Quantitative and qualitative methods advance the science of clinical workflow research.
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocad056
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocad056
This study aimed to assess Uganda's readiness for implementing a national Point-of-Care (PoC) electronic clinical data capture platform that can function in near real-time.
Author(s): Nabukenya, Josephine, Egwar, Andrew Alunyu, Drumright, Lydia, Semwanga, Agnes Rwashana, Kasasa, Simon
DOI: 10.1093/jamia/ocad034
The development of phenotypes using electronic health records is a resource-intensive process. Therefore, the cataloging of phenotype algorithm metadata for reuse is critical to accelerate clinical research. The Department of Veterans Affairs (VA) has developed a standard for phenotype metadata collection which is currently used in the VA phenomics knowledgebase library, CIPHER (Centralized Interactive Phenomics Resource), to capture over 5000 phenotypes. The CIPHER standard improves upon existing phenotype library metadata [...]
Author(s): Honerlaw, Jacqueline, Ho, Yuk-Lam, Fontin, Francesca, Gosian, Jeffrey, Maripuri, Monika, Murray, Michael, Sangar, Rahul, Galloway, Ashley, Zimolzak, Andrew J, Whitbourne, Stacey B, Casas, Juan P, Ramoni, Rachel B, Gagnon, David R, Cai, Tianxi, Liao, Katherine P, Gaziano, J Michael, Muralidhar, Sumitra, Cho, Kelly
DOI: 10.1093/jamia/ocad030
Electronic health record (EHR) data are a valuable resource for population health research but lack critical information such as relationships between individuals. Emergency contacts in EHRs can be used to link family members, creating a population that is more representative of a community than traditional family cohorts.
Author(s): Krefman, Amy E, Ghamsari, Farhad, Turner, Daniel R, Lu, Alice, Borsje, Martin, Wood, Colby Witherup, Petito, Lucia C, Polubriaginof, Fernanda C G, Schneider, Daniel, Ahmad, Faraz, Allen, Norrina B
DOI: 10.1093/jamia/ocad028
Prior authorization (PA) may be a necessary evil within the healthcare system, contributing to physician burnout and delaying necessary care, but also allowing payers to prevent wasting resources on redundant, expensive, and/or ineffective care. PA has become an "informatics issue" with the rise of automated methods for PA review, championed in the Health Level 7 International's (HL7's) DaVinci Project. DaVinci proposes using rule-based methods to automate PA, a time-tested strategy [...]
Author(s): Lenert, Leslie A, Lane, Steven, Wehbe, Ramsey
DOI: 10.1093/jamia/ocad016
We conducted a systematic review to characterize and critically appraise developed prediction models based on structured electronic health record (EHR) data for adverse drug event (ADE) diagnosis and prognosis in adult hospitalized patients.
Author(s): Yasrebi-de Kom, Izak A R, Dongelmans, Dave A, de Keizer, Nicolette F, Jager, Kitty J, Schut, Martijn C, Abu-Hanna, Ameen, Klopotowska, Joanna E
DOI: 10.1093/jamia/ocad014
Physicians' low adoption of diagnostic decision aids (DDAs) may be partially due to concerns about patient/public perceptions. We investigated how the UK public views DDA use and factors affecting perceptions.
Author(s): Nurek, Martine, Kostopoulou, Olga
DOI: 10.1093/jamia/ocad019
The 21st Century Cures Act and the rise of telemedicine led to renewed focus on patient portals. However, portal use disparities persist and are in part driven by limited digital literacy. To address digital disparities in primary care, we implemented an integrated digital health navigator program supporting portal use among patients with type II diabetes. During our pilot, we were able to enroll 121 (30.9%) patients onto the portal. Of [...]
Author(s): Rodriguez, Jorge Alberto, Charles, Jean-Pierre, Bates, David W, Lyles, Courtney, Southworth, Bonnie, Samal, Lipika
DOI: 10.1093/jamia/ocad015
Opioid-related overdose (OD) deaths continue to increase. Take-home naloxone (THN), after treatment for an OD in an emergency department (ED), is a recommended but under-utilized practice. To promote THN prescription, we developed a noninterruptive decision support intervention that combined a detailed OD documentation template with a reminder to use the template that is automatically inserted into a provider's note by decision rules. We studied the impact of the combined intervention [...]
Author(s): Jennings, Lindsey K, Ward, Ralph, Pekar, Ekaterina, Szwast, Elizabeth, Sox, Luke, Hying, Joseph, Mccauley, Jenna, Obeid, Jihad S, Lenert, Leslie A
DOI: 10.1093/jamia/ocac257
We provide a scoping review of Digital Health Interventions (DHIs) that mitigate COVID-19 misinformation and disinformation seeding and spread.
Author(s): Czerniak, Katarzyna, Pillai, Raji, Parmar, Abhi, Ramnath, Kavita, Krocker, Joseph, Myneni, Sahiti
DOI: 10.1093/jamia/ocad005