David K. Vawdrey

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PURPOSE Effective interdisciplinary exchange of patient information is an essential component of safe, efficient, and patient-centered care in the intensive care unit (ICU). Frequent handoffs of patient care, high acuity of patient illness, and the increasing amount of available data complicate information exchange. Verbal communication can be affected by(More)
OBJECTIVE To assess influenza vaccination coverage and timeliness among children requiring two doses in a season. METHODS This study examined seasonal influenza vaccination of 17,800 children from five academically-affiliated clinics in New York City using hospital and city immunization registries. Eligible children were 6 months-8 years and needed two(More)
OBJECTIVE To understand the nature of emerging electronic documentation practices, disconnects between documentation workflows and computing systems designed to support them, and ways to improve the design of electronic documentation systems. MATERIALS AND METHODS Time-and-motion study of resident physicians' note-writing practices using a commercial(More)
OBJECTIVE To systematically review current health literacy (HL) instruments for use in consumer-facing and mobile health information technology screening and evaluation tools. DESIGN The databases, PubMed, OVID, Google Scholar, Cochrane Library and Science Citation Index, were searched for health literacy assessment instruments using the terms "health",(More)
Building on our institution's commercial electronic health record and custom personal health record Web portal, we developed a tablet computer application to provide interactive information to hospital patients. Using Apple iPad devices, the prototype application was provided to five patients in a cardiology step-down unit. We conducted detailed interviews(More)
OBJECTIVE Healthcare delivery organizations are increasingly using online personal health records (PHRs) to provide patients with direct access to their clinical information; however, there may be a lack of consistency in the data made available. We aimed to understand the general use and functionality of PHRs and the organizational policies and(More)
OBJECTIVE To measure the time spent authoring and viewing documentation and to study patterns of usage in healthcare practice. DESIGN Audit logs for an electronic health record were used to calculate rates, and social network analysis was applied to ascertain usage patterns. Subjects comprised all care providers at an urban academic medical center who(More)
OBJECTIVE To describe HARVEST, a novel point-of-care patient summarization and visualization tool, and to conduct a formative evaluation study to assess its effectiveness and gather feedback for iterative improvements. MATERIALS AND METHODS HARVEST is a problem-based, interactive, temporal visualization of longitudinal patient records. Using scalable,(More)
OBJECTIVE To explore pediatric providers' perceived barriers to influenza vaccine delivery, and desired characteristics and potential concerns regarding an influenza vaccine alert integrated into the electronic health record (EHR). METHODS Four focus groups with providers (n=21) and five individual interviews with practice leaders in an urban, pediatric(More)