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This study evaluated sequential multi-site fine-tuning of large language models (LLMs), simulating incremental deployment across institutions for extracting mobility functional status from unstructured clinical notes.

Treatment guidelines can improve population health; however, their implementation within electronic health records (EHRs) can be challenging. We aimed to create an implementable framework using the American Diabetes Association (ADA) Standards of Care (SOC) for people with type 2 diabetes and cardiovascular or renal disease as an example.

Building on innovations for autism detection-where artificial intelligence (AI)-based models monitor clinical data within electronic health records-this study evaluates the context for clinical decision support (CDS) deployment and identifies design preferences.

Clinical deterioration in hospitalized patients is often preventable, but traditional early warning scores based on structured data are limited by delayed or inconsistent documentation. We developed and evaluated a machine learning pipeline that predicts clinical deterioration using real-time pager messages exchanged between clinicians.

Participation in cancer clinical trials is low in community oncology settings, partly because institution-specific trial information is fragmented. We evaluated feasibility of embedding curated trial content in an AI-enabled knowledge management application.

To assess whether existing nationwide Health Information Networks (HINs) and Health Information Exchanges (HIEs) can be leveraged for electronic health record (EHR) data acquisition for research-specifically, for the NIH's All of Us Research Program.

To develop and evaluate an automated algorithm to identify sepsis onset, referred to as time-zero (t0), from the electronic medical records (EMR).

Accurate and timely prediction of physiological deterioration in hospitalized patients is essential, but existing deep learning models, which rely solely on structured electronic health record (EHR) data, generate high false-positive rates by missing crucial contextual information in clinical notes. We present DETERIO-LLM, a hybrid prediction model that selectively integrates large language models (LLMs) with a deep learning model (DETERIO) to reclassify borderline-risk alerts using narrative clinical notes.

Social determinants of health (SDOH) are incompletely captured in structured electronic health records (EHRs) but are frequently documented in unstructured clinical notes. We evaluated large language models (LLMs) for extracting SDOH from clinical text.