A Framework for Social Needs-Based Medical Biodesign Innovation.
Author(s): Metaxas, Ada, Hantgan, Sara, Wang, Katherine W, Desai, Jiya, Zwerling, Sarah, Jariwala, Sunit P
DOI: 10.1055/a-2312-8621
Author(s): Metaxas, Ada, Hantgan, Sara, Wang, Katherine W, Desai, Jiya, Zwerling, Sarah, Jariwala, Sunit P
DOI: 10.1055/a-2312-8621
To assess primary care physicians' (PCPs) perception of the need for serious illness conversations (SIC) or other palliative care interventions in patients flagged by a machine learning tool for high 1-year mortality risk.
Author(s): Rotenstein, Lisa, Wang, Liqin, Zupanc, Sophia N, Penumarthy, Akhila, Laurentiev, John, Lamey, Jan, Farah, Subrina, Lipsitz, Stuart, Jain, Nina, Bates, David W, Zhou, Li, Lakin, Joshua R
DOI: 10.1055/a-2309-1599
Intensive care unit (ICU) clinicians encounter frequent challenges with managing vast amounts of fragmented data while caring for multiple critically ill patients simultaneously. This may lead to increased provider cognitive load that may jeopardize patient safety.
Author(s): Strechen, Inna, Herasevich, Svetlana, Barwise, Amelia, Garcia-Mendez, Juan, Rovati, Lucrezia, Pickering, Brian, Diedrich, Daniel, Herasevich, Vitaly
DOI: 10.1055/a-2299-7643
To support a pragmatic, electronic health record (EHR)-based randomized controlled trial, we applied user-centered design (UCD) principles, evidence-based risk communication strategies, and interoperable software architecture to design, test, and deploy a prognostic tool for children in emergency departments (EDs) with pneumonia.
Author(s): Turer, Robert W, Gradwohl, Stephen C, Stassun, Justine, Johnson, Jakobi, Slagle, Jason M, Reale, Carrie, Beebe, Russ, Nian, Hui, Zhu, Yuwei, Albert, Daniel, Coffman, Timothy, Alaw, Hala, Wilson, Tom, Just, Shari, Peguillan, Perry, Freeman, Heather, Arnold, Donald H, Martin, Judith M, Suresh, Srinivasan, Coglio, Scott, Hixon, Ryan, Ampofo, Krow, Pavia, Andrew T, Weinger, Matthew B, Williams, Derek J, Weitkamp, Asli O
DOI: 10.1055/a-2297-9129
To understand the status quo and related influencing factors of machine alarm fatigue of hemodialysis nurses in tertiary hospitals in Liaoning Province.
Author(s): Sun, Chaonan, Bao, Meirong, Pu, Congshan, Kang, Xin, Zhang, Yiping, Kong, Xiaomei, Zhang, Rongzhi
DOI: 10.1055/a-2297-4652
Patient data are fragmented across multiple repositories, yielding suboptimal and costly care. Record linkage algorithms are widely accepted solutions for improving completeness of patient records. However, studies often fail to fully describe their linkage techniques. Further, while many frameworks evaluate record linkage methods, few focus on producing gold standard datasets. This highlights a need to assess these frameworks and their real-world performance. We use real-world datasets and expand upon previous [...]
Author(s): Gupta, Agrayan K, Xu, Huiping, Li, Xiaochun, Vest, Joshua R, Grannis, Shaun J
DOI: 10.1055/a-2291-1391
The aim of this study was to disseminate insights from a nationwide pilot of the International Classification of Diseases-11th revision (ICD-11).
Author(s): Zhang, Meng, Wang, Yipeng, Jakob, Robert, Su, Shanna, Bai, Xue, Jing, Xiaotong, Xue, Xin, Liao, Aimin, Li, Naishi, Wang, Yi
DOI: 10.1093/jamia/ocae031
The study aimed to characterize the experiences of primary caregivers of children with medical complexity (CMC) in engaging with other members of the child's caregiving network, thereby informing the design of health information technology (IT) for the caregiving network. Caregiving networks include friends, family, community members, and other trusted individuals who provide resources, information, health, or childcare.
Author(s): Scheer, Eleanore Rae, Werner, Nicole E, Coller, Ryan J, Nacht, Carrie L, Petty, Lauren, Tang, Mengwei, Ehlenbach, Mary, Kelly, Michelle M, Finesilver, Sara, Warner, Gemma, Katz, Barbara, Keim-Malpass, Jessica, Lunsford, Christopher D, Letzkus, Lisa, Desai, Shaalini Sanjiv, Valdez, Rupa S
DOI: 10.1093/jamia/ocae026
As the enthusiasm for integrating artificial intelligence (AI) into clinical care grows, so has our understanding of the challenges associated with deploying impactful and sustainable clinical AI models. Complex dataset shifts resulting from evolving clinical environments strain the longevity of AI models as predictive accuracy and associated utility deteriorate over time.
Author(s): Davis, Sharon E, Embí, Peter J, Matheny, Michael E
DOI: 10.1093/jamia/ocae036
Predictive models show promise in healthcare, but their successful deployment is challenging due to limited generalizability. Current external validation often focuses on model performance with restricted feature use from the original training data, lacking insights into their suitability at external sites. Our study introduces an innovative methodology for evaluating features during both the development phase and the validation, focusing on creating and validating predictive models for post-surgery patient outcomes with [...]
Author(s): Naderalvojoud, Behzad, Curtin, Catherine M, Yanover, Chen, El-Hay, Tal, Choi, Byungjin, Park, Rae Woong, Tabuenca, Javier Gracia, Reeve, Mary Pat, Falconer, Thomas, Humphreys, Keith, Asch, Steven M, Hernandez-Boussard, Tina
DOI: 10.1093/jamia/ocae028