To address rising opioid overdose rates, the study team developed and implemented an interruptive, electronic health record (EHR)-integrated clinical decision support (CDS) to increase buprenorphine treatment for opioid use disorder (OUD) in the emergency department. The CDS uses real-time EHR data to identify at-risk patients and guide clinicians through OUD evidence-based care pathways. This strategy significantly improved OUD treatment metrics and demonstrated high rates of adoption by providers. By balancing automation with clinician-driven decision-making, this approach offers a scalable, generalizable solution to address barriers in emergency department-initiated OUD care and supports a growing body of evidence for CDS as an effective implementation tool in high-acuity settings.

An estimated 800,000 patients each year experience serious harm because of a delayed, missed or incorrect diagnosis, many of which disproportionately affect patients of marginalized populations. IHQSE Faculty Dr. Katie Raffel, along with fellow diagnostic error experts, penned a perspective piece in the Journal of Hospital Medicine aimed creating a framework for understanding and evaluating inequity within hospital-based diagnosis and describing key strategies for beginning the work to achieve equity within diagnosis.

IHQSE faculty member, Dr. Katie Raffel, along with colleague Dr. Josué Zapata, published a Leadership and Professional Development piece in Journal of Hospital Medicine, "Strategies to disagree productively: Persuasive DISNT". As providers, we often have experiences and insights that can improve how decisions are made within healthcare organizations. In expressing these perspectives, we may need to disagree. However, dissent is not always well-received. They discuss the need to: Determine value, Illustrate commitment, Show logic, Negotiate partnerships and Transform success into future impact in order to have the most success in disagreeing.

After observing a low but consistent rate of incorrect surgical line placement for pediatric cancer patients, IHQSE graduate Dr. Jonathan Roach and team implemented a new multi-factorial process to schedule and place surgical central lines. The intervention reduced the rate of incorrect line placement and near miss events to zero! IHQSE Faculty Dr. Tyler Anstett and Dr. Michael Tchou are coauthors of this publication in the Journal of the American College of Surgeons.