Scholars@Duke
Robert Clayton Musser

Robert Clayton Musser

Assistant Professor of Medicine
Medicine, Hospital Medicine
DUMC Box 100800, Durham, NC 27710
DUMC Box 100800, Durham, NC 27710

Selected Publications

Randomized Comparison of Electronic Health Record Alert Types in Eliciting Responses about Prognosis in Gynecologic Oncology Patients.

Journal Article Appl Clin Inform · March 2024 OBJECTIVES:  To compare the ability of different electronic health record alert types to elicit responses from users caring for cancer patients benefiting from goals of care (GOC) conversations. METHODS:  A validated question asking if the user would be su ... Full text Link to item Cite

Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis.

Journal Article J Med Internet Res · May 12, 2023 BACKGROUND: Advance care planning (ACP) improves patient-provider communication and aligns care to patient values, preferences, and goals. Within a multisite Meta-network Learning and Research Center ACP study, one health system deployed an electronic heal ... Full text Open Access Link to item Cite

Implementation of Changes to Medical Student Documentation at Duke University Health System: Balancing Education With Service.

Journal Article Acad Med · June 1, 2021 PURPOSE: When the Centers for Medicare and Medicaid Services (CMS) changed policies about medical student documentation, students with proper supervision may now document their history, physical exam, and medical decision making in the electronic health re ... Full text Open Access Link to item Cite

A Closer Look at the "Right" Format for Clinical Decision Support: Methods for Evaluating a Storyboard BestPractice Advisory.

Journal Article J Pers Med · September 23, 2020 (1) Background: The five rights of clinical decision support (CDS) are a well-known framework for planning the nuances of CDS, but recent advancements have given us more options to modify the format of the alert. One-size-fits-all assessments fail to captu ... Full text Link to item Cite

Assessing the Impact of an Order Panel Utilizing Weight-Based Insulin and Standardized Monitoring of Blood Glucose for Patients With Hyperkalemia.

Journal Article Am J Med Qual · 2018 Intravenous insulin with glucose is used in urgent treatment for hyperkalemia but has a significant risk of hypoglycemia. The authors developed an order panel within the electronic health record system that utilizes weight-based insulin dosing and standard ... Full text Link to item Cite

Impact of an Alcohol Withdrawal Treatment Pathway on Hospital Length of Stay: A Retrospective Observational Study Comparing Pre and Post Pathway Implementation.

Journal Article J Psychiatr Pract · May 2017 OBJECTIVE: To determine if the implementation of a hospital-specific alcohol withdrawal treatment pathway used in a medical-surgical patient population decreased hospital length of stay (LOS) compared with the standard of care. METHODS: This retrospective ... Full text Link to item Cite

Enabling cross-platform clinical decision support through Web-based decision support in commercial electronic health record systems: proposal and evaluation of initial prototype implementations.

Journal Article AMIA Annu Symp Proc · 2013 Enabling clinical decision support (CDS) across multiple electronic health record (EHR) systems has been a desired but largely unattained aim of clinical informatics, especially in commercial EHR systems. A potential opportunity for enabling such scalable ... Link to item Cite

The clinical document architecture and the continuity of care record: a critical analysis.

Journal Article J Am Med Inform Assoc · 2006 Featured Publication Health care provides many opportunities in which the sharing of data between independent sites is highly desirable. Several standards are required to produce the functional and semantic interoperability necessary to support the exchange of such data: a com ... Full text Link to item Cite

From clinical pathways to CPOE: challenges and opportunities in standardization and computerization of postoperative orders for total joint replacement.

Journal Article J Surg Orthop Adv · 2006 Featured Publication Clinical pathways, or caremaps, have become key tools for hospitals to streamline patient care. They are most applicable in situations where a high degree of predictability regarding treatment and/or diagnostic intervention is expected. Perceived advantage ... Link to item Cite

Quantitative and qualitative comparison of text-based and graphical user interfaces for Computerized Provider Order Entry.

Journal Article AMIA Annu Symp Proc · 2006 Featured Publication Limited prospective data exist that define advantages and disadvantages of text-based versus graphical user interfaces in Computerized Provider Order Entry (CPOE). We created a single set of admission orders in both formats and, using a randomized crossove ... Link to item Cite