{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:45:41Z","timestamp":1760647541135},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T00:00:00Z","timestamp":1640131200000},"content-version":"vor","delay-in-days":82,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Clinical workflows require the ability to synthesize and act on existing and emerging patient information. While offering multiple benefits, in many circumstances electronic health records (EHRs) do not adequately support these needs.<\/jats:p><jats:p>\n          Objectives\u2003We sought to design, build, and implement an EHR-connected rounding and handoff tool with real-time data that supports care plan organization and team-based care. This article first describes our process, from ideation and development through implementation; and second, the research findings of objective use, efficacy, and efficiency, along with qualitative assessments of user experience.<\/jats:p><jats:p>\n          Methods\u2003Guided by user-centered design and Agile development methodologies, our interdisciplinary team designed and built Carelign as a responsive web application, accessible from any mobile or desktop device, that gathers and integrates data from a health care institution's information systems. Implementation and iterative improvements spanned January to July 2016. We assessed acceptance via usage metrics, user observations, time\u2013motion studies, and user surveys.<\/jats:p><jats:p>\n          Results\u2003By July 2016, Carelign was implemented on 152 of 169 total inpatient services across three hospitals staffing 1,616 hospital beds. Acceptance was near-immediate: in July 2016, 3,275 average unique weekly users generated 26,981 average weekly access sessions; these metrics remained steady over the following 4 years. In 2016 and 2018 surveys, users positively rated Carelign's workflow integration, support of clinical activities, and overall impact on work life.<\/jats:p><jats:p>\n          Conclusion\u2003User-focused design, multidisciplinary development teams, and rapid iteration enabled creation, adoption, and sustained use of a patient-centered digital workflow tool that supports diverse users' and teams' evolving care plan organization needs.<\/jats:p>","DOI":"10.1055\/s-0041-1740256","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:13:08Z","timestamp":1640218388000},"page":"1120-1134","source":"Crossref","is-referenced-by-count":7,"title":["A Mobile, Electronic Health Record-Connected Application for Managing Team Workflows in Inpatient Care"],"prefix":"10.1055","volume":"12","author":[{"given":"Jacqueline M.","family":"Soegaard Ballester","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States"}]},{"given":"Geoffrey D.","family":"Bass","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States"}]},{"given":"Richard","family":"Urbani","sequence":"additional","affiliation":[{"name":"Department of Information Services, Penn Medicine, Philadelphia, Pennsylvania, United States"}]},{"given":"Glenn","family":"Fala","sequence":"additional","affiliation":[{"name":"Department of Information Services, Penn Medicine, Philadelphia, Pennsylvania, United States"}]},{"given":"Rutvij","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Information Services, Penn Medicine, Philadelphia, Pennsylvania, United States"}]},{"given":"Damien","family":"Leri","sequence":"additional","affiliation":[{"name":"Center for Healthcare Innovation, Penn Medicine, Philadelphia, Pennsylvania, United States"}]},{"given":"Jackson M.","family":"Steinkamp","sequence":"additional","affiliation":[{"name":"Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States"}]},{"given":"Joshua L.","family":"Denson","sequence":"additional","affiliation":[{"name":"Section of Pulmonary Diseases, Critical Care, and Environmental Medicine, Tulane University School of Medicine, New Orleans, Louisiana, United States"}]},{"given":"Roy","family":"Rosin","sequence":"additional","affiliation":[{"name":"Center for Healthcare Innovation, Penn Medicine, Philadelphia, Pennsylvania, United States"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, United States"}]},{"given":"Srinath","family":"Adusumalli","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States"}]},{"given":"Clarence William","family":"Hanson","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States"},{"name":"Office of the Chief Medical Information Officer, Penn Medicine, Philadelphia, Pennsylvania, United States"}]},{"given":"Ross","family":"Koppel","sequence":"additional","affiliation":[{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, United States"},{"name":"Institute of Biomedical Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States"},{"name":"Department of Sociology, School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, United States"},{"name":"Department of Biomedical informatics, University of Buffalo (SUNY), Buffalo, New York, United States"}]},{"given":"Subha","family":"Airan-Javia","sequence":"additional","affiliation":[{"name":"Section of Hospital Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States"},{"name":"Founder\/CEO, CareAlign, Philadelphia, Pennsylvania, United States"}]}],"member":"194","published-online":{"date-parts":[[2021,12,22]]},"reference":[{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.hjdsi.2013.12.004","article-title":"EHR adopters vs. non-adopters: Impacts of, barriers to, and federal initiatives for EHR adoption","volume":"2","author":"E W Jamoom","year":"2014","journal-title":"Healthc (Amst)"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1136\/jamia.2010.005637","article-title":"Health information technology: fallacies and sober 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