Promoting electronic health record adoption. Is it the correct focus?
Author(s): Simborg, Donald W
DOI: 10.1197/jamia.M2573
Author(s): Simborg, Donald W
DOI: 10.1197/jamia.M2573
A significant portion of patients already known to be colonized or infected with Methicillin-Resistant Staphylococcus aureus (MRSA) may not be identified at admission by neighboring hospitals.
Author(s): Kho, Abel N, Lemmon, Larry, Commiskey, Marie, Wilson, Stephen J, McDonald, Clement J
DOI: 10.1197/jamia.M2577
We examine the feasibility of a machine learning approach to identification of foot examination (FE) findings from the unstructured text of clinical reports. A Support Vector Machine (SVM) based system was constructed to process the text of physical examination sections of in- and out-patient clinical notes to identify if the findings of structural, neurological, and vascular components of a FE revealed normal or abnormal findings or were not assessed. The [...]
Author(s): Pakhomov, Serguei V S, Hanson, Penny L, Bjornsen, Susan S, Smith, Steven A
DOI: 10.1197/jamia.M2585
Monitoring vital signs and locations of certain classes of ambulatory patients can be useful in overcrowded emergency departments and at disaster scenes, both on-site and during transportation. To be useful, such monitoring needs to be portable and low cost, and have minimal adverse impact on emergency personnel, e.g., by not raising an excessive number of alarms. The SMART (Scalable Medical Alert Response Technology) system integrates wireless patient monitoring (ECG, SpO(2)) [...]
Author(s): Curtis, Dorothy W, Pino, Esteban J, Bailey, Jacob M, Shih, Eugene I, Waterman, Jason, Vinterbo, Staal A, Stair, Thomas O, Guttag, John V, Greenes, Robert A, Ohno-Machado, Lucila
DOI: 10.1197/jamia.M2016
To develop an electronic health record that facilitates rapid capture of detailed narrative observations from clinicians, with partial structuring of narrative information for integration and reuse.
Author(s): Johnson, Stephen B, Bakken, Suzanne, Dine, Daniel, Hyun, Sookyung, Mendonça, Eneida, Morrison, Frances, Bright, Tiffani, Van Vleck, Tielman, Wrenn, Jesse, Stetson, Peter
DOI: 10.1197/jamia.M2131
To assess compliance with a clinical decision support system (CDSS) for diagnostic management of children with fever without apparent source and to study the effects of application of the CDSS on time spent in the emergency department (ED) and number of laboratory tests.
Author(s): Roukema, Jolt, Steyerberg, Ewout W, van der Lei, Johan, Moll, Henriëtte A
DOI: 10.1197/jamia.M2164
This study sought to explore the relationship of workarounds related to the implementation of an electronic medication administration record and medication safety practices in five Midwestern nursing homes.
Author(s): Vogelsmeier, Amy A, Halbesleben, Jonathon R B, Scott-Cawiezell, Jill R
DOI: 10.1197/jamia.M2378
Explore the automated acquisition of knowledge in biomedical and clinical documents using text mining and statistical techniques to identify disease-drug associations.
Author(s): Chen, Elizabeth S, Hripcsak, George, Xu, Hua, Markatou, Marianthi, Friedman, Carol
DOI: 10.1197/jamia.M2401
The authors organized a Natural Language Processing (NLP) challenge on automatically determining the smoking status of patients from information found in their discharge records. This challenge was issued as a part of the i2b2 (Informatics for Integrating Biology to the Bedside) project, to survey, facilitate, and examine studies in medical language understanding for clinical narratives. This article describes the smoking challenge, details the data and the annotation process, explains the [...]
Author(s): Uzuner, Ozlem, Goldstein, Ira, Luo, Yuan, Kohane, Isaac
DOI: 10.1197/jamia.M2408
We participated in the i2b2 smoking status classification challenge task. The purpose of this task was to evaluate the ability of systems to automatically identify patient smoking status from discharge summaries. Our submission included several techniques that we compared and studied, including hot-spot identification, zero-vector filtering, inverse class frequency weighting, error-correcting output codes, and post-processing rules. We evaluated our approaches using the same methods as the i2b2 task organizers, using [...]
Author(s): Cohen, Aaron M
DOI: 10.1197/jamia.M2434