Ted Melnick, MD, MHS
Associate Professor of Emergency Medicine and of Biostatistics (Health Informatics); Interim Section Chief for Research, Emergency Medicine; Director, Clinical Informatics Fellowship
Research & Publications
Biography
News
Coauthors
Selected Publications
- Funding Research on Health Workforce Well-being to Optimize the Work EnvironmentMelnick E, Sinsky C, Shanafelt T. Funding Research on Health Workforce Well-being to Optimize the Work Environment JAMA 2023, 329 PMID: 36821127, DOI: 10.1001/jama.2023.2073.
- Predicting physician departure with machine learning on EHR use patterns: A longitudinal cohort from a large multi-specialty ambulatory practiceLopez K, Li H, Paek H, Williams B, Nath B, Melnick E, Loza A. Predicting physician departure with machine learning on EHR use patterns: A longitudinal cohort from a large multi-specialty ambulatory practice PLOS ONE 2023, 18: e0280251. PMID: 36724149, PMCID: PMC9891518, DOI: 10.1371/journal.pone.0280251.
- Implementation of Eye-Tracking Technology to Monitor Clinician Fatigue in Routine Clinical Care: A Feasibility StudyKadhim B, Khairat S, Li F, Gross I, Nath B, Hauser R, Melnick E. Implementation of Eye-Tracking Technology to Monitor Clinician Fatigue in Routine Clinical Care: A Feasibility Study ACI Open 2023, 07: e1-e7. DOI: 10.1055/s-0042-1760267.
- Racial and ethnic disparities in emergency department–initiated buprenorphine across five health care systemsHolland W, Li F, Nath B, Jeffery M, Stevens M, Melnick E, Dziura J, Khidir H, Skains R, D'Onofrio G, Soares W. Racial and ethnic disparities in emergency department–initiated buprenorphine across five health care systems Academic Emergency Medicine 2023 PMID: 36660800, DOI: 10.1111/acem.14668.
- Restoring Meaningful Content to the Medical Record: Standardizing Measurement Could Improve EHR Utility While Decreasing BurdenIscoe MS, McLean RM, Melnick ER. Restoring Meaningful Content to the Medical Record: Standardizing Measurement Could Improve EHR Utility While Decreasing Burden Mayo Clinic Proceedings 2022, 97: 1971-1974. PMID: 36210197, DOI: 10.1016/j.mayocp.2022.07.007.
- Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measuresRule A, Melnick ER, Apathy NC. Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measures Journal Of The American Medical Informatics Association 2022, 30: 144-154. PMID: 36173361, PMCID: PMC9748581, DOI: 10.1093/jamia/ocac177.
- Hospital Occupancy and Emergency Department Boarding During the COVID-19 PandemicJanke AT, Melnick ER, Venkatesh AK. Hospital Occupancy and Emergency Department Boarding During the COVID-19 Pandemic JAMA Network Open 2022, 5: e2233964. PMID: 36178691, PMCID: PMC9526134, DOI: 10.1001/jamanetworkopen.2022.33964.
- Monthly Rates of Patients Who Left Before Accessing Care in US Emergency Departments, 2017-2021Janke AT, Melnick ER, Venkatesh AK. Monthly Rates of Patients Who Left Before Accessing Care in US Emergency Departments, 2017-2021 JAMA Network Open 2022, 5: e2233708. PMID: 36178693, PMCID: PMC9526078, DOI: 10.1001/jamanetworkopen.2022.33708.
- Emergency physicians' EHR use across hospitals: A cross-sectional analysisIscoe MS, Holland ML, Paek H, Flood C, Melnick ER. Emergency physicians' EHR use across hospitals: A cross-sectional analysis The American Journal Of Emergency Medicine 2022, 61: 205-207. PMID: 35842301, DOI: 10.1016/j.ajem.2022.07.014.
