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We at Johns Hopkins Hospital have been using messages embedded within our EMR to decrease lab ordering. Many people are familiar with popups which can create fatigue. Our messages are embedded within the original EMR and do not require additional clicks. They are only 250 characters and have been shown to decrease utilization of inpatient Folate and Hepatitis C PCR ordering by over 50%, thus they have to be the most high value messages in an EMR.
Unfortunately these have been slow to generate due to no funding for IT support. If we were able to fund time for some of our IT employees, we could have many more of these.