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Acute chest pain is a common presentation in the emergency department, characterized by sudden onset with high morbidity and mortality. Traditional diagnostic methods, such as computed tomography (CT) and CT angiography (CTA), are often time-consuming and fail to meet the urgent need for rapid triage in emergency settings.

We aimed to evaluate the zero-shot performance of open-source generative large language models (LLMs) on clinical information extraction from Dutch medical reports using the Diagnostic Report Analysis: General Optimization of NLP (DRAGON) benchmark.

Covariate-adaptive randomization algorithms (CARAs) can reduce covariate imbalance in randomized controlled trials (RCTs), but a lack of integration into Research Electronic Data Capture (REDCap) has limited their use. We developed a software pipeline to seamlessly integrate CARAs into REDCap as part of the all2GETHER study, a 2-armed RCT concerning HIV prevention.

Accurate characterization of patients with congenital heart disease is fundamental to research, outcomes reporting, quality improvement, and clinical decision-making. Here we present an approach to computing the anatomy of patients with congenital heart disease based on the whole of their diagnostic and surgical codes.

To share findings of a quality improvement initiative to capture employment status in the electronic medical record (EMR) to mitigate the potential impact of work loss on the health of patients by utilizing the results to identify eligible individuals for resources to assist return-to-work efforts.

The growing use of machine learning (ML) in healthcare raises concerns about how data biases affect real-world model performance. While existing frameworks evaluate algorithmic fairness, they often overlook the impact of bias on generalizability and clinical utility, which are critical for safe deployment. Building on prior methods, this study extends bias analysis to include clinical utility, addressing a key gap between fairness evaluation and decision-making.

Patient navigation is designed to identify and address patients' needs throughout their cancer treatment. In the context of a clinical trial designed to deliver a standardized patient navigation protocol, a registry was needed to allow users from across multiple health systems to input patient data, track navigation outreach, and coordinate cancer care in real time. To design a registry to allow patient navigators (PNs) at 6 medical centers across 4 [...]

Many primary care physicians (PCPs) feel overwhelmed by the number of electronic health record inbox messages they receive. The objective of this study was to characterize PCPs' experiences with inbox triage-the process of reviewing inbox messages and deciding when and how to address them.

Large language models (LLMs) face challenges in inductive thematic analysis, a task requiring deep interpretive, domain-specific expertise. We evaluated the feasibility of using LLMs to replicate expert-driven thematic analysis of social media data.

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.