Using health information technology for clinical decision support and predictive analytics.
Author(s): Ohno-Machado, Lucila
DOI: 10.1093/jamia/ocw163
Author(s): Ohno-Machado, Lucila
DOI: 10.1093/jamia/ocw163
Phenotyping algorithms applied to electronic health record (EHR) data enable investigators to identify large cohorts for clinical and genomic research. Algorithm development is often iterative, depends on fallible investigator intuition, and is time- and labor-intensive. We developed and evaluated 4 types of phenotyping algorithms and categories of EHR information to identify hypertensive individuals and controls and provide a portable module for implementation at other sites.
Author(s): Teixeira, Pedro L, Wei, Wei-Qi, Cronin, Robert M, Mo, Huan, VanHouten, Jacob P, Carroll, Robert J, LaRose, Eric, Bastarache, Lisa A, Rosenbloom, S Trent, Edwards, Todd L, Roden, Dan M, Lasko, Thomas A, Dart, Richard A, Nikolai, Anne M, Peissig, Peggy L, Denny, Joshua C
DOI: 10.1093/jamia/ocw071
Electronic health records (EHRs) are a resource for "big data" analytics, containing a variety of data elements. We investigate how different categories of information contribute to prediction of mortality over different time horizons among patients undergoing hemodialysis treatment.
Author(s): Goldstein, Benjamin A, Pencina, Michael J, Montez-Rath, Maria E, Winkelmayer, Wolfgang C
DOI: 10.1093/jamia/ocw057
There have been several concerns about the quality of documentation in electronic health records (EHRs) when compared to paper charts. This study compares the accuracy of physical examination findings documentation between the two in initial progress notes.
Author(s): Yadav, Siddhartha, Kazanji, Noora, K C, Narayan, Paudel, Sudarshan, Falatko, John, Shoichet, Sandor, Maddens, Michael, Barnes, Michael A
DOI: 10.1093/jamia/ocw067
Our objective was to develop an approach for selecting combinatorial markers of pathology from diverse clinical data types. We demonstrate this approach on the problem of pancreatic cyst classification.
Author(s): Masica, David L, Dal Molin, Marco, Wolfgang, Christopher L, Tomita, Tyler, Ostovaneh, Mohammad R, Blackford, Amanda, Moran, Robert A, Law, Joanna K, Barkley, Thomas, Goggins, Michael, Irene Canto, Marcia, Pittman, Meredith, Eshleman, James R, Ali, Syed Z, Fishman, Elliot K, Kamel, Ihab R, Raman, Siva P, Zaheer, Atif, Ahuja, Nita, Makary, Martin A, Weiss, Matthew J, Hirose, Kenzo, Cameron, John L, Rezaee, Neda, He, Jin, Joon Ahn, Young, Wu, Wenchuan, Wang, Yuxuan, Springer, Simeon, Diaz, Luis L, Papadopoulos, Nickolas, Hruban, Ralph H, Kinzler, Kenneth W, Vogelstein, Bert, Karchin, Rachel, Lennon, Anne Marie
DOI: 10.1093/jamia/ocw069
This paper outlines the implementation of a comprehensive clinical pharmacogenomics (PGx) service within a pediatric teaching hospital and the integration of clinical decision support in the electronic health record (EHR).
Author(s): Manzi, Shannon F, Fusaro, Vincent A, Chadwick, Laura, Brownstein, Catherine, Clinton, Catherine, Mandl, Kenneth D, Wolf, Wendy A, Hawkins, Jared B
DOI: 10.1093/jamia/ocw052
Provider organizations increasingly have the ability to exchange patient health information electronically. Organizational health information exchange (HIE) policy decisions can impact the extent to which external information is readily available to providers, but this relationship has not been well studied.
Author(s): Downing, N Lance, Adler-Milstein, Julia, Palma, Jonathan P, Lane, Steven, Eisenberg, Matthew, Sharp, Christopher, , , Longhurst, Christopher A
DOI: 10.1093/jamia/ocw063
Medication reconciliation (MedRec) is essential for reducing patient harm caused by medication discrepancies across care transitions. Electronic support has been described as a promising approach to moving MedRec forward. We systematically reviewed the evidence about electronic tools that support MedRec, by (a) identifying tools; (b) summarizing their characteristics with regard to context, tool, implementation, and evaluation; and (c) summarizing key messages for successful development and implementation.
Author(s): Marien, Sophie, Krug, Bruno, Spinewine, Anne
DOI: 10.1093/jamia/ocw068
Assess parent use and perceptions of an inpatient portal application on a tablet computer that provides information about a child's hospital stay.
Author(s): Kelly, Michelle M, Hoonakker, Peter L T, Dean, Shannon M
DOI: 10.1093/jamia/ocw070
Inductive machine learning, and in particular extraction of association rules from data, has been successfully used in multiple application domains, such as market basket analysis, disease prognosis, fraud detection, and protein sequencing. The appeal of rule extraction techniques stems from their ability to handle intricate problems yet produce models based on rules that can be comprehended by humans, and are therefore more transparent. Human comprehension is a factor that may [...]
Author(s): Guillame-Bert, Mathieu, Dubrawski, Artur, Wang, Donghan, Hravnak, Marilyn, Clermont, Gilles, Pinsky, Michael R
DOI: 10.1093/jamia/ocw048