ACI open最新文献

{"title":"Factors Influencing Health Care Professionals' Perceptions of Frequent Drug–Drug Interaction Alerts","authors":"Yasmine Biady, Teresa Lee, Lily Pham, A. Patanwala, Simon Poon, A. Ritchie, Rosemary Burke, Jonathan Penm","doi":"10.1055/s-0044-1782534","DOIUrl":"https://doi.org/10.1055/s-0044-1782534","url":null,"abstract":"\u0000 Background Drug–drug interactions (DDIs) remain a highly prevalent issue for patients in both community and hospital settings. Electronic medication management systems have implemented DDI alerts to mitigate DDI-related harm from occurring.\u0000 Objectives The primary aim of this study was to explore factors that influence health care professionals' (hospital doctors, hospital pharmacists, general practitioners, and community pharmacists) perceptions and action taken by them in response to DDI alerts.\u0000 Methods A qualitative study was conducted using semi-structured interviews between early January and late February 2021. The top 20 most frequently triggered DDI alerts previously identified were used as examples of alert prompts shown to participants.\u0000 Results A total of 20 participants were recruited. General practitioners (n = 4) were most likely to consider DDI alerts to be clinically relevant and important, and hospital doctors (n = 4) were most likely to consider these alerts not being clinically relevant nor important. Three main factors were identified to influence health care professionals' perceptions of DDI alerts, which included clinical relevance, visual presentation, and content of alerts.\u0000 Conclusion Health care professionals' perceptions of DDI alerts are influenced by multiple factors and considerations are required to create tailored alerts for users and their clinical contexts. Improvement in DDI alerts should be a priority to improve patient medication safety and health outcomes.","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"19 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140526315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User-centered Design and Formative Evaluation of a Web Application to Collect and Visualize Real-time Clinician Well-being Levels","authors":"Derek Shu, Catherine T. Xu, Somya Pandey, Virginia Walls, Kristen Tenney, Abby Georgilis, Lisa Melink, Danny T.Y. Wu, Jennifer Molano","doi":"10.1055/s-0044-1779698","DOIUrl":"https://doi.org/10.1055/s-0044-1779698","url":null,"abstract":"\u0000 Background Clinician burnout is increasingly prevalent in the health care workplace. Hospital leadership needs an informatics tool to measure clinicians' well-being levels and provide empirical evidence to improve their work environment.\u0000 Objectives This study aimed to (1) design and implement a web-based application to collect and visualize clinicians' well-being levels and (2) conduct formative usability evaluation.\u0000 Methods Clinician and staff well-being champions guided the development of the Well-being Check application. User-centered design and Agile principles were used for incremental development of the app. The app included a customizable survey and an interactive visualization. The survey consisted of six standard, two optional, and three additional questions. The interactive visualization included various charts and word clouds with filters for drill-down analysis. The evaluation was done primarily with the rehabilitation (REHAB) team using data-centered approaches through historical survey data and qualitative coding of the free-text explanations and user-centered approaches through the System Usability Scale (SUS).\u0000 Results The evaluation showed that the app appropriately accommodated historical survey data from the REHAB team, enabling the comparison between self-assessed and perceived team well-being levels, and summarized key drivers based on the qualitative coding of the free-text explanations. Responses from the 23 REHAB team members showed an above-average score (SUS: 80.22), indicating high usability of the app.\u0000 Conclusion The Well-being Check app was developed in a user-centered manner and evaluated to demonstrate its effectiveness and usability. Future work includes iterative refinement of the app and designing a pre-poststudy using the app to measure the change in clinicians' well-being levels for quality improvement intervention.","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"101 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140516992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DNM1L variant presenting as adolescent-onset sensory neuronopathy, spasticity, dystonia, and ataxia.","authors":"Alexander S Wang, Gabrielle Lemire, Grace E VanNoy, Christina Austin-Tse, Anne O'Donnell-Luria, Camilla Kilbane","doi":"10.1055/s-0043-1771352","DOIUrl":"10.1055/s-0043-1771352","url":null,"abstract":"<p><p><i>DMN1L</i> encodes for dynamin-like protein 1 (DLP1) which plays a key role in perixosomal and mitochondrial fission. Individuals with heterozygous variants in <i>DNM1L</i> present with a wide range of neurologic symptoms, including encephalopathy, epilepsy, and motor deficits. Here we report on a woman presenting with adolescence onset of sensory neuronopathy, spasticity, dystonia, and ataxia. Trio genome sequencing identified a heterozygous variant in <i>DNM1L</i> (NM_012062.3 c.121G>A/p.Val41Met) which was thought to be pathogenic. This case describes the latest known symptomatic onset of <i>DMN1L-</i>related disease described in literature. We highlight our approach to a challenging diagnostic workup and interpretation of a specific variant that has not been previously reported. Furthermore, the case highlights the diagnostic importance of utilizing genomic sequencing and research studies for patients with rare disease.