Letter to the editor in response to "Risk prediction of delirium in hospitalized patients using machine learning: an implementation and prospective evaluation study".
Author(s): Rousseau, Justin F, Tierney, William M
DOI: 10.1093/jamia/ocaa285
Author(s): Rousseau, Justin F, Tierney, William M
DOI: 10.1093/jamia/ocaa285
The study sought to describe the prevalence and nature of clinical expert involvement in the development, evaluation, and implementation of clinical decision support systems (CDSSs) that utilize machine learning to analyze electronic health record data to assist nurses and physicians in prognostic and treatment decision making (ie, predictive CDSSs) in the hospital.
Author(s): Schwartz, Jessica M, Moy, Amanda J, Rossetti, Sarah C, Elhadad, Noémie, Cato, Kenrick D
DOI: 10.1093/jamia/ocaa296
Normalizing mentions of medical concepts to standardized vocabularies is a fundamental component of clinical text analysis. Ambiguity-words or phrases that may refer to different concepts-has been extensively researched as part of information extraction from biomedical literature, but less is known about the types and frequency of ambiguity in clinical text. This study characterizes the distribution and distinct types of ambiguity exhibited by benchmark clinical concept normalization datasets, in order to [...]
Author(s): Newman-Griffis, Denis, Divita, Guy, Desmet, Bart, Zirikly, Ayah, Rosé, Carolyn P, Fosler-Lussier, Eric
DOI: 10.1093/jamia/ocaa269
The increasing complexity of data streams and computational processes in modern clinical health information systems makes reproducibility challenging. Clinical natural language processing (NLP) pipelines are routinely leveraged for the secondary use of data. Workflow management systems (WMS) have been widely used in bioinformatics to handle the reproducibility bottleneck.
Author(s): Digan, William, Névéol, Aurélie, Neuraz, Antoine, Wack, Maxime, Baudoin, David, Burgun, Anita, Rance, Bastien
DOI: 10.1093/jamia/ocaa261
Location visualization is essential for locating people/objects, improving efficiency, and preventing accidents. In hospitals, Wi-Fi, Bluetooth low energy (BLE) Beacon, indoor messaging system, and similar methods have generally been used for tracking, with Wi-Fi and BLE being the most common. Recently, nurses are increasingly using mobile devices, such as smartphones and tablets, while shifting. The accuracy when using Wi-Fi or BLE may be affected by interference or multipath propagation. In [...]
Author(s): Yamashita, Keiko, Oyama, Shintaro, Otani, Tomohiro, Yamashita, Satoshi, Furukawa, Taiki, Kobayashi, Daisuke, Sato, Kikue, Sugano, Aki, Funada, Chiaki, Mori, Kensaku, Ishiguro, Naoki, Shiratori, Yoshimune
DOI: 10.1093/jamia/ocaa204
Under the 21st Century Cures Act and the Office of the National Coordinator for Health Information Technology (ONC) rule implementing its interoperability provisions, a patient's rights to easily request and obtain digital access to portions of their medical records are now supported by both technology and policy. Data, once directed by a patient to leave a Health Insurance Portability and Accountability Act-covered health entity and enter a consumer app, will [...]
Author(s): Sayeed, Raheel, Jones, James, Gottlieb, Daniel, Mandel, Joshua C, Mandl, Kenneth D
DOI: 10.1093/jamia/ocaa227
Author(s): Fillmore, Nathanael R, Elbers, Danne C, La, Jennifer, Feldman, Theodore C, Sung, Feng-Chi, Hall, Robert B, Nguyen, Vinh, Link, Nicholas, Zwolinski, Robert, Dipietro, Svitlana, Miller, Stephen J, Aleksanyan, Anahit, Goryachev, Sergey D, Corcoran, Paul, Bergstrom, Steven J, Parenteau, Michael A, Sprague, Robert S, Thornton, David J, Driver, Jane A, Strymish, Judith M, Evans, Stewart, Colonna, Benjamin, Brophy, Mary T, Do, Nhan V
DOI: 10.1093/jamia/ocaa317
To illustrate the problem of subpopulation miscalibration, to adapt an algorithm for recalibration of the predictions, and to validate its performance.
Author(s): Barda, Noam, Yona, Gal, Rothblum, Guy N, Greenland, Philip, Leibowitz, Morton, Balicer, Ran, Bachmat, Eitan, Dagan, Noa
DOI: 10.1093/jamia/ocaa283
Simulating electronic health record data offers an opportunity to resolve the tension between data sharing and patient privacy. Recent techniques based on generative adversarial networks have shown promise but neglect the temporal aspect of healthcare. We introduce a generative framework for simulating the trajectory of patients' diagnoses and measures to evaluate utility and privacy.
Author(s): Zhang, Ziqi, Yan, Chao, Lasko, Thomas A, Sun, Jimeng, Malin, Bradley A
DOI: 10.1093/jamia/ocaa262
The study sought to evaluate if peer input on outpatient cases impacted diagnostic confidence.
Author(s): Khoong, Elaine C, Fontil, Valy, Rivadeneira, Natalie A, Hoskote, Mekhala, Nundy, Shantanu, Lyles, Courtney R, Sarkar, Urmimala
DOI: 10.1093/jamia/ocaa278