- User centered clinical decision support to implement initiation of buprenorphine for opioid use disorder in the emergency department: EMBED pragmatic cluster randomized controlled trialMelnick ER, Nath B, Dziura JD, Casey MF, Jeffery MM, Paek H, Soares WE, Hoppe JA, Rajeevan H, Li F, Skains RM, Walter LA, Patel MD, Chari SV, Platts-Mills TF, Hess EP, D'Onofrio G. User centered clinical decision support to implement initiation of buprenorphine for opioid use disorder in the emergency department: EMBED pragmatic cluster randomized controlled trial The BMJ 2022, 377: e069271. PMID: 35760423, PMCID: PMC9231533, DOI: 10.1136/bmj-2021-069271.
- A Learning Health System Agenda for Organizational Approaches to Enhancing Occupational Well-being Among CliniciansRotenstein LS, Melnick ER, Sinsky CA. A Learning Health System Agenda for Organizational Approaches to Enhancing Occupational Well-being Among Clinicians JAMA 2022, 327: 2079-2080. PMID: 35551325, DOI: 10.1001/jama.2022.7461.
- Trends and Disparities in Access to Buprenorphine Treatment Following an Opioid-Related Emergency Department Visit Among an Insured Cohort, 2014-2020Stevens MA, Tsai J, Savitz ST, Nath B, Melnick ER, D’Onofrio G, Jeffery MM. Trends and Disparities in Access to Buprenorphine Treatment Following an Opioid-Related Emergency Department Visit Among an Insured Cohort, 2014-2020 JAMA Network Open 2022, 5: e2215287. PMID: 35657629, PMCID: PMC9166266, DOI: 10.1001/jamanetworkopen.2022.15287.
- Clinical decision support in cardiovascular medicineLu Y, Melnick ER, Krumholz HM. Clinical decision support in cardiovascular medicine The BMJ 2022, 377: e059818. PMID: 35613721, DOI: 10.1136/bmj-2020-059818.
- Pragmatic clinical trial design in emergency medicine: Study considerations and design typesGettel CJ, Yiadom MYAB, Bernstein SL, Grudzen CR, Nath B, Li F, Hwang U, Hess EP, Melnick ER. Pragmatic clinical trial design in emergency medicine: Study considerations and design types Academic Emergency Medicine 2022, 29: 1247-1257. PMID: 35475533, PMCID: PMC9790188, DOI: 10.1111/acem.14513.
- Cluster Analysis of Primary Care Physician Phenotypes for Electronic Health Record Use: Retrospective Cohort StudyFong A, Iscoe M, Sinsky CA, Haimovich A, Williams B, O'Connell RT, Goldstein R, Melnick E. Cluster Analysis of Primary Care Physician Phenotypes for Electronic Health Record Use: Retrospective Cohort Study JMIR Medical Informatics 2022, 10: e34954. PMID: 35275070, PMCID: PMC9055474, DOI: 10.2196/34954.
- Gender Differences in Time Spent on Documentation and the Electronic Health Record in a Large Ambulatory NetworkRotenstein LS, Fong AS, Jeffery MM, Sinsky CA, Goldstein R, Williams B, Melnick ER. Gender Differences in Time Spent on Documentation and the Electronic Health Record in a Large Ambulatory Network JAMA Network Open 2022, 5: e223935. PMID: 35323954, PMCID: PMC8948526, DOI: 10.1001/jamanetworkopen.2022.3935.
- In reply:D'Onofrio G, Melnick ER, Hawk KF. In reply: Annals Of Emergency Medicine 2022, 79: 219-220. PMID: 35065746, DOI: 10.1016/j.annemergmed.2021.10.022.
- Physicians in the digital ageMarchalik D, Melnick E. Physicians in the digital age The Lancet 2022, 399: 231. PMID: 35033216, DOI: 10.1016/s0140-6736(22)00021-6.
- Pilot MRI-based strategies to improve the detection of stroke in patients with dizziness/vertigoTu LH, Mahajan A, Minja FJ, Navaratnam D, Melnick ER. Pilot MRI-based strategies to improve the detection of stroke in patients with dizziness/vertigo Clinical Imaging 2021, 82: 234-236. PMID: 34902799, DOI: 10.1016/j.clinimag.2021.12.001.