</p>","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"05 1","pages":"475-478"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10932615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76846779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Will the Doctor \"See\" You Now? The Development and Implementation of a Targeted Telemedicine System for Primary Care.","authors":"Jeremy A Epstein,&nbsp;Zoljargal Lkhagvajav,&nbsp;Tempest Young,&nbsp;Amanda Bertram,&nbsp;Hsin-Chieh Yeh,&nbsp;Casey Overby Taylor","doi":"10.1055/s-0043-1776038","DOIUrl":"https://doi.org/10.1055/s-0043-1776038","url":null,"abstract":"<p><strong>Objectives: </strong>The coronavirus disease 2019 (COVID-19) pandemic led to a rapid adoption of telehealth. For underserved populations lacking internet access, telemedicine was accomplished by phone rather than an audio-video connection. The latter is presumed a more effective form and better approximation of an in-person visit. We sought to provide a telehealth platform to overcome barriers for underserved groups to hold video visits with their health care providers and evaluate differences between the two telehealth modalities as assessed by physicians and patients.</p><p><strong>Methods: </strong>We designed a simplified tablet solution for video visits and piloted its use among patients who otherwise would have been completing audio-only visits. Patients consented to participation and were randomized in a 1:1 fashion to continue with their scheduled phone visit (control) versus being shipped a tablet to facilitate a video visit (intervention). Participants and providers completed communication and satisfaction surveys.</p><p><strong>Results: </strong>Tablet and connectivity design features included removal of all functions but for the telemedicine program, LTE always-on wireless internet connectivity, absence of external equipment (cords chargers and keyboard), and no registration with a digital portal. In total, 18 patients were enrolled. Intervention patients with video-enabled devices compared to control patients agreed more strongly that they were satisfied with their visits (4.75/5 vs. 3.75/5, <i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>The delivered simplified tablet solution for video visits holds promise to improve access to video visits for underserved groups. Strategies to facilitate patient acceptance of devices are needed to expand the scope and potential impact of this effort.</p>","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"7 2","pages":"e71-e78"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10610031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Resident Procedure Logs to Data Generated from an Electronic Health Record","authors":"Moira E. Smith, Timothy A. Layng","doi":"10.1055/s-0043-1776895","DOIUrl":"https://doi.org/10.1055/s-0043-1776895","url":null,"abstract":"Abstract Background Emergency medicine (EM) residents are required to report procedural competency, often in a database separate from the electronic health record (EHR), in a redundant and time-consuming manner. We hypothesize that, if documented in an appropriate manner, procedural reports generated from an EHR reliably exceed those required by the Accreditation Council for Graduate Medical Education (ACGME) as well as those self-reported by EM residents. Objectives (1) To compare the number of medical resuscitations recorded in the EHR to the number documented by residents in a separate database. (2) To compare the number of medical resuscitations recorded in the EHR to the ACGME requirement for graduation. Methods Self-reported numbers of adult medical resuscitation by each resident of the previous three graduating classes of one EM program were compared with those generated from the EHR (Epic Systems, Verona, Wisconsin). There is no discrete documentation of medical resuscitations in the EHR. The ACGME describes a resuscitation as “…patient care for which prolonged physician attention is needed,” and thus, a surrogate was determined to be any patient for which the attending physician documented critical care time. Results Data generated from the EHR reliably exceeded reported (mean [M] = 165.78, standard deviation [SD] = 45.97) and required (M = 188.09, SD = 30.93) numbers for adult medical resuscitations for 100% of the residents of the past three graduating classes (n = 32). Conclusion In an accredited EM residency program that utilizes a modern EHR with a validated reporting functionality, residents should not need to redundantly log the number of adult medical resuscitations performed. Each resident in this study performed significantly more adult medical resuscitations than they logged and more than required by the ACGME, and thus, the time spent documenting these in a separate database was superfluous. Furthermore, this process increases resident awareness of proper documentation and data stewardship, two skills certain to prevail throughout their careers as modern EM physicians.","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient, Caregiver, and Clinician Experience with a Technologically Enabled Pillbox: A Qualitative Study","authors":"Evan Michael Shannon, Stephanie K. Mueller, Jeffrey L. Schnipper","doi":"10.1055/s-0043-1775970","DOIUrl":"https://doi.org/10.1055/s-0043-1775970","url":null,"abstract":"Abstract Objectives As part of a study to assess whether a technologically enabled pillbox prescribed to patients at hospital discharge can improve medication safety, we sought to assess participant experiences with the intervention. Methods We conducted a series of semi-structured phone interviews with patients, patient caregivers, and inpatient and outpatient clinicians who participated in the Smart Pillbox Transition Study. We developed an