Advancing a learning health system through biomedical and health informatics.
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocae307
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocae307
There is rapidly growing interest in learning health systems (LHSs) nationally and globally. While the critical role of informatics is recognized, the informatics community has been relatively slow to formalize LHS as a priority area.
Author(s): Gunderson, Melissa A, Embí, Peter, Friedman, Charles P, Melton, Genevieve B
DOI: 10.1093/jamia/ocae281
This study aims to improve the ethical use of machine learning (ML)-based clinical prediction models (CPMs) in shared decision-making for patients with kidney failure on dialysis. We explore factors that inform acceptability, interpretability, and implementation of ML-based CPMs among multiple constituent groups.
Author(s): Sperling, Jessica, Welsh, Whitney, Haseley, Erin, Quenstedt, Stella, Muhigaba, Perusi B, Brown, Adrian, Ephraim, Patti, Shafi, Tariq, Waitzkin, Michael, Casarett, David, Goldstein, Benjamin A
DOI: 10.1093/jamia/ocae255
The NIH All of Us Research Program (All of Us) is engaging a diverse community of more than 10 000 registered researchers using a robust engagement ecosystem model. We describe strategies used to build an ecosystem that attracts and supports a diverse and inclusive researcher community to use the All of Us dataset and provide metrics on All of Us researcher usage growth.
Author(s): Baskir, Rubin, Lee, Minnkyong, McMaster, Sydney J, Lee, Jessica, Blackburne-Proctor, Faith, Azuine, Romuladus, Mack, Nakia, Schully, Sheri D, Mendoza, Martin, Sanchez, Janeth, Crosby, Yong, Zumba, Erica, Hahn, Michael, Aspaas, Naomi, Elmi, Ahmed, Alerté, Shanté, Stewart, Elizabeth, Wilfong, Danielle, Doherty, Meag, Farrell, Margaret M, Hébert, Grace B, Hood, Sula, Thomas, Cheryl M, Murray, Debra D, Lee, Brendan, Stark, Louisa A, Lewis, Megan A, Uhrig, Jen D, Bartlett, Laura R, Rico, Edgar Gil, Falcón, Adolph, Cohn, Elizabeth, Lunn, Mitchell R, Obedin-Maliver, Juno, Cottler, Linda, Eder, Milton, Randal, Fornessa T, Karnes, Jason, Lemieux, KiTani, Lemieux, Nelson, Lemieux, Nelson, Bradley, Lilanta, Tepp, Ronnie, Wilson, Meredith, Rodriguez, Monica, Lunt, Chris, Watson, Karriem
DOI: 10.1093/jamia/ocae270
To demonstrate the potential for a centrally managed health information exchange standardized to a common data model (HIE-CDM) to facilitate semantic data flow needed to support a learning health system (LHS).
Author(s): Eisman, Aaron S, Chen, Elizabeth S, Wu, Wen-Chih, Crowley, Karen M, Aluthge, Dilum P, Brown, Katherine, Sarkar, Indra Neil
DOI: 10.1093/jamia/ocae277
Cancer diagnosis comes as a shock to many patients, and many of them feel unprepared to handle the complexity of the life-changing event, understand technicalities of the diagnostic reports, and fully engage with the clinical team regarding the personalized clinical decision-making.
Author(s): Tripathi, Arihant, Ecker, Brett, Boland, Patrick, Ghodoussipour, Saum, Riedlinger, Gregory R, De, Subhajyoti
DOI: 10.1093/jamia/ocae284
Access to firearms is associated with increased suicide risk. Our aim was to develop a natural language processing approach to characterizing firearm access in clinical records.
Author(s): Trujeque, Joshua, Dudley, R Adams, Mesfin, Nathan, Ingraham, Nicholas E, Ortiz, Isai, Bangerter, Ann, Chakraborty, Anjan, Schutte, Dalton, Yeung, Jeremy, Liu, Ying, Woodward-Abel, Alicia, Bromley, Emma, Zhang, Rui, Brenner, Lisa A, Simonetti, Joseph A
DOI: 10.1093/jamia/ocae169
This study aims to (1) review machine learning (ML)-based models for early infection diagnostic and prognosis prediction in post-acute care (PAC) settings, (2) identify key risk predictors influencing infection-related outcomes, and (3) examine the quality and limitations of these models.
Author(s): Xu, Zidu, Scharp, Danielle, Hobensack, Mollie, Ye, Jiancheng, Zou, Jungang, Ding, Sirui, Shang, Jingjing, Topaz, Maxim
DOI: 10.1093/jamia/ocae278
This study aims to automate the prediction of Mini-Mental State Examination (MMSE) scores, a widely adopted standard for cognitive assessment in patients with Alzheimer's disease, using natural language processing (NLP) and machine learning (ML) on structured and unstructured EHR data.
Author(s): Idnay, Betina, Zhang, Gongbo, Chen, Fangyi, Ta, Casey N, Schelke, Matthew W, Marder, Karen, Weng, Chunhua
DOI: 10.1093/jamia/ocae274
SNOMED CT provides a standardized terminology for clinical concepts, allowing cohort queries over heterogeneous clinical data including Electronic Health Records (EHRs). While it is intuitive that missing and inaccurate subtype (or is-a) relations in SNOMED CT reduce the recall and precision of cohort queries, the extent of these impacts has not been formally assessed. This study fills this gap by developing quantitative metrics to measure these impacts and performing statistical [...]
Author(s): Hao, Xubing, Li, Xiaojin, Huang, Yan, Shi, Jay, Abeysinghe, Rashmie, Tao, Cui, Roberts, Kirk, Zhang, Guo-Qiang, Cui, Licong
DOI: 10.1093/jamia/ocae272