- How a Virtual Scribe Program Improves Physicians’ EHR Experience, Documentation Time, and Note QualityOng S, Moore Jeffery M, Williams B, O’Connell R, Goldstein R, Melnick E. How a Virtual Scribe Program Improves Physicians’ EHR Experience, Documentation Time, and Note Quality NEJM Catalyst 2021, 2 DOI: 10.1056/cat.21.0294.
- Analysis of Electronic Health Record Use and Clinical Productivity and Their Association With Physician TurnoverMelnick ER, Fong A, Nath B, Williams B, Ratwani RM, Goldstein R, O’Connell R, Sinsky CA, Marchalik D, Mete M. Analysis of Electronic Health Record Use and Clinical Productivity and Their Association With Physician Turnover JAMA Network Open 2021, 4: e2128790. PMID: 34636911, PMCID: PMC8511970, DOI: 10.1001/jamanetworkopen.2021.28790.
- Trends in Electronic Health Record Inbox Messaging During the COVID-19 Pandemic in an Ambulatory Practice Network in New EnglandNath B, Williams B, Jeffery MM, O’Connell R, Goldstein R, Sinsky CA, Melnick ER. Trends in Electronic Health Record Inbox Messaging During the COVID-19 Pandemic in an Ambulatory Practice Network in New England JAMA Network Open 2021, 4: e2131490. PMID: 34636917, PMCID: PMC8511977, DOI: 10.1001/jamanetworkopen.2021.31490.
- 57 EMBED: A Pragmatic Trial of User-Centered Clinical Decision Support to Implement EMergency Department-Initiated BuprenorphinE for Opioid Use DisorderMelnick E, Casey M, Dziura J, Jeffery M, Soares W, Hoppe R. 57 EMBED: A Pragmatic Trial of User-Centered Clinical Decision Support to Implement EMergency Department-Initiated BuprenorphinE for Opioid Use Disorder Annals Of Emergency Medicine 2021, 78: s23. DOI: 10.1016/j.annemergmed.2021.09.066.
- Accounting for quality improvement during the conduct of embedded pragmatic clinical trials within healthcare systems: NIH Collaboratory case studiesTuzzio L, Meyers CM, Dember LM, Grudzen CR, Melnick ER, Staman KL, Huang SS, Richards J, DeBar L, Vazquez MA, Green BB, Coronado GD, Jarvik JG, Braciszewski J, Ho PM, Wells BL, James K, Toto R, D’Onofrio G, Volandes A, Kuklinski MR, Catalano RF, Sterling SA, Morse EF, Curtis L, Larson EB. Accounting for quality improvement during the conduct of embedded pragmatic clinical trials within healthcare systems: NIH Collaboratory case studies Healthcare 2021, 8: 100432. PMID: 34175091, PMCID: PMC8900087, DOI: 10.1016/j.hjdsi.2020.100432.
- Implementing Measurement Science for Electronic Health Record UseMelnick ER, Sinsky CA, Krumholz HM. Implementing Measurement Science for Electronic Health Record Use JAMA 2021, 325: 2149-2150. PMID: 33818587, DOI: 10.1001/jama.2021.5487.
- Improve Access to Care for Opioid Use Disorder: A Call to Eliminate the X-Waiver Requirement NowD'Onofrio G, Melnick ER, Hawk KF. Improve Access to Care for Opioid Use Disorder: A Call to Eliminate the X-Waiver Requirement Now Annals Of Emergency Medicine 2021, 78: 220-222. PMID: 33966933, PMCID: PMC8324519, DOI: 10.1016/j.annemergmed.2021.03.023.
