A reply to Shachak.
Author(s): Pantell, Matthew S, Adler-Milstein, Julia, Wang, Michael D, Prather, Aric A, Adler, Nancy E, Gottlieb, Laura M
DOI: 10.1093/jamia/ocab022
Author(s): Pantell, Matthew S, Adler-Milstein, Julia, Wang, Michael D, Prather, Aric A, Adler, Nancy E, Gottlieb, Laura M
DOI: 10.1093/jamia/ocab022
Author(s): Shachak, Aviv
DOI: 10.1093/jamia/ocab021
Providing behavioral health interventions via smartphones allows these interventions to be adapted to the changing behavior, preferences, and needs of individuals. This can be achieved through reinforcement learning (RL), a sub-area of machine learning. However, many challenges could affect the effectiveness of these algorithms in the real world. We provide guidelines for decision-making.
Author(s): Figueroa, Caroline A, Aguilera, Adrian, Chakraborty, Bibhas, Modiri, Arghavan, Aggarwal, Jai, Deliu, Nina, Sarkar, Urmimala, Jay Williams, Joseph, Lyles, Courtney R
DOI: 10.1093/jamia/ocab001
We aimed to develop a model for accurate prediction of general care inpatient deterioration.
Author(s): Romero-Brufau, Santiago, Whitford, Daniel, Johnson, Matthew G, Hickman, Joel, Morlan, Bruce W, Therneau, Terry, Naessens, James, Huddleston, Jeanne M
DOI: 10.1093/jamia/ocaa347
There are signals of clinicians' expert and knowledge-driven behaviors within clinical information systems (CIS) that can be exploited to support clinical prediction. Describe development of the Healthcare Process Modeling Framework to Phenotype Clinician Behaviors for Exploiting the Signal Gain of Clinical Expertise (HPM-ExpertSignals).
Author(s): Rossetti, Sarah Collins, Knaplund, Chris, Albers, Dave, Dykes, Patricia C, Kang, Min Jeoung, Korach, Tom Z, Zhou, Li, Schnock, Kumiko, Garcia, Jose, Schwartz, Jessica, Fu, Li-Heng, Klann, Jeffrey G, Lowenthal, Graham, Cato, Kenrick
DOI: 10.1093/jamia/ocab006
Toolkits are an important knowledge translation strategy for implementing digital health. We studied how toolkits for the implementation and evaluation of digital health were developed, tested, and reported.
Author(s): Godinho, Myron Anthony, Ansari, Sameera, Guo, Guan Nan, Liaw, Siaw-Teng
DOI: 10.1093/jamia/ocab010
Access to palliative care (PC) is important for many patients with uncontrolled symptom burden from serious or complex illness. However, many patients who could benefit from PC do not receive it early enough or at all. We sought to address this problem by building a predictive model into a comprehensive clinical framework with the aims to (i) identify in-hospital patients likely to benefit from a PC consult, and (ii) intervene [...]
Author(s): Murphree, Dennis H, Wilson, Patrick M, Asai, Shusaku W, Quest, Daniel J, Lin, Yaxiong, Mukherjee, Piyush, Chhugani, Nirmal, Strand, Jacob J, Demuth, Gabriel, Mead, David, Wright, Brian, Harrison, Andrew, Soleimani, Jalal, Herasevich, Vitaly, Pickering, Brian W, Storlie, Curtis B
DOI: 10.1093/jamia/ocaa211
Drawing causal estimates from observational data is problematic, because datasets often contain underlying bias (eg, discrimination in treatment assignment). To examine causal effects, it is important to evaluate what-if scenarios-the so-called "counterfactuals." We propose a novel deep learning architecture for propensity score matching and counterfactual prediction-the deep propensity network using a sparse autoencoder (DPN-SA)-to tackle the problems of high dimensionality, nonlinear/nonparallel treatment assignment, and residual confounding when estimating treatment effects.
Author(s): Ghosh, Shantanu, Bian, Jiang, Guo, Yi, Prosperi, Mattia
DOI: 10.1093/jamia/ocaa346
Multimodal automated phenotyping (MAP) is a scalable, high-throughput phenotyping method, developed using electronic health record (EHR) data from an adult population. We tested transportability of MAP to a pediatric population.
Author(s): Geva, Alon, Liu, Molei, Panickan, Vidul A, Avillach, Paul, Cai, Tianxi, Mandl, Kenneth D
DOI: 10.1093/jamia/ocaa343
Clinical decision-making is based on knowledge, expertise, and authority, with clinicians approving almost every intervention-the starting point for delivery of "All the right care, but only the right care," an unachieved healthcare quality improvement goal. Unaided clinicians suffer from human cognitive limitations and biases when decisions are based only on their training, expertise, and experience. Electronic health records (EHRs) could improve healthcare with robust decision-support tools that reduce unwarranted variation [...]
Author(s): Morris, Alan H, Stagg, Brian, Lanspa, Michael, Orme, James, Clemmer, Terry P, Weaver, Lindell K, Thomas, Frank, Grissom, Colin K, Hirshberg, Ellie, East, Thomas D, Wallace, Carrie Jane, Young, Michael P, Sittig, Dean F, Pesenti, Antonio, Bombino, Michela, Beck, Eduardo, Sward, Katherine A, Weir, Charlene, Phansalkar, Shobha S, Bernard, Gordon R, Taylor Thompson, B, Brower, Roy, Truwit, Jonathon D, Steingrub, Jay, Duncan Hite, R, Willson, Douglas F, Zimmerman, Jerry J, Nadkarni, Vinay M, Randolph, Adrienne, Curley, Martha A Q, Newth, Christopher J L, Lacroix, Jacques, Agus, Michael S D, Lee, Kang H, deBoisblanc, Bennett P, Scott Evans, R, Sorenson, Dean K, Wong, Anthony, Boland, Michael V, Grainger, David W, Dere, Willard H, Crandall, Alan S, Facelli, Julio C, Huff, Stanley M, Haug, Peter J, Pielmeier, Ulrike, Rees, Stephen E, Karbing, Dan S, Andreassen, Steen, Fan, Eddy, Goldring, Roberta M, Berger, Kenneth I, Oppenheimer, Beno W, Wesley Ely, E, Gajic, Ognjen, Pickering, Brian, Schoenfeld, David A, Tocino, Irena, Gonnering, Russell S, Pronovost, Peter J, Savitz, Lucy A, Dreyfuss, Didier, Slutsky, Arthur S, Crapo, James D, Angus, Derek, Pinsky, Michael R, James, Brent, Berwick, Donald
DOI: 10.1093/jamia/ocaa294