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The integration of predictive models into live clinical care requires scientific testing before implementation to ensure patient safety. We built and technically implemented a model that predicts which patients require an electrocardiogram (ECG) to screen for heart attacks within 10 minutes of their arrival to the Emergency Department. We developed a structured framework for the in vitro to in vivo translation of the model through implementation as clinical decision support [...]

Telemedicine use has surged since the COVID-19 pandemic, offering a convenient way for patients to access healthcare. Whereas digital literacy (general comfort with and ability to use digital tools) is necessary to utilize telemedicine, digital health literacy is a subset of this, focusing on the ability to use digital tools to seek out, understand, and utilize health information. As such, barriers such as the lack of high-speed internet and limited [...]

This study aims to enhance the diagnostic process for rare diseases using case-based reasoning (CBR). CBR compares new cases with historical data, utilizing both structured and unstructured clinical data.

Despite its morbidity, mortality, and financial burden, in-hospital malnutrition remains underdiagnosed and undertreated. Artificial intelligence offers a promising clinical informatics solution for identifying malnutrition risk and one that can be coupled with clinician-delivered patient care.

Appropriate Use Criteria Clinical Decision Support (AUC CDS) was legislatively mandated in the United States in 2014, and multiple CDS vendors were designated as qualified Clinical Decision Support Mechanisms by the Centers for Medicare and Medicaid Services. Little is known about the costs and benefits of these systems in real-world settings.

Extracting social determinants of health (SDoHs) from medical notes depends heavily on labor-intensive annotations, which are typically task-specific, hampering reusability and limiting sharing. Here, we introduce SDoH-GPT, a novel framework leveraging few-shot learning large language models (LLMs) to automate the extraction of SDoH from unstructured text, aiming to improve both efficiency and generalizability.

To evaluate and compare the diagnostic responses generated by two artificial intelligence models developed 54 years apart and to encourage physicians to explore the use of large language models (LLMs) like GPT-4o in clinical practice.

The use of real-time Clinical Decision Support (CDS), such as Our Practice Advisory (OPAs), augments clinical decisions while helping to reduce errors and ensuring compliance with organizational best practices1. In complex large health systems, processes for standardization and adherence to emergency department (ED) based suicide screening practices are challenging and may benefit from the use of CDS-based tools adhering to the five rights of CDS2.

Health equity is greatly impacted by the systems and processes with which health systems deliver care. Given the minimal guidance on measurement and reporting of health inequities specific to key population health outcomes, a solution for measurement of health equity is proposed.

Telemedicine for specialty medical care is evolving from a COVID-19 pandemic-era requirement to an option for patients and clinicians alike, requiring evidence to guide optimal use of virtual specialty care. Heterogeneity across medical specialties complicates this evidence generation. To address this gap in the literature, we present an approach to evaluation of telehealth across specialties with the potential to generate findings generalizable across specialties and health systems.