Search AMIA.org

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide, with up to 70% of cases remaining undiagnosed. This paper proposes a COPD screening tool based on time-frequency representation features of self-recorded respiratory sounds.

Measurement-based care (MBC) improves clinical decision-making but remains underutilized in the Veterans Health Administration due to barriers such as provider awareness, time constraints, and user-experience limitations. This study describes the development of the War Related Illness and Injury Study Center Veteran Dashboard (VetDash), a patient-level clinical dashboard designed to integrate the VA's Collect, Share, Act model into the provider workflow.

To evaluate clinical decision support (CDS) of varying complexities and care settings represented using Health Information Technology (HIT) standards-Clinical Quality Language (CQL) for representing clinical logic and Fast Healthcare Interoperability Resources (FHIR) for health information exchange.

Recent advancements of Artificial Intelligence (AI) are rapidly transforming clinical research. While this technology offers exciting opportunities, it amplifies existing concerns regarding the need for transparent methodology that fosters patient engagement, and introduces new challenges. PCORI's Improving Methods portfolio has invested in methodological research to enhance rigor and transparency via patient-centered approaches in AI.

To improve the identification of patients with health-related social needs (HRSNs) in the emergency department (ED), we developed and integrated a risk prediction score into an existing Fast Healthcare Interoperability Resources (FHIR)-based clinical decision support (CDS).

Conversational Health Agents (CHAs) are interactive systems providing healthcare services, such as assistance and diagnosis. Current CHAs, especially those utilizing Large Language Models (LLMs), primarily focus on conversation aspects. However, they offer limited agent capabilities, specifically needing more multistep problem-solving, personalized conversations, and multimodal data analysis. We aim to overcome these limitations.

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.

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 [...]

The digitalization of health records stands to improve decision-making at clinical, administrative, and policy level. Efforts follow various paths and are closely intertwined with health system and organizational configurations. Problems persist in both uptake and use. This study explores the digitalization trajectories of academic health centers (AHCs) to understand tensions between organizational and government strategies and their impact on digital development.