Gender-specific clinical risk scores incorporating blood pressure variability for predicting incident dementia.
Author(s): Lee, Sharen, Zhou, Jiandong, Liu, Tong, Zhang, Qingpeng, Tse, Gary
DOI: 10.1093/jamia/ocac117
Author(s): Lee, Sharen, Zhou, Jiandong, Liu, Tong, Zhang, Qingpeng, Tse, Gary
DOI: 10.1093/jamia/ocac117
We study the association between payment parity policies and telehealth utilization at community health centers (CHCs) before, during, and after the onset of the pandemic.
Author(s): Erikson, Clese, Herring, Jordan, Park, Yoon Hong, Luo, Qian, Burke, Guenevere
DOI: 10.1093/jamia/ocac104
Warfarin anticoagulation management requires sequential decision-making to adjust dosages based on patients' evolving states continuously. We aimed to leverage reinforcement learning (RL) to optimize the dynamic in-hospital warfarin dosing in patients after surgical valve replacement (SVR).
Author(s): Zeng, Juntong, Shao, Jianzhun, Lin, Shen, Zhang, Hongchang, Su, Xiaoting, Lian, Xiaocong, Zhao, Yan, Ji, Xiangyang, Zheng, Zhe
DOI: 10.1093/jamia/ocac088
Electronic medical records are increasingly used to store patient information in hospitals and other clinical settings. There has been a corresponding proliferation of clinical natural language processing (cNLP) systems aimed at using text data in these records to improve clinical decision-making, in comparison to manual clinician search and clinical judgment alone. However, these systems have delivered marginal practical utility and are rarely deployed into healthcare settings, leading to proposals for [...]
Author(s): Lederman, Asher, Lederman, Reeva, Verspoor, Karin
DOI: 10.1093/jamia/ocac121
Recent policy changes have required health care delivery organizations provide patients electronic access to their clinical notes free of charge. There is concern that this could have an unintended consequence of increased electronic health record (EHR) work as clinicians may feel the need to adapt their documentation practices in light of their notes being accessible to patients, potentially exacerbating EHR-induced clinician burnout. Using a national, longitudinal data set consisting of [...]
Author(s): Holmgren, A Jay, Apathy, Nate C
DOI: 10.1093/jamia/ocac120
Electronic health record-based clinical decision support (CDS) has the potential to improve health outcomes. This systematic review investigates the design, effectiveness, and economic outcomes of CDS targeting several common chronic diseases.
Author(s): Chen, Winnie, Howard, Kirsten, Gorham, Gillian, O'Bryan, Claire Maree, Coffey, Patrick, Balasubramanya, Bhavya, Abeyaratne, Asanga, Cass, Alan
DOI: 10.1093/jamia/ocac110
Understanding public discourse on emergency use of unproven therapeutics is essential to monitor safe use and combat misinformation. We developed a natural language processing-based pipeline to understand public perceptions of and stances on coronavirus disease 2019 (COVID-19)-related drugs on Twitter across time.
Author(s): Hua, Yining, Jiang, Hang, Lin, Shixu, Yang, Jie, Plasek, Joseph M, Bates, David W, Zhou, Li
DOI: 10.1093/jamia/ocac114
The accuracy of artificial intelligence (AI) in medicine and in pathology in particular has made major progress but little is known on how much these algorithms will influence pathologists' decisions in practice. The objective of this paper is to determine the reliance of pathologists on AI and to investigate whether providing information on AI impacts this reliance.
Author(s): Meyer, Julien, Khademi, April, Têtu, Bernard, Han, Wencui, Nippak, Pria, Remisch, David
DOI: 10.1093/jamia/ocac103
Clinical dashboards used as audit and feedback (A&F) or clinical decision support systems (CDSS) are increasingly adopted in healthcare. However, their effectiveness in changing the behavior of clinicians or patients is still unclear. This systematic review aims to investigate the effectiveness of clinical dashboards used as CDSS or A&F tools (as a standalone intervention or part of a multifaceted intervention) in primary care or hospital settings on medication prescription/adherence and [...]
Author(s): Xie, Charis Xuan, Chen, Qiuzhe, Hincapié, Cesar A, Hofstetter, Léonie, Maher, Chris G, Machado, Gustavo C
DOI: 10.1093/jamia/ocac094
While the use of medical scribes is rapidly increasing, there are not widely accepted standards for their training and duties. Because they use electronic health record systems to support providers, inadequately trained scribes can increase patient safety related risks. This paper describes the development of desired core knowledge, skills, and attitudes (KSAs) for scribes that provide the curricular framework for standardized scribe training.
Author(s): Corby, Sky, Ash, Joan S, Whittaker, Keaton, Mohan, Vishnu, Solberg, Nicholas, Becton, James, Bergstrom, Robby, Orwoll, Benjamin, Hoekstra, Christopher, Gold, Jeffrey A
DOI: 10.1093/jamia/ocac091