Table 1.

Guiding principles for EHR integration

Right information	When to initiate intermittent measurement instead of continuous monitoring When to transition from continuous monitoring to intermittent measurement after supplemental oxygen is discontinued
Right people	Clinicians who order monitoring Nurses who monitor patients for clinical changes and place or remove monitoring equipment
Right channels	EHR and Clinical Pathways Program webpage (via web link available exclusively to unlearning + substitution arm hospitals)
Right points in workflow	Appearing on screens, order sets, flowsheets, reports, and/or note templates used during hospital admission, supplemental oxygen management, and rounds
Right format(s) may include, but not be limited to, any combination of:	• EHR-embedded link to pathway website presented to clinicians at appropriate points in workflow (minimum standard) • Order set for bronchiolitis monitoring that guides clinicians to appropriately order (a) guideline-concordant monitoring initiation and (b) guideline-concordant transition to intermittent measurement, and that clearly communicates instructions to staff • Clinical reminder/alert that notifies nurses that continuous monitoring may no longer be indicated based on a documented discontinuation of supplemental oxygen