“…Most major EHR vendors can extend existing functionality to externally notify clinicians of actionable TPADs via institutional email, secure messaging, or mobile app Bpush^notifications; flag importance in subject headings or notification banners; In sub-group analyses for documented acknowledgment, percentages, ORs, and p values calculated were similar across all characteristics and was statistically significant for Elixhauser (I vs. C: 64.0 vs. 50.0%; adjusted OR 1.84 [0.80, 4.2]; p = 0.04) facilitate knowledge transfer via messaging threads between key inpatient and ambulatory clinicians; and request acknowledgment electronically. 7,16,17,39,40 Institutions considering this type of Bactive^strategy would benefit from notifying nonnetwork as well as network PCPs-technology to send out-ofnetwork messages securely is increasingly available with growth of online physician directories and professional networks. 41 Leveraging EHRs, communication tools, and online resources in this way can address safety concerns related to discontinuity within and across healthcare systems.…”