Innovative informatics interventions to improve health and health care.
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac255
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac255
There is increasing interest in using artificial intelligence (AI) in pathology to improve accuracy and efficiency. Studies of clinicians' perceptions of AI have found only moderate acceptability, suggesting further research is needed regarding integration into clinical practice. This study aimed to explore stakeholders' theories concerning how and in what contexts AI is likely to become integrated into pathology.
Author(s): King, Henry, Williams, Bethany, Treanor, Darren, Randell, Rebecca
DOI: 10.1093/jamia/ocac254
While opioid addiction, treatment, and recovery are receiving attention, not much has been done on adaptive interventions to prevent opioid use disorder (OUD). To address this, we identify opioid prescription and opioid consumption as promising targets for adaptive interventions and present a design framework.
Author(s): Singh, Neetu, Varshney, Upkar
DOI: 10.1093/jamia/ocac253
Enabling clinicians to formulate individualized clinical management strategies from the sea of molecular data remains a fundamentally important but daunting task. Here, we describe efforts towards a new paradigm in genomics-electronic health record (HER) integration, using a standardized suite of FHIR Genomics Operations that encapsulates the complexity of molecular data so that precision medicine solution developers can focus on building applications.
Author(s): Dolin, Robert H, Heale, Bret S E, Alterovitz, Gil, Gupta, Rohan, Aronson, Justin, Boxwala, Aziz, Gothi, Shaileshbhai R, Haines, David, Hermann, Arthur, Hongsermeier, Tonya, Husami, Ammar, Jones, James, Naeymi-Rad, Frank, Rapchak, Barbara, Ravishankar, Chandan, Shalaby, James, Terry, May, Xie, Ning, Zhang, Powell, Chamala, Srikar
DOI: 10.1093/jamia/ocac246
Online health communities (OHCs) have been identified as important outlets for social support and community connection for adolescents and young adults (AYAs) living with chronic illnesses. Despite evident benefits, there remains a gap in research on methods to maximize sustained patient engagement within OHCs. This study assessed per-patient daily commenting rates over time, as well as associations with program staff and volunteer-facilitated events and engagement.
Author(s): Walker, Andrew L, Swygert, Anna, Marchi, Emily, Lebeau, Kelsea, Haardörfer, Regine, Livingston, Melvin D
DOI: 10.1093/jamia/ocac252
Electronic health records (EHRs) are increasingly used to capture social determinants of health (SDH) data, though there are few published studies of clinicians' engagement with captured data and whether engagement influences health and healthcare utilization. We compared the relative frequency of clinician engagement with discrete SDH data to the frequency of engagement with other common types of medical history information using data from inpatient hospitalizations.
Author(s): Iott, Bradley E, Adler-Milstein, Julia, Gottlieb, Laura M, Pantell, Matthew S
DOI: 10.1093/jamia/ocac251
This scoping review evaluates the existing literature on clinical informatics (CI) training in medical schools. It aims to determine the essential components of a CI curriculum in medical schools, identify methods to evaluate the effectiveness of a CI-focused education, and understand its delivery modes.
Author(s): Zainal, Humairah, Tan, Joshua Kuan, Xiaohui, Xin, Thumboo, Julian, Yong, Fong Kok
DOI: 10.1093/jamia/ocac245
SNOMED CT is the largest clinical terminology worldwide. Quality assurance of SNOMED CT is of utmost importance to ensure that it provides accurate domain knowledge to various SNOMED CT-based applications. In this work, we introduce a deep learning-based approach to uncover missing is-a relations in SNOMED CT.
Author(s): Abeysinghe, Rashmie, Zheng, Fengbo, Bernstam, Elmer V, Shi, Jay, Bodenreider, Olivier, Cui, Licong
DOI: 10.1093/jamia/ocac248
Electronic health records (EHRs) offer decision support in the form of alerts, which are often though not always interruptive. These alerts, though sometimes effective, can come at the cost of high cognitive burden and workflow disruption. Less well studied is the design of the EHR itself-the ordering provider's "choice architecture"-which "nudges" users toward alternatives, sometimes unintentionally toward waste and misuse, but ideally intentionally toward better practice. We studied 3 different [...]
Author(s): Grouse, Carrie K, Waung, Maggie W, Holmgren, A Jay, Mongan, John, Neinstein, Aaron, Josephson, S Andrew, Khanna, Raman R
DOI: 10.1093/jamia/ocac238
Combining text mining (TM) and clinical decision support (CDS) could improve diagnostic and therapeutic processes in clinical practice. This review summarizes current knowledge of the TM-CDS combination in clinical practice, including their intended purpose, implementation in clinical practice, and barriers to such implementation.
Author(s): van de Burgt, Britt W M, Wasylewicz, Arthur T M, Dullemond, Bjorn, Grouls, Rene J E, Egberts, Toine C G, Bouwman, Arthur, Korsten, Erik M M
DOI: 10.1093/jamia/ocac240