S. Andrew Spooner, MD, MS, FAAP

Chief Medical Information Officer, Biomedical Informatics

Attending Physician, Division of Hospital Medicine

Associate Professor, UC Department of Pediatrics

Dr. Spooner practices general academic pediatrics and serves as the Chief Medical Information Officer for Cincinnati Children’s. He is also actively involved in patient-centered research. He is interested in clinical decision support in the pediatric electronic health record, especially in how accurate weight-based doses are created. Lately he has been exploring the use of statistical tools in the detection of weight data-entry errors. He and his research group have created a data warehouse focusing on medication alert data stretching back five years, into which they have built several metrics of user alert-response behavior. They are using this warehouse to answer questions about how clinical users manage the load of decision-support alerts in our system, and how they detect potential harmful overdose errors. They are collaborating with an external machine-learning vendor that is working with the hospital’s safety leaders on safety analytics to bring more powerful tools to bear on the problem of alert fatigue and user overload. He is also co-chair of the Certification Commission for Health Information Technology inpatient work group.

View PubMed Publications

Li Q, Spooner SA, Kaiser M, Lingren N, Robbins J, Lingren T, Tang H, Solti I, Ni Y. An end-to-end hybrid algorithm for automated medication discrepancy detection. BMC Med Inform Decis Mak. 2015 May 6;15:37.

Kirkendall ES, Kouril M, Minich T, Spooner SA. Analysis of electronic medication orders with large overdoses: opportunities for mitigating dosing errors. Appl Clin Inform. 2014 Jan 8;5(1):25-45.

Marsolo K, Spooner SA. Clinical genomics in the world of the electronic health record. Genet Med. 2013 Oct;15(10):786-91.

Kirkendall ES, Spooner SA, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014 Feb;21(e1):e43-9.

Spooner SA. We are still waiting for fully supportive electronic health records in pediatrics. Pediatrics. 2012 Dec;130(6):e1674-6.

Spellman Kennebeck S, Timm N, Farrell MK, Spooner SA. Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. J Am Med Inform Assoc. 2012 May-Jun;19(3):443-7.

Spooner SA, Classen DC. Data standards and improvement of quality and safety in child health care. Pediatrics. 2009 Jan;123 Suppl 2:S74-9.