- Characterizing physician EHR use with vendor derived data: a feasibility study and cross-sectional analysisMelnick ER, Ong SY, Fong A, Socrates V, Ratwani RM, Nath B, Simonov M, Salgia A, Williams B, Marchalik D, Goldstein R, Sinsky CA. Characterizing physician EHR use with vendor derived data: a feasibility study and cross-sectional analysis Journal Of The American Medical Informatics Association 2021, 28: ocab011-. PMID: 33822970, PMCID: PMC8279798, DOI: 10.1093/jamia/ocab011.
- The association between perceived electronic health record usability and professional burnout among US nursesMelnick ER, West CP, Nath B, Cipriano PF, Peterson C, Satele DV, Shanafelt T, Dyrbye LN. The association between perceived electronic health record usability and professional burnout among US nurses Journal Of The American Medical Informatics Association 2021, 28: 1632-1641. PMID: 33871018, PMCID: PMC8324227, DOI: 10.1093/jamia/ocab059.
- Emergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care SystemsSoares WE, Melnick ER, Nath B, D'Onofrio G, Paek H, Skains RM, Walter LA, Casey MF, Napoli A, Hoppe JA, Jeffery MM. Emergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care Systems Annals Of Emergency Medicine 2021, 79: 158-167. PMID: 34119326, PMCID: PMC8449788, DOI: 10.1016/j.annemergmed.2021.03.013.
- Advancing electronic health record vendor usability maturity: Progress and next steps.Hettinger AZ, Melnick ER, Ratwani RM. Advancing electronic health record vendor usability maturity: Progress and next steps. Journal Of The American Medical Informatics Association 2021, 28: 1029-1031. PMID: 33517394, PMCID: PMC8068416, DOI: 10.1093/jamia/ocaa329.
- Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the USJeffery MM, D’Onofrio G, Paek H, Platts-Mills TF, Soares WE, Hoppe JA, Genes N, Nath B, Melnick ER. Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the US JAMA Internal Medicine 2020, 180: 1328-1333. PMID: 32744612, PMCID: PMC7400214, DOI: 10.1001/jamainternmed.2020.3288.
- Should governments continue lockdown to slow the spread of covid-19?Melnick ER, Ioannidis JPA. Should governments continue lockdown to slow the spread of covid-19? The BMJ 2020, 369: m1924. PMID: 32493767, DOI: 10.1136/bmj.m1924.
- Tolerance of Uncertainty and the Practice of Emergency MedicinePlatts-Mills TF, Nagurney JM, Melnick ER. Tolerance of Uncertainty and the Practice of Emergency Medicine Annals Of Emergency Medicine 2019, 75: 715-720. PMID: 31874767, PMCID: PMC7294596, DOI: 10.1016/j.annemergmed.2019.10.015.
- The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US PhysiciansMelnick ER, Dyrbye LN, Sinsky CA, Trockel M, West CP, Nedelec L, Tutty MA, Shanafelt T. The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians Mayo Clinic Proceedings 2019, 95: 476-487. PMID: 31735343, DOI: 10.1016/j.mayocp.2019.09.024.
- Six habits of highly successful health information technology: powerful strategies for design and implementationRay JM, Ratwani RM, Sinsky CA, Frankel RM, Friedberg MW, Powsner SM, Rosenthal DI, Wachter RM, Melnick ER. Six habits of highly successful health information technology: powerful strategies for design and implementation Journal Of The American Medical Informatics Association 2019, 26: 1109-1114. PMID: 31265064, PMCID: PMC7647223, DOI: 10.1093/jamia/ocz098.
- User-centred clinical decision support to implement emergency department-initiated buprenorphine for opioid use disorder: protocol for the pragmatic group randomised EMBED trialMelnick ER, Jeffery MM, Dziura JD, Mao JA, Hess EP, Platts-Mills TF, Solad Y, Paek H, Martel S, Patel MD, Bankowski L, Lu C, Brandt C, D’Onofrio G. User-centred clinical decision support to implement emergency department-initiated buprenorphine for opioid use disorder: protocol for the pragmatic group randomised EMBED trial BMJ Open 2019, 9: e028488. PMID: 31152039, PMCID: PMC6550013, DOI: 10.1136/bmjopen-2018-028488.
