Clinical documentation can be transformed by Electronic Health Records, yet the documentation process is still a tedious, time-consuming, and error-prone process. Clinicians are faced with multi-faceted requirements and fragmented interfaces for information exploration and documentation. These challenges are only exacerbated in the Emergency Department—clinicians often see 35 patients in one shift, during which they have to synthesize an often previously unknown patient’s medical records in order to reach a tailored diagnosis and treatment plan. To better support this information synthesis, clinical documentation tools must enable rapid contextual access to the patient’s medical record. MedKnowts is an integrated note-taking editor and information retrieval system which unifies the documentation and search process and provides concise synthesized concept-oriented slices of the patient’s medical record. MedKnowts automatically captures structured data while still allowing users the flexibility of natural language. MedKnowts leverages this structure to enable easier parsing of long notes, auto-populated text, and proactive information retrieval, easing the documentation burden.

Email management consumes significant effort from senders and recipients. Some of this work might be automatable. We performed a mixed-methods need-finding study to learn: (i) what sort of automatic email handling users want, and (ii) what kinds of information and computation are needed to support that automation. Our investigation included a design workshop to identify categories of needs, a survey to better understand those categories, and a classification of existing email automation software to determine which needs have been addressed. Our results highlight the need for: a richer data model for rules, more ways to manage attention, leveraging internal and external email context, complex processing such as response aggregation, and affordances for senders. To further investigate our findings, we developed a platform for authoring small scripts over a user's inbox. Of the automations found in our studies, half are impossible in popular email clients, motivating new design directions.