interview guide using the Systems Engineering Initiative for Patient Safety (SEIPS) framework, which included the a priori domains of (1) barriers to implementation, (2) facilitators of the intervention, and (3) general feedback regarding experience with the intervention. Within these domains, we employed SEIPS-informed themes of environment and organization, logistics and tasks, personnel and patients, and technology and tools. Interviews were conducted between May 2018 and January 2019. We used content analysis to interpret findings. Results We interviewed 6 patients, 2 caregivers, and 5 inpatient and 2 outpatient clinicians. Patient-endorsed barriers in the theme of technology and tools included signal issues, inappropriate alarms, and portability. Barriers in the theme of logistics and tasks included coordination with pharmacists in the event of a prescription change. Barriers mentioned by clinicians included patients who were poor fits for the intervention (theme: personnel and patients) and competing demands at discharge (theme: logistics and tasks). Facilitators that were frequently mentioned by patients and caregivers in the theme of technology and tools included useful alarms and ease of use. Clinicians stated that communication with pharmacy and study staff helped facilitate the intervention (theme: personnel and patients). Conclusion We identified several key barriers and facilitators from patients, caregivers, and clinicians to successful implementation of this intervention. Reconciling these sometimes contrasting viewpoints will be crucial if the Smart Pillbox or similar health information technology interventions are to be adopted as tools to improve medication safety during care transitions.","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135851611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Directly Integrating Health Information Exchange (HIE) Data with the Electronic Health Record Increases HIE Use by Emergency Department Clinicians","authors":"Rebecca L. Rivera, Heidi Hosler, Jeong Hoon Jang, Jason T. Schaffer, John Price, Joshua R. Vest, Titus K. Schleyer","doi":"10.1055/s-0043-1772583","DOIUrl":"https://doi.org/10.1055/s-0043-1772583","url":null,"abstract":"Abstract Objectives This article (1) develops a Fast Healthcare Interoperability Resources app, Health Dart, that integrates information from Indiana's community health information exchange (HIE), the Indiana Network for Patient Care (INPC), directly with Cerner, an electronic health record (EHR), and (2) evaluates the effect of Health Dart's implementation on HIE use. Methods Health Dart was implemented in 14 Indiana University Health emergency departments (EDs) using a stepped-wedge study design. We analyzed rates of INPC use in 286,175 ED encounters between October 1, 2019 and December 31, 2020. Logistic regression was used to model the probability of INPC use given the implementation context, such as user interface (UI) enhancements and the coronavirus disease 2019 pandemic. Results INPC use increased by 131% across all encounters (from 3.6 to 8.3%; p < 0.001) after Health Dart implementation. INPC use increased by 144% (from 3.6 to 8.8%; p < 0.001) more than 2 months postimplementation. After UI enhancements, postimplementation INPC use increased by 123% (from 3.5 to 7.8%) compared to 181% (from 3.6 to 10.1%; p < 0.001) in postimplementation encounters that occurred before UI enhancements. During the pandemic, postimplementation INPC use increased by 135% (from 3.4 to 8.0%; p < 0.001) compared to 178% (from 3.6 to 10%; p < 0.001) in postimplementation encounters that occurred before the pandemic. Statistical significance was determined using 95% confidence intervals (α = 0.05). Conclusion Direct integration of HIE information into an EHR substantially increased frequency of HIE use, but the effect was weakened by the UI enhancements and pandemic. HIE information integrated into EHRs in the form of problem-oriented dashboards can potentially make information retrieval more efficient and effective for clinicians.","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135812158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Curriculum for Early Exposure to Clinical Informatics and Data Science for Noninformatics Trainees to Promote Interest and Inclusion in Informatics","authors":"Akshay Ravi, Benjamin Weia, Matthew Sakumoto, Aris Oates, Xinran Liu","doi":"10.1055/s-0043-1775971","DOIUrl":"https://doi.org/10.1055/s-0043-1775971","url":null,"abstract":"Abstract Background Curricula aimed at increasing exposure to informatics and practical data analytics among medical trainees could increase their effectiveness in clinical research, quality improvement, and clinical operations. Objectives The Clinical Informatics Data Science (CI-DS) pathway is a cross-disciplinary curriculum aimed at improving informatics exposure among medical trainees. We describe the development of this novel curriculum, the inaugural cohort, and lessons learned. Methods The CI-DS pathway is framed around upfront informatics didactics followed by a longitudinal, experiential training focused on mentorship, clinical data extraction/machine learning, and health technology governance. The curriculum was evaluated based on pre- and postpathway surveys completed by learners and logs of the elective activities selected by learners. Results The CI-DS pathway attracted 19 learners across 12 medical subspecialties, from medical students to fellows. Baseline surveys showed limited exposure to informatics across learners. The top three longitudinal activities completed were participating in electronic health record (EHR) governance meetings, data science supplemental courses, and designated mentorship meetings. Comparison of baseline with postpathway