To introduce blockchain technologies, including their benefits, pitfalls, and the latest applications, to the biomedical and health care domains.
Author(s): Kuo, Tsung-Ting, Kim, Hyeon-Eui, Ohno-Machado, Lucila
DOI: 10.1093/jamia/ocx068
To introduce blockchain technologies, including their benefits, pitfalls, and the latest applications, to the biomedical and health care domains.
Author(s): Kuo, Tsung-Ting, Kim, Hyeon-Eui, Ohno-Machado, Lucila
DOI: 10.1093/jamia/ocx068
While most hospitals have adopted electronic health records (EHRs), we know little about whether hospitals use EHRs in advanced ways that are critical to improving outcomes, and whether hospitals with fewer resources - small, rural, safety-net - are keeping up.
Author(s): Adler-Milstein, Julia, Holmgren, A Jay, Kralovec, Peter, Worzala, Chantal, Searcy, Talisha, Patel, Vaishali
DOI: 10.1093/jamia/ocx080
One promise of nationwide adoption of electronic health records (EHRs) is the availability of data for large-scale clinical research studies. However, because the same patient could be treated at multiple health care institutions, data from only a single site might not contain the complete medical history for that patient, meaning that critical events could be missing. In this study, we evaluate how simple heuristic checks for data "completeness" affect the [...]
Author(s): Weber, Griffin M, Adams, William G, Bernstam, Elmer V, Bickel, Jonathan P, Fox, Kathe P, Marsolo, Keith, Raghavan, Vijay A, Turchin, Alexander, Zhou, Xiaobo, Murphy, Shawn N, Mandl, Kenneth D
DOI: 10.1093/jamia/ocx071
To compare the efficiency and safety of using speech recognition (SR) assisted clinical documentation within an electronic health record (EHR) system with use of keyboard and mouse (KBM).
Author(s): Hodgson, Tobias, Magrabi, Farah, Coiera, Enrico
DOI: 10.1093/jamia/ocx073
To introduce a disease prognosis framework enabled by a robust classification scheme derived from patient-specific transcriptomic response to stimulation.
Author(s): Gardeux, Vincent, Berghout, Joanne, Achour, Ikbel, Schissler, A Grant, Li, Qike, Kenost, Colleen, Li, Jianrong, Shang, Yuan, Bosco, Anthony, Saner, Donald, Halonen, Marilyn J, Jackson, Daniel J, Li, Haiquan, Martinez, Fernando D, Lussier, Yves A
DOI: 10.1093/jamia/ocx069
Clinical decision support tools for risk prediction are readily available, but typically require workflow interruptions and manual data entry so are rarely used. Due to new data interoperability standards for electronic health records (EHRs), other options are available. As a clinical case study, we sought to build a scalable, web-based system that would automate calculation of kidney failure risk and display clinical decision support to users in primary care practices.
Author(s): Samal, Lipika, D'Amore, John D, Bates, David W, Wright, Adam
DOI: 10.1093/jamia/ocx065
Therapeutic intent, the reason behind the choice of a therapy and the context in which a given approach should be used, is an important aspect of medical practice. There are unmet needs with respect to current electronic mapping of drug indications. For example, the active ingredient sildenafil has 2 distinct indications, which differ solely on dosage strength. In progressing toward a practice of precision medicine, there is a need to [...]
Author(s): Nelson, Stuart J, Oprea, Tudor I, Ursu, Oleg, Bologa, Cristian G, Zaveri, Amrapali, Holmes, Jayme, Yang, Jeremy J, Mathias, Stephen L, Mani, Subramani, Tuttle, Mark S, Dumontier, Michel
DOI: 10.1093/jamia/ocx064
Improved methods to identify nonmedical opioid use can help direct health care resources to individuals who need them. Automated algorithms that use large databases of electronic health care claims or records for surveillance are a potential means to achieve this goal. In this systematic review, we reviewed the utility, attempts at validation, and application of such algorithms to detect nonmedical opioid use.
Author(s): Canan, Chelsea, Polinski, Jennifer M, Alexander, G Caleb, Kowal, Mary K, Brennan, Troyen A, Shrank, William H
DOI: 10.1093/jamia/ocx066
The electronic chart review habits of intensive care unit (ICU) clinicians admitting new patients are largely unknown but necessary to inform the design of existing and future critical care information systems.
Author(s): Nolan, Matthew E, Cartin-Ceba, Rodrigo, Moreno-Franco, Pablo, Pickering, Brian, Herasevich, Vitaly
DOI: 10.4338/ACI-2017-04-RA-0060