Health IT Regulation: Report of an Implementation Challenge.
Author(s): Strasberg, Howard R, Weinstein, David, Borbolla, Damian, McClure, Robert C
DOI: 10.1055/s-0044-1779022
Author(s): Strasberg, Howard R, Weinstein, David, Borbolla, Damian, McClure, Robert C
DOI: 10.1055/s-0044-1779022
Given the inequities in access to health care resources like COVID-19 vaccination, health systems should carefully consider how to reach underrepresented groups. Reflecting on vaccine rollout efforts holds insight on the role of community engagement and informatics support in promoting health equity.
Author(s): Xie, Serena J, Mah, Nicholas R, Chew, Lisa, Ruud, Julia, Hernandez, Jennifer, Lowery, Jessica, Hartzler, Andrea L
DOI: 10.1055/s-0044-1779258
Observational research has shown its potential to complement experimental research and clinical trials by secondary use of treatment data from hospital care processes. It can also be applied to better understand pediatric drug utilization for establishing safer drug therapy. Clinical documentation processes often limit data quality in pediatric medical records requiring data curation steps, which are mostly underestimated.
Author(s): Rödle, Wolfgang, Prokosch, Hans-Ulrich, Neumann, Eva, Toni, Irmgard, Haering-Zahn, Julia, Neubert, Antje, Eberl, Sonja
DOI: 10.1055/s-0043-1777741
People with memory disorders have difficulty adhering to treatments. With technological advances, it remains important to investigate the potential of health information technology (HIT) in supporting medication adherence among them.
Author(s): Elkefi, Safa, Blecker, Saul, Bitan, Yuval
DOI: 10.1055/s-0043-1776792
Standardized taxonomies (STs) facilitate knowledge representation and semantic interoperability within health care provision and research. However, a gap exists in capturing knowledge representation to classify, quantify, qualify, and codify the intersection of evidence and quality improvement (QI) implementation. This interprofessional case report leverages a novel semantic and ontological approach to bridge this gap.
Author(s): Gao, Grace, Vaclavik, Lindsay, Jeffery, Alvin D, Koch, Erica C, Schafer, Katherine, Cimiotti, Jeannie P, Pathak, Neha, Duva, Ingrid, Martin, Christie L, Simpson, Roy L
DOI: 10.1055/s-0043-1777455
In 2011, the American Board of Medical Specialties established clinical informatics (CI) as a subspecialty in medicine, jointly administered by the American Board of Pathology and the American Board of Preventive Medicine. Subsequently, many institutions created CI fellowship training programs to meet the growing need for informaticists. Although many programs share similar features, there is considerable variation in program funding and administrative structures.
Author(s): Patel, Tushar N, Chaise, Aaron J, Hanna, John J, Patel, Kunal P, Kochendorfer, Karl M, Medford, Richard J, Mize, Dara E, Melnick, Edward R, Hron, Jonathan D, Youens, Kenneth, Pandita, Deepti, Leu, Michael G, Ator, Gregory A, Yu, Feliciano, Genes, Nicholas, Baker, Carrie K, Bell, Douglas S, Pevnick, Joshua M, Conrad, Steven A, Chandawarkar, Aarti R, Rogers, Kendall M, Kaelber, David C, Singh, Ila R, Levy, Bruce P, Finnell, John T, Kannry, Joseph, Pageler, Natalie M, Mohan, Vishnu, Lehmann, Christoph U
DOI: 10.1055/a-2237-8309
Patient-reported outcome (PRO) measures have become an essential component of quality measurement, quality improvement, and capturing the voice of the patient in clinical care. In 2004, the National Institutes of Health endorsed the importance of PROs by initiating the Patient-Reported Outcomes Measurement Information System (PROMIS), which leverages computer-adaptive tests (CATs) to reduce patient burden while maintaining measurement precision. Historically, PROMIS CATs have been used in a large number of research [...]
Author(s): Nolla, Kyle, Rasmussen, Luke V, Rothrock, Nan E, Butt, Zeeshan, Bass, Michael, Davis, Kristina, Cella, David, Gershon, Richard, Barnard, Cynthia, Chmiel, Ryan, Almaraz, Federico, Schachter, Michael, Nelson, Therese, Langer, Michelle, Starren, Justin
DOI: 10.1055/a-2235-9557
Recognizing that alert fatigue poses risks to patient safety and clinician wellness, there is a growing emphasis on evaluation and governance of electronic health record clinical decision support (CDS). This is particularly critical for interruptive alerts to ensure that they achieve desired clinical outcomes while minimizing the burden on clinicians. This study describes an improvement effort to address a problematic interruptive alert intended to notify clinicians about patients needing coronavirus [...]
Author(s): Fallon, Anne, Haralambides, Kristina, Mazzillo, Justin, Gleber, Conrad
DOI: 10.1055/a-2226-8144
We developed a prototype patient decision aid, EyeChoose, to assist college-aged students in selecting a refractive surgery. EyeChoose can educate patients on refractive errors and surgeries, generate evidence-based recommendations based on a user's medical history and personal preferences, and refer patients to local refractive surgeons.
Author(s): Subbaraman, Bhavani, Ahmed, Kamran, Heller, Matthew, Essary, Alison C, Patel, Vimla L, Wang, Dongwen
DOI: 10.1055/a-2224-8000
Existing monitoring of machine-learning-based clinical decision support (ML-CDS) is focused predominantly on the ML outputs and accuracy thereof. Improving patient care requires not only accurate algorithms but also systems of care that enable the output of these algorithms to drive specific actions by care teams, necessitating expanding their monitoring.
Author(s): Hekman, Daniel J, Barton, Hanna J, Maru, Apoorva P, Wills, Graham, Cochran, Amy L, Fritsch, Corey, Wiegmann, Douglas A, Liao, Frank, Patterson, Brian W
DOI: 10.1055/a-2219-5175