Meeting the information and communication needs of health disparate populations.
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac164
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac164
To identify common medication route-related causes of clinical decision support (CDS) malfunctions and best practices for avoiding them.
Author(s): Wright, Adam, Nelson, Scott, Rubins, David, Schreiber, Richard, Sittig, Dean F
DOI: 10.1093/jamia/ocac150
To facilitate the secondary usage of electronic health record data for research, the University of California, San Francisco (UCSF) recently implemented a clinical data warehouse including, among other data, deidentified clinical notes and reports, which are available to UCSF researchers without Institutional Review Board approval. For deidentification of these notes, most of the Health Insurance Portability and Accountability Act identifiers are redacted, but dates are transformed by shifting all dates [...]
Author(s): Alexander, Jes, Beatty, Alexis
DOI: 10.1093/jamia/ocac147
Plain language in medicine has long been advocated as a way to improve patient understanding and engagement. As the field of Natural Language Processing has progressed, increasingly sophisticated methods have been explored for the automatic simplification of existing biomedical text for consumers. We survey the literature in this area with the goals of characterizing approaches and applications, summarizing existing resources, and identifying remaining challenges.
Author(s): Ondov, Brian, Attal, Kush, Demner-Fushman, Dina
DOI: 10.1093/jamia/ocac149
Despite efforts to improve screening and early detection of prostate cancer (PC), no available biomarker has shown acceptable performance in patients with prostate-specific antigen (PSA) gray zones. We aimed to develop a deep learning-based prediction model with minimized parameters and missing value handling algorithms for PC and clinically significant PC (CSPC).
Author(s): Song, Sang Hun, Kim, Hwanik, Kim, Jung Kwon, Lee, Hakmin, Oh, Jong Jin, Lee, Sang-Chul, Jeong, Seong Jin, Hong, Sung Kyu, Lee, Junghoon, Yoo, Sangjun, Choo, Min-Soo, Cho, Min Chul, Son, Hwancheol, Jeong, Hyeon, Suh, Jungyo, Byun, Seok-Soo
DOI: 10.1093/jamia/ocac141
To assess the efficacy of interruptive electronic alerts in improving adherence to the American Board of Internal Medicine's Choosing Wisely recommendations to reduce unnecessary laboratory testing.
Author(s): Ho, Vy T, Aikens, Rachael C, Tso, Geoffrey, Heidenreich, Paul A, Sharp, Christopher, Asch, Steven M, Chen, Jonathan H, Shah, Neil K
DOI: 10.1093/jamia/ocac139
Chest pain is common, and current risk-stratification methods, requiring 12-lead electrocardiograms (ECGs) and serial biomarker assays, are static and restricted to highly resourced settings. Our objective was to predict myocardial injury using continuous single-lead ECG waveforms similar to those obtained from wearable devices and to evaluate the potential of transfer learning from labeled 12-lead ECGs to improve these predictions.
Author(s): Jin, Boyang Tom, Palleti, Raj, Shi, Siyu, Ng, Andrew Y, Quinn, James V, Rajpurkar, Pranav, Kim, David
DOI: 10.1093/jamia/ocac135
The Anesthesiology Control Tower (ACT) for operating rooms (ORs) remotely assesses the progress of surgeries and provides real-time perioperative risk alerts, communicating risk mitigation recommendations to bedside clinicians. We aim to identify and map ACT-OR nonroutine events (NREs)-risk-inducing or risk-mitigating workflow deviations-and ascertain ACT's impact on clinical workflow and patient safety.
Author(s): Abraham, Joanna, Meng, Alicia, Montes de Oca, Arianna, Politi, Mary, Wildes, Troy, Gregory, Stephen, Henrichs, Bernadette, Kannampallil, Thomas, Avidan, Michael S
DOI: 10.1093/jamia/ocac138
To assess the impact of patient health literacy, numeracy, and graph literacy on perceptions of hypertension control using different forms of data visualization.
Author(s): Shaffer, Victoria A, Wegier, Pete, Valentine, K D, Duan, Sean, Canfield, Shannon M, Belden, Jeffery L, Steege, Linsey M, Popescu, Mihail, Koopman, Richelle J
DOI: 10.1093/jamia/ocac129
Abnormalities in impulse propagation and cardiac repolarization are frequent in hypertrophic cardiomyopathy (HCM), leading to abnormalities in 12-lead electrocardiograms (ECGs). Computational ECG analysis can identify electrophysiological and structural remodeling and predict arrhythmias. This requires accurate ECG segmentation. It is unknown whether current segmentation methods developed using datasets containing annotations for mostly normal heartbeats perform well in HCM. Here, we present a segmentation method to effectively identify ECG waves across 12-lead [...]
Author(s): Nezamabadi, Kasra, Mayfield, Jacob, Li, Pengyuan, Greenland, Gabriela V, Rodriguez, Sebastian, Simsek, Bahadir, Mousavi, Parvin, Shatkay, Hagit, Abraham, M Roselle
DOI: 10.1093/jamia/ocac122