Black Girl White Coat is also exactly what I needed when I was younger. I hope everyone who encounters our organization soars to heights higher than I will ever reach. The potential has always been there; now we are tearing down barriers. However, we have more gaps to fill, especially when we look further down the line. More pipeline programs are needed in traditionally marginalized communities. Better support and retention strategies for faculty of color are needed in academic programs and throughout institutions. There is still so much work to be done … Black Girl White Coat is just getting started.

Revolutionizing Information Access

Jaskirat Dhanoa, MD, PGY3; Nicholas Stark, MD, MBA, PGY4; Christopher Peabody, MD, MPH, University of California San Francisco, Department of 18 Emergency Medicine, Acute Care Innovation Center

Challenges presented by the COVID-19 pandemic pushed many emergency departments’ stagnant information distribution systems to a breaking point, requiring rapid adaptation to support a constantly changing clinical care environment. San Francisco General Hospital (SFGH), a University of California San Francisco-affiliated site, was no exception. As our emergency department became overloaded with rapidly-changing clinical information, the Acute Care Innovation Center (ACIC) set out to improve access to critical clinical information. The ACIC uniquely brought together a group of residents, hospital leadership, and medical students to account for different perspectives and tackle problems in an innovative manner. Our team learned that clinicians felt overwhelmed by the volume and speed of changing clinical information that was communicated from emails to cloud folder uploads. Clinicians did not know where to find the most up-to-date information. And text-heavy documents were difficult to apply in real-time on shift.

The design process led our team to an idea that was profound in its simplicity: democratizing information through an open-access, mobile-friendly, centralized digital information hub. Today, that idea has become an evolving clinical information platform called E*Drive (https://edrive.ucsf.edu).

E*Drive currently hosts a broad array of clinical information, ranging from COVID-19 guidelines to announcements to discharge resources, and it displays this information in a simple, standardized flow-chart style to enable in-the-moment utilization on shift. The platform has been profoundly successful, increasing access to clinical information in our emergency department by over 230 percent (from 0.13 views/day with the legacy system to nearly 30 views/day in September 2021), with 77 percent of clinicians reporting improved access to clinical information and 70 percent endorsing improved efficiency on shift as a result of E*Drive.