- P78 Treatment-Related Complications of Chemotherapy and Radiotherapy: An Analysis of the Nationwide Emergency Department SampleJairam V, Lee V, Park H, Thomas C, Melnick E, Gross C, Presley C, Adelson K, Yu J. P78 Treatment-Related Complications of Chemotherapy and Radiotherapy: An Analysis of the Nationwide Emergency Department Sample International Journal Of Radiation Oncology • Biology • Physics 2019, 103: e51-e52. DOI: 10.1016/s0360-3016(19)30528-0.
- ADHERENCE TO THE PECARN PEDIATRIC HEAD INJURY RULE IN TWO CANADIAN EMERGENCY SETTINGSGariepy M, Gravel J, Turcotte S, Légaré F, Melnick E, Hess E, Witteman H, Lelaidier-Hould L, Truchon C, Sauvé L, Plante P, Lesage N, Archambault P. ADHERENCE TO THE PECARN PEDIATRIC HEAD INJURY RULE IN TWO CANADIAN EMERGENCY SETTINGS Paediatrics & Child Health 2018, 23: e9-e10. PMCID: PMC5961350, DOI: 10.1093/pch/pxy054.024.
- Patient-Centered Decision Support: Formative Usability Evaluation of Integrated Clinical Decision Support With a Patient Decision Aid for Minor Head Injury in the Emergency DepartmentMelnick ER, Hess EP, Guo G, Breslin M, Lopez K, Pavlo AJ, Abujarad F, Powsner SM, Post LA. Patient-Centered Decision Support: Formative Usability Evaluation of Integrated Clinical Decision Support With a Patient Decision Aid for Minor Head Injury in the Emergency Department Journal Of Medical Internet Research 2017, 19: e174. PMID: 28526667, PMCID: PMC5457532, DOI: 10.2196/jmir.7846.
- Should US doctors embrace electronic health records?Gellert G, Webster L, Gillean J, Melnick E, Kanzaria H. Should US doctors embrace electronic health records? The BMJ 2017, 356: j242. PMID: 28119282, DOI: 10.1136/bmj.j242.
- Introduction to Clinical Decision SupportDouthit B, Richesson R, Marsolo K, Melnick E, Grudzen C, Curtis L. Introduction to Clinical Decision Support 2017 DOI: 10.28929/130.
- Definitions and Uses for CDSDouthit B, Richesson R, Marsolo K, Melnick E, Grudzen C, Curtis L. Definitions and Uses for CDS 2017 DOI: 10.28929/131.
- Uses of CDS in Pragmatic Clinical Trials: Experience From the NIH Collaboratory StudiesDouthit B, Richesson R, Marsolo K, Melnick E, Grudzen C, Curtis L. Uses of CDS in Pragmatic Clinical Trials: Experience From the NIH Collaboratory Studies 2017 DOI: 10.28929/132.
- Designing and Building CDS Tools for Pragmatic TrialsDouthit B, Richesson R, Marsolo K, Melnick E, Grudzen C, Curtis L. Designing and Building CDS Tools for Pragmatic Trials 2017 DOI: 10.28929/133.
- Evaluating CDSDouthit B, Richesson R, Marsolo K, Melnick E, Grudzen C, Curtis L. Evaluating CDS 2017 DOI: 10.28929/134.
- Disseminating and Sharing CDSDouthit B, Richesson R, Marsolo K, Melnick E, Grudzen C, Curtis L. Disseminating and Sharing CDS 2017 DOI: 10.28929/135.
- Additional ResourcesDouthit B, Richesson R, Marsolo K, Melnick E, Grudzen C, Curtis L. Additional Resources 2017 DOI: 10.28929/136.
- Development and Testing of Shared Decision Making Interventions for Use in Emergency Care: A Research AgendaMelnick ER, Probst MA, Schoenfeld E, Collins SP, Breslin M, Walsh C, Kuppermann N, Dunn P, Abella BS, Boatright D, Hess EP. Development and Testing of Shared Decision Making Interventions for Use in Emergency Care: A Research Agenda Academic Emergency Medicine 2016, 23: 1346-1353. PMID: 27457137, PMCID: PMC5145730, DOI: 10.1111/acem.13045.
