ACIF 'Go Live' - #S1E2: Click, Click, Click

Assess time impact and provider perception of AI-generated encounter summaries.
Author(s): Silberlust, Jared, Solanki, Priyanka, Stevens, Elizabeth R, Genes, Nicholas, Lim, Edward, Sun, Kevin, Lewis, Marisa, Testa, Paul, Szerencsy, Adam
DOI: 10.1093/jamiaopen/ooaf096
To develop a natural language processing (NLP) pipeline for unstructured electronic health record (EHR) data to identify symptoms and functional impacts associated with Long COVID in children.
Author(s): Bunnell, H Timothy, Reedy, Cara, Lorman, Vitaly, Jhaveri, Ravi, Rivera-Sepulveda, Andrea, Salamon, Katherine S, Patel, Payal B, Morse, Keith E, Davenport, Mattina A, Cowell, Lindsay G, Utidjian, Levon, Christakis, Dimitri A, Rao, Suchitra, Sills, Marion R, Case, Abigail, Mendonca, Eneida A, Taylor, Bradley W, Rutter, Jacqueline, Martinez, Aaron Thomas, Letts, Rebecca, Bailey, L Charles, Forrest, Christopher B, ,
DOI: 10.1093/jamiaopen/ooaf089
To develop a data harmonization framework for neonatal hypoxic-ischemic encephalopathy (HIE) studies and demonstrate its suitability for prognostic biomarker development.
Author(s): Hsiao, Chuan-Heng, Foster, Anna N, McDonald, Scott A, Vyas, Rutvi, Ashraf, Aseelah, Bao, Rina, Tran, Lena, Kesri, Ankush, Darzidehkalani, Erfan, Soldatelli, Matheus D, Auman, Jeanette O, Soul, Janet S, Chalak, Lina F, Cotten, C Michael, Shankaran, Seetha, Laptook, Abbot R, Grant, P Ellen, Ou, Yangming, ,
DOI: 10.1093/jamiaopen/ooaf086
Unstructured data, such as procedure notes, contain valuable medical information that is frequently underutilized due to the labor-intensive nature of data extraction. This study aims to develop a generative artificial intelligence (GenAI) pipeline using an open-source Large Language Model (LLM) with built-in guardrails and a retry mechanism to extract data from unstructured right heart catheterization (RHC) notes while minimizing errors, including hallucinations.
Author(s): Dao, Nam, Quesada, Luisa, Hassan, Syed Moin, Campo, Monica Iturrioz, Johnson, Shelsey, Ghose, Suchandra, San José Estépar, Raúl, Waxman, Aaron, Washko, George, Rahaghi, Farbod N
DOI: 10.1093/jamiaopen/ooaf097
Type 2 diabetes (T2D) is a growing public health burden with persistent racial and ethnic disparities. . This study assessed the completeness of social determinants of health (SdoH) data for patients with T2D in Epic Cosmos, a nationwide, cross-institutional electronic health recors (EHR) database.
Author(s): Kukhareva, Polina V, O'Brien, Matthew J, Malone, Daniel C, Kawamoto, Kensaku, Gouripeddi, Ramkiran, Reddy, Deepika, Zhang, Mingyuan, Deshmukh, Vikrant G, Danks, David, Facelli, Julio C
DOI: 10.1093/jamiaopen/ooaf095
Time spent in the electronic health record (EHR) is an important measure of clinical activity. Vendor-derived EHR use metrics may not correspond to actual EHR experience. Raw EHR audit logs enable customized EHR use metrics, but translating discrete timestamps to time intervals is challenging. There are insufficient data available to quantify inactivity between audit log timestamps.
Author(s): Nguyen, Liem Manh, Sinha, Amrita, Dziorny, Adam, Tawfik, Daniel
DOI: 10.1055/a-2698-0841
Background Hypertension is a chronic condition defined by persistent high blood pressure (BP) that leads to significant health impacts. Evidence-based clinical guidelines provide recommendations for the diagnosis and treatment of hypertension. These recommendations are frequently incorporated into clinical decision support (CDS) systems used by clinicians. CDS tools can also be oriented towards patients but careful attention to the development process will be required to make a useful, usable, and engaging [...]
Author(s): Bobo, Michelle, Canfield, Shannon M, Shaffer, Victoria A, Storer, Matt, Michaels, LeAnn, Yates, Amy, Rolbiecki, Abigail J, Koopman, Richelle J, Dorr, David
DOI: 10.1055/a-2697-2107
Negative descriptors in electronic health records (EHR) contribute to worse health outcomes; studies show they are also more prevalent in EHRs of women and racial minorities and affect downstream research biases. Similar and unique patterns of negative descriptors may also exist in the records of blind patients, including those with diabetic retinopathy. Diabetic retinopathy is a preventable but leading cause of blindness in the US that is disproportionally high among [...]
Author(s): Sun, Tony Y, Baugh, Mika, Gordon, Emily R, Ekanayake, Cameron, Moise, Nathalie, Elhadad, Noemie, Sabatello, Maya
DOI: 10.1093/jamia/ocaf132