,141],"type.":[108],"This":[109],"retrospective":[110],"analysis":[111],"EHR":[113],"log-file":[114],"data":[115],"2,572":[117],"instances":[118],"launches":[123,160],"393":[125],"unique":[126],"clinician":[127,137],"users.":[128],"Our":[129],"findings":[130,186],"showed":[131],"distinct":[132],"usage":[133],"patterns":[134],"influenced":[135],"type,":[142],"characteristics.":[145],"Notably,":[146],"registered":[147],"nurses":[148],"(59%)":[149],"ordering":[151],"providers":[152],"(37.7%)":[153],"balanced":[155],"engagement.":[156],"were":[161],"predominantly":[162],"observed":[163],"during":[164],"day":[165],"shifts":[166],"(89.9%)":[167],"acute":[170],"units":[172],"(83.5%),":[173],"aligning":[174],"workflows":[176],"that":[177],"prioritize":[178],"interprofessional":[179],"decision-making":[180],"escalations.":[184],"These":[185],"offer":[187],"valuable":[188],"into":[190],"how":[191],"user":[192],"interactions":[193],"this":[195],"AI-driven":[196],"decision":[198],"support":[199],"tool":[200],"may":[201],"vary":[202],"based":[203],"clinician,":[205],"patient,":[206],"setting":[209],"characteristics,":[210],"highlighting":[211],"opportunities":[212],"refine":[214],"implementation":[215],"strategies":[216],"optimize":[218],"its":[219],"impact":[220],"outcomes.":[223]},"counts_by_year":[],"updated_date":"2025-12-21T01:58:51.020947","created_date":"2025-10-10T00:00:00"}
