Consideration of bias in data sources and digital services to advance health equity.
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac074
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac074
ICU Cockpit: a secure, fast, and scalable platform for collecting multimodal waveform data, online and historical data visualization, and online validation of algorithms in the intensive care unit. We present a network of software services that continuously stream waveforms from ICU beds to databases and a web-based user interface. Machine learning algorithms process the data streams and send outputs to the user interface. The architecture and capabilities of the platform [...]
Author(s): Boss, Jens Michael, Narula, Gagan, Straessle, Christian, Willms, Jan, Azzati, Jan, Brodbeck, Dominique, Luethy, Rahel, Suter, Susanne, Buehler, Christof, Muroi, Carl, Mack, David Jule, Seric, Marko, Baumann, Daniel, Keller, Emanuela
DOI: 10.1093/jamia/ocac064
We conducted a horizon scan to (1) identify challenges in patient-centered clinical decision support (PC CDS) and (2) identify future directions for PC CDS.
Author(s): Dullabh, Prashila, Sandberg, Shana F, Heaney-Huls, Krysta, Hovey, Lauren S, Lobach, David F, Boxwala, Aziz, Desai, Priyanka J, Berliner, Elise, Dymek, Chris, Harrison, Michael I, Swiger, James, Sittig, Dean F
DOI: 10.1093/jamia/ocac059
Sepsis has a high rate of 30-day unplanned readmissions. Predictive modeling has been suggested as a tool to identify high-risk patients. However, existing sepsis readmission models have low predictive value and most predictive factors in such models are not actionable.
Author(s): Amrollahi, Fatemeh, Shashikumar, Supreeth P, Meier, Angela, Ohno-Machado, Lucila, Nemati, Shamim, Wardi, Gabriel
DOI: 10.1093/jamia/ocac060
To understand the nature of health consumer self-management workarounds during the COVID-19 pandemic; to classify these workarounds using the Substitution, Augmentation, Modification, and Redefinition (SAMR) framework; and to see how digital tools had assisted these workarounds.
Author(s): Yin, Kathleen, Coiera, Enrico, Jung, Joshua, Rohilla, Urvashi, Lau, Annie Y S
DOI: 10.1093/jamia/ocac061
This systematic review aims to assess how information from unstructured text is used to develop and validate clinical prognostic prediction models. We summarize the prediction problems and methodological landscape and determine whether using text data in addition to more commonly used structured data improves the prediction performance.
Author(s): Seinen, Tom M, Fridgeirsson, Egill A, Ioannou, Solomon, Jeannetot, Daniel, John, Luis H, Kors, Jan A, Markus, Aniek F, Pera, Victor, Rekkas, Alexandros, Williams, Ross D, Yang, Cynthia, van Mulligen, Erik M, Rijnbeek, Peter R
DOI: 10.1093/jamia/ocac058
Participant willingness to share electronic health record (EHR) information is central to success of the National Institutes of Health All of Us Research Program (AoURP). We describe the demographic characteristics of participants who decline access to their EHR data.
Author(s): Joseph, Christine L M, Tang, Amy, Chesla, David W, Epstein, Mara M, Pawloski, Pamala A, Stevens, Alan B, Waring, Stephen C, Ahmedani, Brian K, Johnson, Christine C, Peltz-Rauchman, Cathryn D
DOI: 10.1093/jamia/ocac055
To assess whether previously observed differences in interoperable exchange by physician practice size persisted in 2019 and identify the role of 3 factors shaping interoperable exchange among physicians in practices of varying sizes: Federal incentive programs designed to encourage health IT use, value-based care, and selection of electronic health record (EHR) developer.
Author(s): Everson, Jordan, Barker, Wesley, Patel, Vaishali
DOI: 10.1093/jamia/ocac056
To develop predictive models of coronavirus disease 2019 (COVID-19) outcomes, elucidate the influence of socioeconomic factors, and assess algorithmic racial fairness using a racially diverse patient population with high social needs.
Author(s): Hao, Boran, Hu, Yang, Sotudian, Shahabeddin, Zad, Zahra, Adams, William G, Assoumou, Sabrina A, Hsu, Heather, Mishuris, Rebecca G, Paschalidis, Ioannis C
DOI: 10.1093/jamia/ocac062
Electronic health record (EHR)-derived data are extensively used in health research. However, the pattern of patient interaction with the healthcare system can result in informative presence bias if those who have poorer health have more data recorded than healthier patients. We aimed to determine how informative presence affects bias across multiple scenarios informed by real-world healthcare utilization patterns.
Author(s): Harton, Joanna, Mitra, Nandita, Hubbard, Rebecca A
DOI: 10.1093/jamia/ocac050