Lauren M. Hess, MD

Multi-center mixed-methods study classifying interruptive EHR alert design elements across pediatric health systems, describing prevalence of design features (purpose, directive content, hazard of inaction) and highlighting substantial variation and areas for improvement.

Review of EHR tools and workflows used to support allergy delabeling programs, outlining steps from patient identification to documentation and reconciliation and recommending EHR-based approaches incorporating informatics best practices.

Analysis comparing inpatient-onset sepsis to ED-onset sepsis within the IPSO registry, describing differences in mortality, length of stay, ICU admission, and impact of bundle adherence on outcomes.

Describes development of standardized metrics and a data dictionary for the IPSO collaborative to improve automated EHR data capture and uniform sepsis quality measurement across multiple hospitals.

Describes creation, implementation, and usability testing of an automated dashboard providing individualized patient-care and quality metrics to pediatric residents to support self-directed learning.

Study evaluating impact of a best-practice electronic sepsis alert in pediatric acute care inpatient areas, showing improvements in recognition and timely treatment and reductions in sepsis-attributable mortality in pre/post comparison.