Supplemental Digital Appendix 1
Screenshots of the Process of Receiving a QuizTime Question via Text Message and the Progression of the Learning Opportunity
QuizTime: Spaced Education/Retrieval-Based Practice
SMART and SALT-ED: Question 17 (avail. until 2/12/20 11:00am)
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for 2020-01-20 LHS:Functions First, Opioids Last (FFOL): Question 18 (avail. until 2/13/20 11,ooam}
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!laa.algg for 2020-01-20 LHS,
SMART and SALT-ED: Question 18 (avail. until 2/13/20 11:00am)
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xaelll:ila for 2020-01-20 LHS, Functions First, Opioids Last (FFOL): Question 19 (avail. until 2/14/20 11,ooam}
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Question Delivery
Questionl2
A 55-year-old man with ESRD on hemodialysis presents to the emergency department for evaluation of diarrhea and fatigue. Although IV fluid therapy with 0.9% saline is initially ordered, the order is cancelled and the patient is given Plasma-Lyte A instead.
What effect on clinical outcomes is MOST likely to result from a change to Plasma-Lyte A?
Increased risk of mortality
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Decreased risk of mortahty Decreased risk of acidosis requiring treatment
Workplace-relevant Question
icourM.QUiztimtheall:h.«lm You are correcti
19 out of 20 questions completed. Click
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Key Points
EBM-based Answer
Acknowledge Explanal1on cind Cl�
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Link to the Literature
inwjm.019
Balanced Crystalloids versus Saline in Critically Ill Adults
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