Correction to: Smart Imitator: Learning from Imperfect Clinical Decisions.
Author(s):
DOI: 10.1093/jamia/ocaf098
Author(s):
DOI: 10.1093/jamia/ocaf098
Children with a difficult airway are at high risk of decompensation in the setting of respiratory distress. Situational awareness among all team members, and a shared plan in case of an emergency, can reduce the chance of catastrophic outcomes.This study aimed to improve difficult airway situational awareness while minimizing alert burden in a quaternary care pediatric healthcare system through the application of clinical decision support (CDS).Three iterative designs were developed [...]
Author(s): Dahl, Megan, Thompson, Sarah, Chih, Jerry, Kandaswamy, Swaminathan, Orenstein, Evan, Long, Justin B
DOI: 10.1055/a-2632-9337
This study aims to tackle the critical challenge of adapting deep learning (DL) models for deployment in real-world healthcare settings, specifically focusing on catastrophic forgetting due to distribution shifts between hospital and non-hospital environments. Metabolic syndrome (MetS) is susceptible to misdiagnosis by DL models due to distribution shifts. This work demonstrates the potential of continual learning (CL) to enhance model performance in MetS identification across diverse settings.
Author(s): Liu, Chang, Liu, Zhangdaihong, Liu, Jingjing, Cai, Chenglai, Clifton, David A, Wang, Hui, Yang, Yang
DOI: 10.1093/jamia/ocaf070
The CONCERN Early Warning System (CONCERN EWS) is an artificial intelligence-based clinical decision support system (AI-CDSS) for the prediction of clinical deterioration, leveraging signals from nursing documentation patterns. While a recent multisite randomized controlled trial (RCT) demonstrated its effectiveness in reducing inpatient mortality and length of stay, evaluating implementation outcomes is essential to ensure equitable results across patient populations.This study aims to (1) assess whether clinicians' usage of the CONCERN [...]
Author(s): Lee, Rachel Y, Cato, Kenrick D, Dykes, Patricia C, Lowenthal, Graham, Jia, Haomiao, Daramola, Temiloluwa, Rossetti, Sarah C
DOI: 10.1055/a-2630-4192
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.
Author(s): Motulsky, Aude, Usher, Susan, Lehoux, Pascale, Régis, Catherine, Reay, Trish, Hebert, Paul, Gauvin, Lise, Biron, Alain, Baker, G Ross, Moreault, Marie-Pierre, Préval, Johanne, Denis, Jean-Louis
DOI: 10.1093/jamia/ocaf077
To characterize patient and clinician perceived barriers and facilitators to using electronic patient-generated data (PGD) in safety-net systems.
Author(s): Khoong, Elaine C, Wong, Jeanette, Garcia, Faviola, Olazo, Kristan, Miles, Mahal, Zeng, Billy, Lyles, Courtney R, Sarkar, Urmimala
DOI: 10.1093/jamia/ocaf079
To conduct a meta-ethnographic synthesis summarizing the overarching themes of the qualitative literature on nurse interaction with medication administration technologies (MAT) comprising electronic medication administration record (eMAR) and bar-coded medication administration (BCMA).
Author(s): Kazi, Sadaf, Pruitt, Zoe, Franklin, Ella, Hettinger, Aaron Z, Ratwani, Raj M, Weir, Charlene
DOI: 10.1093/jamia/ocaf080
Immunotherapies have revolutionized the landscape of cancer treatments. However, our understanding of response patterns in advanced cancers treated with immunotherapy remains limited. By leveraging routinely collected noninvasive longitudinal and multimodal data with artificial intelligence, we could unlock the potential to transform immunotherapy for cancer patients, paving the way for personalized treatment approaches.
Author(s): Yeghaian, Melda, Bodalal, Zuhir, van den Broek, Daan, Haanen, John B A G, Beets-Tan, Regina G H, Trebeschi, Stefano, van Gerven, Marcel A J
DOI: 10.1093/jamia/ocaf074
Diagnosing post-traumatic stress disorder (PTSD) remains a challenge due to symptom variability and comorbidities. Linguistic analysis offers an innovative approach to identify PTSD symptoms and severity. This systematic review aimed at identifying linguistic features associated with PTSD, assessing the quality and limitations of existing studies, summarizing the predictive performance of identified models, and describing the clinical utility of these models.
Author(s): Quillivic, Robin, Auxéméry, Yann, Gayraud, Frédérique, Dayan, Jacques, Mesmoudi, Salma
DOI: 10.1093/jamia/ocaf075
Electronic health record (EHR) patient portal messaging has become an essential tool for patient-clinician communication by improving accessibility to primary care. While messaging is beneficial for patients, it can increase clinicians' workloads. Female clinicians receive a greater number of EHR messaging, resulting in an increased workload.This evaluation explores the factors in clinician gender disparity in EHR messaging burden.The first phase of the evaluation included a retrospective analysis of the messages [...]
Author(s): Scholes, Julianne, Schiff, Lauren, Jacobs, Alicia, Cangiano, Michelle, Sandoval, Marie
DOI: 10.1055/a-2618-4580