Advancing cardiovascular health through biomedical and health informatics.
Author(s): Lu, Andrew, Bakken, Suzanne
DOI: 10.1093/jamia/ocag175
Author(s): Lu, Andrew, Bakken, Suzanne
DOI: 10.1093/jamia/ocag175
To examine the associations of medical discrimination with hypertension (HTN) outcomes.
Author(s): Pepe, Vincent, Sharma, Yashika, Reading Turchioe, Meghan, Kronish, Ian M, Lim, Yu Zheng, Caceres, Billy A
DOI: 10.1093/jamia/ocag126
Cardiac surgeries are associated with a range of serious postoperative complications, and current predictive models often rely on static summaries of preoperative and intraoperative data compiled after the case. Such development limits their utility in real-time clinical settings. To address this challenge, we developed TE-Transformer, an end-to-end deep learning framework that continuously ingests heterogeneous electronic health record (EHR) data-including preoperative variables, high-frequency vital signs, medication administration records, and brief surgical [...]
Author(s): Zhu, Daoyi, Xue, Bing, Lu, Chenyang, Abraham, Joanna
DOI: 10.1093/jamia/ocag142
To demonstrate a replicable in-house framework for evaluating ambient digital scribe (ADS) systems and, applying it, to assess 3 commercial systems and examine alignment between clinician Likert ratings and a manual transcript-level error audit.
Author(s): Weiss, Everett, Zsenits, Balazs, Nasar, Farhad, Phillips, Matt, Mudgundi, Venugopal, Salhab, Tamer, Muth, Andrew, Zhu, Kaiwen, Kolosko, Joanna, Hansen, Sean, Bui, Quang Neo, Yaseen, Ahmad, Balboul, Mostafa, Lee, Jee, Nunez Isaac, Orlando Andres
DOI: 10.1093/jamia/ocag157
To evaluate whether retrieval-augmented generation (RAG) can serve as an efficient alternative to long-context prompting for clinical reasoning over electronic health records (EHRs).
Author(s): Myers, Skatje, Dligach, Dmitriy, Miller, Timothy A, Barr, Samantha, Landefeld, James, Gao, Yanjun, Churpek, Matthew M, Mayampurath, Anoop, Afshar, Majid
DOI: 10.1093/jamia/ocag139
Artificial intelligence (AI) is increasingly being used in healthcare settings, yet evidence of its real-world value remains inconsistent. Current evaluation paradigms often emphasize methodological rigor and technical validity over measurable improvements in patient outcomes or system performance.
Author(s): Payne, Philip R O, Kannampallil, Thomas, Lozovatsky, Margaret
DOI: 10.1093/jamia/ocag153
Artificial intelligence (AI) is increasingly being deployed in health-care settings, yet health systems remain at an early stage in developing approaches to scale effective applications. Much of current activity is characterized by early-stage use cases and pilot projects. In this study, we explored how different health systems are approaching the development, adoption, implementation, and scaling of AI in healthcare to identify transferable lessons for system-level change.
Author(s): Cresswell, Kathrin, Mozaffar, Hajar, Anderson, Stuart, Yang, Xiao, Bea, Sara, Seuren, Lucas, Williams, Robin
DOI: 10.1093/jamia/ocag148
To systematically examine different clinical data modalities in large language models (LLMs) and multimodal large language models (MLLMs), and to quantify the contribution of data modalities in early inpatient risk prediction and decision support tasks.
Author(s): Peng, Cheng, Lyu, Mengxian, Chen, Ziyi, Wu, Yonghui
DOI: 10.1093/jamia/ocag146
Human Factors (HF) principles are essential for safe and effective clinical decision support (CDS), yet existing guidance is fragmented and rarely evaluated in real world settings. A novel, evidence-based, vendor-agnostic HF-informed guideline was developed to address this gap. This study evaluated its perceived usefulness, usability, and impact on CDS design and optimization.
Author(s): Awad, Selvana, Loveday, Thomas, Baillie, Andrew, Baysari, Melissa T
DOI: 10.1093/jamia/ocag138
This study aimed to identify trajectories of multimorbidity following acute myocardial infarction (AMI), using explainable temporal machine-learning methods, and assess their clinical, prognostic, and biological significance.
Author(s): Onoja, Anthony, Elomaa, Kris, Whetton, Anthony D, Geifman, Nophar
DOI: 10.1093/jamia/ocag135