Large language models for identifying depression concerns in cancer patients.
Author(s): Wang, Yu, Ye, Xin, Luo, Huiping, Feng, Wei
DOI: 10.1093/jamia/ocaf072
Author(s): Wang, Yu, Ye, Xin, Luo, Huiping, Feng, Wei
DOI: 10.1093/jamia/ocaf072
Frequent premature ventricular complexes (PVCs) can lead to adverse health conditions such as cardiomyopathy. The linear correlation between PVC frequency and heart rate (as positive, negative, or neutral) on a 24-hour Holter recording has been proposed as a way to classify patients and guide treatment with beta-blockers. Our objective was to evaluate the robustness of this classification to measurement methodology, different 24-hour periods, and nonlinear dependencies of PVCs on heart [...]
Author(s): Osakwe, Adrien, Wightman, Noah, Deyell, Marc W, Laksman, Zachary, Shrier, Alvin, Bub, Gil, Glass, Leon, Bury, Thomas M
DOI: 10.1093/jamia/ocaf069
Intrahospital patient transport is pivotal in enabling hospital operations and facilitating safe and efficient patient movement. However, transport delays are common in hospitals, signaling a need for improvement. This study develops, implements, and evaluates a proximity-based transporter-to-request assignment system aimed at improving transport service system efficiency.
Author(s): Sun, Christopher, Copenhaver, Martin S, Zenteno Langle, Ana Cecilia, Viscomi, Bruno, Raeke, Ed, Daily, Bethany J, Dunn, Peter, Levi, Retsef
DOI: 10.1093/jamia/ocaf081
Automated data extraction from echocardiography reports could facilitate large-scale registry creation and clinical surveillance of valvular heart diseases (VHD). We evaluated the performance of open-source large language models (LLMs) guided by prompt instructions and chain of thought (CoT) for this task.
Author(s): Mahmoudi, Elham, Vahdati, Sanaz, Chao, Chieh-Ju, Khosravi, Bardia, Misra, Ajay, Lopez-Jimenez, Francisco, Erickson, Bradley J
DOI: 10.1093/jamia/ocaf056
Common Data Elements (CDEs) standardize data collection and sharing across studies, enhancing data interoperability and improving research reproducibility. However, implementing CDEs presents challenges due to the broad range and variety of data elements. This study aims to develop a CDE mapping tool to bridge the gap between local data elements and National Institutes of Health (NIH) CDEs.
Author(s): Wang, Yan, Huang, Jimin, He, Huan, Zhang, Vincent, Zhou, Yujia, Hao, Xubing, Ram, Pritham, Qian, Lingfei, Xie, Qianqian, Weng, Ruey-Ling, Lin, Fongci, Hu, Yan, Cui, Licong, Jiang, Xiaoqian, Xu, Hua, Hong, Na
DOI: 10.1093/jamia/ocaf064
This study aims to summarize the usage of large language models (LLMs) in the process of creating a scientific review by looking at the methodological papers that describe the use of LLMs in review automation and the review papers that mention they were made with the support of LLMs.
Author(s): Scherbakov, Dmitry, Hubig, Nina, Jansari, Vinita, Bakumenko, Alexander, Lenert, Leslie A
DOI: 10.1093/jamia/ocaf063
As large language models (LLMs) are integrated into electronic health record (EHR) workflows, validated instruments are essential to evaluate their performance before implementation and as models and documentation practices evolve. Existing instruments for provider documentation quality are often unsuitable for the complexities of LLM-generated text and lack validation on real-world data. The Provider Documentation Summarization Quality Instrument (PDSQI-9) was developed to evaluate LLM-generated clinical summaries. This study aimed to validate [...]
Author(s): Croxford, Emma, Gao, Yanjun, Pellegrino, Nicholas, Wong, Karen, Wills, Graham, First, Elliot, Schnier, Miranda, Burton, Kyle, Ebby, Cris, Gorski, Jillian, Kalscheur, Matthew, Khalil, Samy, Pisani, Marie, Rubeor, Tyler, Stetson, Peter, Liao, Frank, Goswami, Cherodeep, Patterson, Brian, Afshar, Majid
DOI: 10.1093/jamia/ocaf068
The US healthcare system faces significant challenges, including clinician burnout, operational inefficiencies, and concerns about patient safety. Artificial intelligence (AI), particularly generative AI, has the potential to address these challenges, but its adoption, effectiveness, and barriers to implementation are not well understood.
Author(s): Poon, Eric G, Lemak, Christy Harris, Rojas, Juan C, Guptill, Janet, Classen, David
DOI: 10.1093/jamia/ocaf065
The objective of this work is to demonstrate the value of simulation testing for rapidly evaluating artificial intelligence (AI) products.
Author(s): Biro, Joshua M, Handley, Jessica L, Mickler, James, Reddy, Sahithi, Kottamasu, Varsha, Ratwani, Raj M, Cobb, Nathan K
DOI: 10.1093/jamia/ocaf052
Adverse event detection from Electronic Medical Records (EMRs) is challenging due to the low incidence of the event, variability in clinical documentation, and the complexity of data formats. Pulmonary embolism as an adverse event (PEAE) is particularly difficult to identify using existing approaches. This study aims to develop and evaluate a Large Language Model (LLM)-based framework for detecting PEAE from unstructured narrative data in EMRs.
Author(s): Cheligeer, Cheligeer, Southern, Danielle A, Yan, Jun, Wu, Guosong, Pan, Jie, Lee, Seungwon, Martin, Elliot A, Jafarpour, Hamed, Eastwood, Cathy A, Zeng, Yong, Quan, Hude
DOI: 10.1093/jamia/ocaf048