surveys demonstrated significant improvements in learner self-reported confidence in appraising an EHR modification ticket, accessing UCSF's deidentified data, exploring a database with basic structured query language (SQL), extracting data using SQL, and interpreting machine learning models. Conclusion An early exposure curriculum in clinical informatics with training in data extraction and governance can successfully recruit a diverse array of learners and improve confidence in practical informatics skills. We reflect on the strengths and weaknesses of this curriculum, and summarize the lessons learned to guide others in creating similar curricula for noninformatics clinicians.","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135856442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refining Clinician Workflow as a Means to Improving Catheter Quality Measures","authors":"Martina A. Clarke, J. Wardian, Brandon S. Fleharty, Craig G. Reha, Justin R. Birge","doi":"10.1055/s-0043-1771237","DOIUrl":"https://doi.org/10.1055/s-0043-1771237","url":null,"abstract":"Abstract Objective  This study aimed to improve the quality measure performance for indwelling urinary catheter (IUC) duration, central venous catheter (CVC) duration, and telemetry duration by redesigning clinical decision support (CDS) tools within the documentation process and order workflow. Methods  The effectiveness of the redesign was evaluated using system standard quality reporting methodology to observe device duration, central-line-associated bloodstream infection (CLABSI) rate, and catheter-associated urinary tract infection (CAUTI) rate preintervention (FY2017) and postintervention (FY2018). Electronic health record (EHR) reporting tools were used to evaluate CDS alert data both preintervention and postintervention. Results  Total device duration and line days per patient days were reduced for CVC (12.8% [0.305–0.266]) and IUC (4.68% [0.171–0.163]). Mean telemetry duration was reduced by 16.94% (3.72–3.09 days), and CDS alert volume decreased 18.6% from a preintervention mean of 1.18 alerts per patient per day (81,190 total alerts) to a postintervention mean of 0.96 alerts per patient per day (61,899 total alerts). Both CLABSI (2.8% [1.07–1.04]) and CAUTI (8.1% [1.61–1.48]) rates were reduced, resulting in approximately $926,000 in savings. Conclusion  In this novel model, the redesigned CDS tools improved clinician response to CDS alerts, prompting providers to take action on relevant orders that automatically updated the clinical documentation to reflect their actions. The study demonstrated that effective redesign of CDS tools within the documentation process and order workflow can reduce device duration, improve patient outcomes, and decrease CDS alert volume.","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"07 1","pages":"e30 - e40"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44355722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Practices' Perceptions of Text Message Communication with Families: An American Academy of Pediatrics (AAP), Pediatric Research in Office Settings (PROS) Study.","authors":"Ekaterina Nekrasova, Alexander G Fiks, Chelsea Wynn, Alessandra Torres, Miranda Griffith, Laura P Shone, Russell Localio, Justine Shults, Rebecca Unger, Leigh Ann Ware, Melissa S Stockwell","doi":"10.1055/s-0043-1763270","DOIUrl":"10.1055/s-0043-1763270","url":null,"abstract":"<p><strong>Background: </strong>Text messages can be an effective and low-cost mechanism for patient reminders; however, they are yet to be consistently integrated into pediatric primary care.</p><p><strong>Objective: </strong>The aim of this study was to explore pediatric primary care clinician and staff perceptions of pediatric office text message communication with families.</p><p><strong>Methods: </strong>As part of the National Institutes of Health-funded Flu2Text randomized controlled trial of second-dose influenza vaccine text message reminders, we conducted 7 focus groups and 4 individual interviews in July-August 2019 with primary care pediatric clinicians and staff (<i>n</i> = 39). Overall, 10 Pediatric Research in Office Settings (PROS) pediatric practices in 10 states were selected using stratified sampling. Semi-structured discussion guides included perspectives on possible uses, perceived usefulness, and ease of use of text messages; practices' current text messaging infrastructure; and perceived barriers/facilitators to future use of texting. Two investigators independently coded and analyzed transcripts based on the technology acceptance model using NVIVO 12 Plus (intercoder reliability, <i>K</i> = 0.86).</p><p><strong>Results: </strong>Overall, participants were supportive of text reminders for the second-dose influenza vaccine, other vaccines, and appointments and perceived texting as a preferred method of communication for caregivers. Health information privacy and patient confidentiality were the main concerns cited. Only respondents from practices with no internal appointment text message reminder system prior to the study expressed concerns about technology implementation logistics, time, and cost.</p><p><strong>Conclusion: </strong>Text message reminders, for various uses, appear to be well accepted among a group of geographically widespread pediatric practices after participation in a trial of influenza vaccine text message reminders. Privacy, confidentiality, and resource barriers need to be addressed to facilitate successful implementation.</p>","PeriodicalId":72041,"journal":{"name":"ACI open","volume":"07 1","pages":"e8-e15"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10882477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43164677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}