- Empathy in the Time of BurnoutMelnick ER, Powsner SM. Empathy in the Time of Burnout Mayo Clinic Proceedings 2016, 91: 1678-1679. PMID: 27836111, DOI: 10.1016/j.mayocp.2016.09.003.
- Understanding Overuse of Computed Tomography for Minor Head Injury in the Emergency Department: A Triangulated Qualitative StudyMelnick ER, Shafer K, Rodulfo N, Shi J, Hess EP, Wears RL, Qureshi RA, Post LA. Understanding Overuse of Computed Tomography for Minor Head Injury in the Emergency Department: A Triangulated Qualitative Study Academic Emergency Medicine 2015, 22: 1474-1483. PMID: 26568523, DOI: 10.1111/acem.12824.
- How to make less more: empathy can fill the gap left by reducing unnecessary careMelnick ER. How to make less more: empathy can fill the gap left by reducing unnecessary care The BMJ 2015, 351: h5831. PMID: 26537887, DOI: 10.1136/bmj.h5831.
- Redefining Overuse to Include Costs: A Decision Analysis for Computed Tomography in Minor Head InjuryMelnick ER, Keegan J, Taylor RA. Redefining Overuse to Include Costs: A Decision Analysis for Computed Tomography in Minor Head Injury The Joint Commission Journal On Quality And Patient Safety 2015, 41: 313-ap2. PMID: 26108124, DOI: 10.1016/s1553-7250(15)41041-4.
- CT Overuse for Mild Traumatic Brain InjuryMelnick ER, Szlezak CM, Bentley SK, Dziura JD, Kotlyar S, Post LA. CT Overuse for Mild Traumatic Brain Injury The Joint Commission Journal On Quality And Patient Safety 2012, 38: 483-489. PMID: 23173394, DOI: 10.1016/s1553-7250(12)38064-1.
- P61– Delphi consensus on the feasibility of translating the American College of Emergency Physicians clinical policies into computerized clinical decision supportMelnick E, Nielson J, Finnell J, Patel S, Richardson L. P61– Delphi consensus on the feasibility of translating the American College of Emergency Physicians clinical policies into computerized clinical decision support Otolaryngology 2010, 143: 109-110. DOI: 10.1016/j.otohns.2010.04.085.
- Delphi Consensus on the Feasibility of Translating the ACEP Clinical Policies Into Computerized Clinical Decision SupportMelnick ER, Nielson JA, Finnell JT, Bullard MJ, Cantrill SV, Cochrane DG, Halamka JD, Handler JA, Holroyd BR, Kamens D, Kho A, McClay J, Shapiro JS, Teich J, Wears RL, Patel SJ, Ward MF, Richardson LD. Delphi Consensus on the Feasibility of Translating the ACEP Clinical Policies Into Computerized Clinical Decision Support Annals Of Emergency Medicine 2010, 56: 317-320. PMID: 20363531, DOI: 10.1016/j.annemergmed.2010.03.006.
- International Emergency Medicine: A Review of the Literature from 2006Levine A, Goel A, Keay C, Lay C, Melnick E, Nielson J, Becker J, Khaleghi M, Chicharoen N, Johar S, Lippert S, Tebb Z, Rosborough S, Arnold K. International Emergency Medicine: A Review of the Literature from 2006 Academic Emergency Medicine 2007, 14: 1190-1193. DOI: 10.1111/j.1553-2712.2007.tb02342.x.
- Clinicopathological Conference: 29-year-old with Visual Loss, Hypertension, and a SeizureSuchard J, Melnick E. Clinicopathological Conference: 29-year-old with Visual Loss, Hypertension, and a Seizure Academic Emergency Medicine 2007, 14: 819-824. DOI: 10.1197/j.aem.2007.06.019.