A changed world built on informatics innovation.
Author(s): Sarkar, Indra Neil
DOI: 10.1093/jamiaopen/ooab002
Author(s): Sarkar, Indra Neil
DOI: 10.1093/jamiaopen/ooab002
Coronavirus disease 2019, first reported in China in late 2019, has quickly spread across the world. The outbreak was declared a pandemic by the World Health Organization on March 11, 2020. Here, we describe our initial efforts at the University of Florida Health for processing of large numbers of tests, streamlining data collection, and reporting data for optimizing testing capabilities and superior clinical management. Specifically, we discuss clinical and pathology [...]
Author(s): Chamala, Srikar, Flax, Sherri, Starostik, Petr, Cherabuddi, Kartikeya, Iovine, Nicole M, Majety, Siddardha, Newsom, Kimberly J, Reeves, Mary, Joshi-Guske, Michael J, Downey, Maggie M, Lele, Tanmay P, Clare-Salzler, Michael J
DOI: 10.1093/jamiaopen/ooaa055
We develop a dashboard that leverages electronic health record (EHR) data to monitor intensive care unit patient status and ventilator utilization in the setting of the COVID-19 pandemic.
Author(s): Jawa, Randeep S, Tharakan, Mathew A, Tsai, Chaowei, Garcia, Victor L, Vosswinkel, James A, Rutigliano, Daniel N, Rubano, Jerry A, ,
DOI: 10.1093/jamiaopen/ooaa054
Electronic health record (EHR) optimization has been identified as a best practice to reduce burnout and improve user satisfaction; however, measuring success can be challenging. The goal of this manuscript is to describe the limitations of measuring optimizations and opportunities to combine assessments for a more comprehensive evaluation of optimization outcomes. The authors review lessons from 3 U.S. healthcare institutions that presented their experiences and recommendations at the American Medical [...]
Author(s): Lourie, Eli M, Stevens, Lindsay A, Webber, Emily C
DOI: 10.1093/jamiaopen/ooaa056
Event notification systems are an approach to health information exchange (HIE) that notifies end-users of patient interactions with the healthcare system through real-time automated alerts. We examined associations between organizational capabilities and perceptions of event notification system use.
Author(s): Wiley, Kevin K, Hilts, Katy Ellis, Ancker, Jessica S, Unruh, Mark A, Jung, Hye-Young, Vest, Joshua R
DOI: 10.1093/jamiaopen/ooaa065
Patient information can be retrieved more efficiently in electronic medical record (EMR) systems by using machine learning models that predict which information a physician will seek in a clinical context. However, information-seeking behavior varies across EMR users. To explicitly account for this variability, we derived hierarchical models and compared their performance to nonhierarchical models in identifying relevant patient information in intensive care unit (ICU) cases.
Author(s): Tajgardoon, Mohammadamin, Cooper, Gregory F, King, Andrew J, Clermont, Gilles, Hochheiser, Harry, Hauskrecht, Milos, Sittig, Dean F, Visweswaran, Shyam
DOI: 10.1093/jamiaopen/ooaa058
Electronic health records (EHRs) have become a common data source for clinical risk prediction, offering large sample sizes and frequently sampled metrics. There may be notable differences between hospital-based EHR and traditional cohort samples: EHR data often are not population-representative random samples, even for particular diseases, as they tend to be sicker with higher healthcare utilization, while cohort studies often sample healthier subjects who typically are more likely to participate [...]
Author(s): Szymonifka, Jackie, Conderino, Sarah, Cigolle, Christine, Ha, Jinkyung, Kabeto, Mohammed, Yu, Jaehong, Dodson, John A, Thorpe, Lorna, Blaum, Caroline, Zhong, Judy
DOI: 10.1093/jamiaopen/ooaa059
The study aimed to develop simplified diagnostic models for identifying girls with central precocious puberty (CPP), without the expensive and cumbersome gonadotropin-releasing hormone (GnRH) stimulation test, which is the gold standard for CPP diagnosis.
Author(s): Pan, Liyan, Liu, Guangjian, Mao, Xiaojian, Liang, Huiying
DOI: 10.1093/jamiaopen/ooaa063
Synthetic data may provide a solution to researchers who wish to generate and share data in support of precision healthcare. Recent advances in data synthesis enable the creation and analysis of synthetic derivatives as if they were the original data; this process has significant advantages over data deidentification.
Author(s): Foraker, Randi E, Yu, Sean C, Gupta, Aditi, Michelson, Andrew P, Pineda Soto, Jose A, Colvin, Ryan, Loh, Francis, Kollef, Marin H, Maddox, Thomas, Evanoff, Bradley, Dror, Hovav, Zamstein, Noa, Lai, Albert M, Payne, Philip R O
DOI: 10.1093/jamiaopen/ooaa060
Observational medical databases, such as electronic health records and insurance claims, track the healthcare trajectory of millions of individuals. These databases provide real-world longitudinal information on large cohorts of patients and their medication prescription history. We present an easy-to-customize framework that systematically analyzes such databases to identify new indications for on-market prescription drugs.
Author(s): Ozery-Flato, Michal, Goldschmidt, Yaara, Shaham, Oded, Ravid, Sivan, Yanover, Chen
DOI: 10.1093/jamiaopen/ooaa048