Search AMIA.org

Electronic health records (EHRs) provide substantial resources for observational studies, yet present significant challenges in safeguarding patient privacy while maintaining research quality. Differential privacy (DP) offers a quantifiable privacy guarantee; however, its impact on observational studies remains underexplored. We empirically evaluated the effects of DP across varying values of its privacy parameter, epsilon, on case-control analysis outcomes using EHR data. This study aims to inform DP parameter selection and examines [...]

To evaluate an automated reporting checklist generation tool using large language models and retrieval augmentation generation technology, called RAPID.

This study develops and validates the confidence-linked and uncertainty-based staged (CLUES) framework by integrating large language models (LLMs) with uncertainty quantification to assist manual chart review while ensuring reliability through a selective human review.

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.

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.

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.

Interruptive clinical decision support (CDS) alerts are intended to improve patient care but can contribute to alert fatigue, diminishing their effectiveness. The alert demonstrated minimal clinical effect while contributing significantly to alert fatigue.

In 2023, AMIA's Inclusive Language and Context Style Guidelines (the "Guidelines") were approved by the Board of Directors and made a publicly available resource. This work began in 2021 through AMIA's DEI Task Force and subsequent DEI Committee; many members provided input, feedback, and time to create the Guidelines. In this paper, the authors provide a transparent account of the origin, development, contents, and dissemination of the Guidelines and share [...]

Fairness concerns stemming from known and unknown biases in healthcare practices have raised questions about the trustworthiness of Artificial Intelligence (AI)-driven Clinical Decision Support Systems (CDSS). Studies have shown unforeseen performance disparities in subpopulations when applied to clinical settings different from training. Existing unfairness mitigation strategies often struggle with scalability and accessibility, while their pursuit of group-level prediction performance parity does not effectively translate into fairness at the point of [...]