Issues to consider with electronic consultations.
Author(s): Winchester, David E
DOI: 10.1093/jamia/ocaa043
Author(s): Winchester, David E
DOI: 10.1093/jamia/ocaa043
The goal of this study was to explore whether features of recorded and transcribed audio communication data extracted by machine learning algorithms can be used to train a classifier for anxiety.
Author(s): Demiris, George, Corey Magan, Kristin L, Parker Oliver, Debra, Washington, Karla T, Chadwick, Chad, Voigt, Jeffrey D, Brotherton, Sam, Naylor, Mary D
DOI: 10.1093/jamia/ocaa049
The use of real-world evidence for health care research and evaluation is growing. Mobile health apps have often-overlooked potential to contribute valuable real-world data that are not captured by other sources and could provide data that are more cost-effective and generalizable than can randomized controlled trials. However, there are several challenges that must be overcome to realize the potential value of patient-used mobile health app real-world data, including data quality [...]
Author(s): Milne-Ives, Madison, van Velthoven, Michelle Helena, Meinert, Edward
DOI: 10.1093/jamia/ocaa036
Natural language processing (NLP) plays a vital role in modern medical informatics. It converts narrative text or unstructured data into knowledge by analyzing and extracting concepts. A comprehensive lexical system is the foundation to the success of NLP applications and an essential component at the beginning of the NLP pipeline. The SPECIALIST Lexicon and Lexical Tools, distributed by the National Library of Medicine as one of the Unified Medical Language [...]
Author(s): Lu, Chris J, Payne, Amanda, Mork, James G
DOI: 10.1093/jamia/ocaa056
Alert presentation of clinical decision support recommendations is a common method for providing information; however, many alerts are overridden suggesting presentation design improvements can be made. This study attempts to assess pediatric prescriber information needs for drug-drug interactions (DDIs) alerts and to evaluate the optimal presentation timing and presentation in the medication ordering process.
Author(s): Humphrey, Kate E, Mirica, Maria, Phansalkar, Shobha, Ozonoff, Al, Harper, Marvin B
DOI: 10.1055/s-0040-1714276
Documentation burden, defined as the need to complete unnecessary documentation elements in the electronic health record (EHR), is significant for nurses and contributes to decreased time with patients as well as burnout. Burden increases when new documentation elements are added, but unnecessary elements are not systematically identified and removed.
Author(s): Sutton, Darinda E, Fogel, Jennifer R, Giard, April S, Gulker, Lisa A, Ivory, Catherine H, Rosa, Amy M
DOI: 10.1055/s-0040-1713634
Patient attribution, or the process of attributing patient-level metrics to specific providers, attempts to capture real-life provider-patient interactions (PPI). Attribution holds wide-ranging importance, particularly for outcomes in graduate medical education, but remains a challenge. We developed and validated an algorithm using EHR data to identify pediatric resident PPIs (rPPIs).
Author(s): Mai, Mark V, Orenstein, Evan W, Manning, John D, Luberti, Anthony A, Dziorny, Adam C
DOI: 10.1055/s-0040-1713133
In 2013, the American Board of Preventive Medicine (ABPM) and the American Board of Pathology (ABPath) offered the first board certification examination in Clinical Informatics to eligible physicians in the United States. In 2022, the Practice Pathway will expire and in 2023 only candidates eligible through the Fellowship Pathway will be eligible for the board certification. To date, Clinical Informatics as a specialty has not had a regular match process [...]
Author(s): Pageler, Natalie M, Elkin, Peter L, Kannry, Joseph, Leu, Michael G, Levy, Bruce, Lehmann, Christoph U
DOI: 10.1055/s-0040-1714348
Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize telehealth for inpatients to promote physical distancing.
Author(s): Hron, Jonathan D, Parsons, Chase R, Williams, Lee Ann, Harper, Marvin B, Bourgeois, Fabienne C
DOI: 10.1055/s-0040-1713635
Health care disparity persists despite vigorous countermeasures. Clinician performance is paramount for equitable care processes and outcomes. However, precise and valid individual performance measures remain elusive.
Author(s): Andreae, Michael H, Maman, Stephan R, Behnam, Abrahm J
DOI: 10.1055/s-0040-1714692