Correction to: Returning value to communities from the All of Us Research Program through innovative approaches for data use, analysis, dissemination, and research capacity building.
Author(s):
DOI: 10.1093/jamia/ocaf100
Author(s):
DOI: 10.1093/jamia/ocaf100
This study develops and validates the confidence-linked and uncertainty-based staged (CLUES) framework by integrating large language models (LLMs) with uncertainty quantification to assist manual chart review while ensuring reliability through a selective human review.
Author(s): Lee, Sumin, Lee, Hyeok-Hee, Lee, Hokyou, Yum, Kyu Sun, Baek, Jang-Hyun, Khil, Jaewon, Lee, Jaeyong, Shin, Sojung, Cho, Minsung, Ahn, Na Yeon, You, Seng Chan, Kim, Hyeon Chang
DOI: 10.1093/jamia/ocaf099
Interruptive clinical decision support (CDS) alerts are intended to improve patient care, but can contribute to alert fatigue, diminishing their effectiveness. The alert demonstrated minimal clinical effect while contributing significantly to alert fatigue.This study aims to evaluate if transitioning a high-firing medication on hold alert from interruptive to noninterruptive would change provider practices.The alert was triggered when at least two medications were held for >48 hours. A pre-post intervention cohort study [...]
Author(s): Knake, Lindsey A, Kettelkamp, Joshua M, Bronson, Alison, Meyer, Nathan, Hacker, Kenneth, Blum, James M
DOI: 10.1055/a-2632-0605
Fairness concerns stemming from known and unknown biases in healthcare practices have raised questions about the trustworthiness of Artificial Intelligence (AI)-driven Clinical Decision Support Systems (CDSS). Studies have shown unforeseen performance disparities in subpopulations when applied to clinical settings different from training. Existing unfairness mitigation strategies often struggle with scalability and accessibility, while their pursuit of group-level prediction performance parity does not effectively translate into fairness at the point of [...]
Author(s): Sun, Xiaotan, Nakashima, Makiya, Nguyen, Christopher, Chen, Po-Hao, Tang, W H Wilson, Kwon, Deborah, Chen, David
DOI: 10.1093/jamia/ocaf095
Acute kidney injury (AKI) is common in intensive care unit (ICU) patients and is associated with high mortality, prolonged ICU stays, and increased costs. Early prediction is crucial for timely intervention and improved outcomes. Various prediction models, including machine learning, deep learning, and dynamic prediction frameworks, have been developed, but their modeling approaches, data utilization, and clinical applicability require further investigation. This review comprehensively assesses the modeling methods, data utilization [...]
Author(s): Shi, Tongyue, Lin, Yu, Zhao, Huiying, Kong, Guilan
DOI: 10.1093/jamiaopen/ooaf065
Conversational Health Agents (CHAs) are interactive systems providing healthcare services, such as assistance and diagnosis. Current CHAs, especially those utilizing Large Language Models (LLMs), primarily focus on conversation aspects. However, they offer limited agent capabilities, specifically needing more multistep problem-solving, personalized conversations, and multimodal data analysis. We aim to overcome these limitations.
Author(s): Abbasian, Mahyar, Azimi, Iman, Rahmani, Amir M, Jain, Ramesh
DOI: 10.1093/jamiaopen/ooaf067
Health consumers can use generative artificial intelligence (GenAI) chatbots to seek health information. As GenAI chatbots continue to improve and be adopted, it is crucial to examine how health information generated by such tools is used and perceived by health consumers.To conduct a scoping review of health consumers' use and perceptions of health information from GenAI chatbots.Arksey and O'Malley's five-step protocol was used to guide the scoping review. Following PRISMA [...]
Author(s): Bautista, John Robert, Herbert, Drew, Farmer, Matthew, De Torres, Ryan Q, Soriano, Gil P, Ronquillo, Charlene E
DOI: 10.1055/a-2647-1210
Electronic health records (EHRs) provide substantial resources for observational studies, yet present significant challenges in safeguarding patient privacy while maintaining research quality. Differential privacy (DP) offers a quantifiable privacy guarantee; however, its impact on observational studies remains underexplored. We empirically evaluated the effects of DP across varying values of its privacy parameter, epsilon, on case-control analysis outcomes using EHR data. This study aims to inform DP parameter selection and examines [...]
Author(s): Mizani, Mehrdad A, Sheikh, Aziz, Banerjee, Amitava
DOI: 10.1093/jamia/ocaf090
To evaluate an automated reporting checklist generation tool using large language models and retrieval augmentation generation technology, called RAPID.
Author(s): Li, Zeming, Luo, Xufei, Yang, Zhenhua, Zhang, Huayu, Wang, Bingyi, Ge, Long, Bian, Zhaoxiang, Zou, James, Chen, Yaolong, Zhang, Lu, ,
DOI: 10.1093/jamia/ocaf093
In 2023, AMIA's Inclusive Language and Context Style Guidelines (the "Guidelines") were approved by the Board of Directors and made a publicly available resource. This work began in 2021 through AMIA's DEI Task Force and subsequent DEI Committee; many members provided input, feedback, and time to create the Guidelines. In this paper, the authors provide a transparent account of the origin, development, contents, and dissemination of the Guidelines and share [...]
Author(s): Bear Don't Walk, Oliver, Haldar, Shefali, Wei, Duo Helen, Huang, Hu, Rivera, Rebecca L, Fan, Jungwei W, Keloth, Vipina K, Leung, Tiffany I, Desai, Pooja, Korngiebel, Diane M, Grossman Liu, Lisa, Pichon, Adrienne, Subbian, Vignesh, Solomonides, Anthony Tony, Wiley, Laura K, Ogunyemi, Omolola, Jackson, Gretchen P, Dankwa-Mullan, Irene, Dirks, Lisa G, Everhart, Avery Rose, Parker, Andrea G, Iott, Bradley, Kronk, Clair, Foraker, Randi, Martin, Krista, Anand, Tara, Volpe, Salvatore G, Yung, Nathan, Rizvi, Rubina, Lucero, Robert, Bright, Tiffani J
DOI: 10.1093/jamia/ocaf096