{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:14:03Z","timestamp":1758932043167,"version":"3.44.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Improving early recognition and treatment of sepsis is key to decreasing patient mortality. A large academic health system implemented several quality improvement initiatives, yet monthly compliance with sepsis best practices remained low.<\/jats:p><jats:p>Develop and evaluate an electronic health record (EHR)-embedded microlearning intervention to address suboptimal adherence to sepsis care best practices.<\/jats:p><jats:p>We conducted a randomized stepped-wedge trial of our microlearning intervention with randomization done at the nursing block level. Antibiotic delay and secondary outcomes extracted from the EHR were analyzed using mixed models to account for intracluster correlation.<\/jats:p><jats:p>The microlearning intervention did not reduce antibiotic delay (mean difference\u2009=\u20090.71\u2009hours; p\u2009=\u20090.49). Despite the alert firing over 30,000 times during the study period, the microlearning intervention was viewed only a total of 30 times.<\/jats:p><jats:p>Our microlearning intervention did not improve sepsis care outcomes. We believe that although the content addressed key knowledge gaps, delivering the intervention through disruptive EHR alerts was not an accessible delivery channel to the nursing staff we targeted.<\/jats:p>","DOI":"10.1055\/a-2677-6012","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T23:33:01Z","timestamp":1758929581000},"page":"1165-1171","source":"Crossref","is-referenced-by-count":0,"title":["Lessons Learned from Sepsis Microlearning Intervention"],"prefix":"10.1055","volume":"16","author":[{"given":"Eduardo R.","family":"Osegueda","sequence":"additional","affiliation":[{"name":"Division of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States"},{"name":"Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States"},{"name":"Center for Learning Health System Sciences, University of Minnesota Medical School, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Webber","sequence":"additional","affiliation":[{"name":"Department of Hospital Medicine, School of Medicine, University of Minnesota, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanvi","family":"Mehta","sequence":"additional","affiliation":[{"name":"Division of Biostatistics & Health Data Science, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah L.","family":"Pestka","sequence":"additional","affiliation":[{"name":"Center for Learning Health System Sciences, University of Minnesota Medical School, Minneapolis, Minnesota, United States"},{"name":"Department of Surgery, School of Medicine, University of Minnesota, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S.","family":"Koopmeiners","sequence":"additional","affiliation":[{"name":"Center for Learning Health System Sciences, University of Minnesota Medical School, Minneapolis, Minnesota, United States"},{"name":"Division of Biostatistics & Health Data Science, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Ninkovic","sequence":"additional","affiliation":[{"name":"Fairview Health Services, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevieve B.","family":"Melton","sequence":"additional","affiliation":[{"name":"Center for Learning Health System Sciences, University of Minnesota Medical School, Minneapolis, Minnesota, United States"},{"name":"Department of Surgery, School of Medicine, University of Minnesota, Minneapolis, Minnesota, United States"},{"name":"Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J.","family":"Beebe","sequence":"additional","affiliation":[{"name":"Division of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States"},{"name":"Center for Learning Health System Sciences, University of Minnesota Medical School, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Usher","sequence":"additional","affiliation":[{"name":"Center for Learning Health System Sciences, University of Minnesota Medical School, Minneapolis, Minnesota, United States"},{"name":"Division of General Internal Medicine, School of Medicine, University of Minnesota, Minneapolis, Minnesota, United States"},{"name":"Indiana University School of Medicine, Indianapolis, Indiana, 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