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Extracting social determinants of health (SDoHs) from medical notes depends heavily on labor-intensive annotations, which are typically task-specific, hampering reusability and limiting sharing. Here, we introduce SDoH-GPT, a novel framework leveraging few-shot learning large language models (LLMs) to automate the extraction of SDoH from unstructured text, aiming to improve both efficiency and generalizability.

To evaluate and compare the diagnostic responses generated by two artificial intelligence models developed 54 years apart and to encourage physicians to explore the use of large language models (LLMs) like GPT-4o in clinical practice.

The digitalization of health records stands to improve decision-making at clinical, administrative, and policy level. Efforts follow various paths and are closely intertwined with health system and organizational configurations. Problems persist in both uptake and use. This study explores the digitalization trajectories of academic health centers (AHCs) to understand tensions between organizational and government strategies and their impact on digital development.

Health professional (HP) trainee burnout is hard to capture. There are many validated quantitative tools to assess trainee burnout, but fewer qualitative methodological tools that can elicit rich and trustworthy qualitative data on HP trainee burnout.

Quantify the effect of ambient artificial intelligence (AI) scribe technology on work experience, clinical operations, and patient experience in pediatric primary care.

Health equity is greatly impacted by the systems and processes with which health systems deliver care. Given the minimal guidance on measurement and reporting of health inequities specific to key population health outcomes, a solution for measurement of health equity is proposed.

Falls are a leading cause of morbidity and mortality among older adults. Common methods for identifying fall-related ED visits within both claims and electronic health record datasets rely on diagnosis code-based definitions, which underestimate the true prevalence of falls. This study applies a natural language processing (NLP) algorithm to ED provider notes to identify patients presenting due to falls and compares the characteristics of NLP-identified cases to those identified through [...]

This study compares the performance of machine learning (ML) models and human experts in mapping unstructured nursing notes to the standardized Nursing Interventions Classification (NIC) system. The aim is to advance automated nursing documentation classification, facilitating cross-facility benchmarking of patient care and organizational outcomes.

Data governance, the policies, and procedures for managing data, is a critical factor for secondary use of clinical data for research.

While most health-care providers now use electronic health records (EHRs) to document clinical care, many still treat them as digital versions of paper records. As a result, documentation often remains unstructured, with free-text entries in progress notes. This limits the potential for secondary use and analysis, as machine-learning and data analysis algorithms are more effective with structured data.