{
  "abstract": "Background: Data driven tools are increasingly used to support patient safety and quality improvement, yet evidence on the impact of integrated quality and safety dashboards remains limited. Methods: We conducted a pre to post implementation study using interrupted time series analysis to evaluate the impact of an EHR-integrated quality and safety dashboard on clinical processes and patient outcomes, among three general medicine units at a 171-bed community teaching hospital. All adult patients admitted during seven-month pre- and post-implementation periods were included. The primary outcome was the proportion of hospitalizations with at least one adverse event. Secondary and exploratory outcomes included hospital-acquired conditions, adherence to safety-related process measures, and dashboard utilization. Results: A total of 9,023 hospitalizations were included (4,640 pre-implementation; 4,383 post-implementation). The proportion of hospitalizations with at least one adverse event was similar pre-implementation (23.15%; 95% CI, 20.96 to 25.29) and post-implementation (22.97%; 95% CI, 20.86 to 25.23). CLABSI per 100 patient-days was reduced (aOR 0.47, 95% CI [0.37 to 0.60]); and exploratory analyses demonstrated decreases in slope for post-discharge venous thromboembolism (aOR, 0.66; 95% CI, 0.48 to 0.91; p=0.01) and hospital-acquired pressure injury (aOR, 0.69; 95% CI, 0.48 to 1.00; p=0.05). Several process measures improved, including code status confirmation, venous thromboembolism prophylaxis, delirium screening, chlorhexidine bathing, and fall precautions. Conclusions: Implementation of an EHR-integrated quality and safety dashboard was associated with meaningful improvements in multiple care processes and CLABSI but not overall adverse events. These findings highlight the potential of workflow-integrated dashboards to support frontline quality improvement, while underscoring the need for additional measures to improve clinical outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Brigham and Women's Hospital"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "name": "M. P. T. Pimentel"
    },
    {
      "name": "S. Plombon"
    },
    {
      "name": "N. Piniella"
    },
    {
      "name": "A. Garber"
    },
    {
      "name": "P. Garabedian"
    },
    {
      "name": "E. O'Fallon"
    },
    {
      "name": "S. R. Lipsitz"
    },
    {
      "name": "J. L. Schnipper"
    },
    {
      "affs": [
        0
      ],
      "name": "A. K. Dalal"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fw391sjx0vzjv.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.10.26.26366493",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.10.26.26366493v1.full",
  "id": "fw391sjx0vzjv",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.10.26.26366493v1",
  "language": null,
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "health systems and quality improvement"
    ],
    [
      "openalex",
      "3605|Electronic Health Records Systems"
    ]
  ],
  "openalex": "W7224117727",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.10.26.26366493v1.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-26",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/fw391sjx0vzjv.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:56Z",
      "native_id": "10.64898/2026.10.26.26366493",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.10.26.26366493v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "medrxiv:health systems and quality improvement",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Implementing an EHR-Integrated Quality and Safety Dashboard to Improve Inpatient Safety: Clinical Usage and Preliminary Outcomes",
  "title_text": "Implementing an EHR-Integrated Quality and Safety Dashboard to Improve Inpatient Safety: Clinical Usage and Preliminary Outcomes",
  "type": "preprint",
  "updated_at": "2026-10-30T12:21:56Z",
  "url": "https://research.draconitic.com/paper/fw391sjx0vzjv",
  "venue": "medRxiv",
  "versions": []
}