Correction to: Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measures.
Author(s):
DOI: 10.1093/jamia/ocac224
Author(s):
DOI: 10.1093/jamia/ocac224
To access the accuracy of the Logical Observation Identifiers Names and Codes (LOINC) mapping to local laboratory test codes that is crucial to data integration across time and healthcare systems.
Author(s): McDonald, Clement J, Baik, Seo H, Zheng, Zhaonian, Amos, Liz, Luan, Xiaocheng, Marsolo, Keith, Qualls, Laura
DOI: 10.1093/jamia/ocac215
We analyze observed reductions in physician note length and documentation time, 2 contributors to electronic health record (EHR) burden and burnout.
Author(s): Apathy, Nate C, Hare, Allison J, Fendrich, Sarah, Cross, Dori A
DOI: 10.1093/jamia/ocac211
Author(s):
DOI: 10.1093/jamia/ocac206
Clinical knowledge-enriched transformer models (eg, ClinicalBERT) have state-of-the-art results on clinical natural language processing (NLP) tasks. One of the core limitations of these transformer models is the substantial memory consumption due to their full self-attention mechanism, which leads to the performance degradation in long clinical texts. To overcome this, we propose to leverage long-sequence transformer models (eg, Longformer and BigBird), which extend the maximum input sequence length from 512 to [...]
Author(s): Li, Yikuan, Wehbe, Ramsey M, Ahmad, Faraz S, Wang, Hanyin, Luo, Yuan
DOI: 10.1093/jamia/ocac225
A literature review of capability maturity models (MMs) to inform the conceptualization, development, implementation, evaluation, and mainstreaming of MMs in digital health (DH).
Author(s): Liaw, Siaw-Teng, Godinho, Myron Anthony
DOI: 10.1093/jamia/ocac228
Sudden changes in health care utilization during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic may have impacted the performance of clinical predictive models that were trained prior to the pandemic. In this study, we evaluated the performance over time of a machine learning, electronic health record-based mortality prediction algorithm currently used in clinical practice to identify patients with cancer who may benefit from early advance care planning conversations [...]
Author(s): Parikh, Ravi B, Zhang, Yichen, Kolla, Likhitha, Chivers, Corey, Courtright, Katherine R, Zhu, Jingsan, Navathe, Amol S, Chen, Jinbo
DOI: 10.1093/jamia/ocac221
Machine learning (ML) has the potential to facilitate "continual learning" in medicine, in which an ML system continues to evolve in response to exposure to new data over time, even after being deployed in a clinical setting. In this article, we provide a tutorial on the range of ethical issues raised by the use of such "adaptive" ML systems in medicine that have, thus far, been neglected in the literature.
Author(s): Hatherley, Joshua, Sparrow, Robert
DOI: 10.1093/jamia/ocac218
This study aims to develop a convolutional neural network-based learning framework called domain knowledge-infused convolutional neural network (DK-CNN) for retrieving clinically similar patient and to personalize the prediction of macrovascular complication using the retrieved patients.
Author(s): Oei, Ronald Wihal, Hsu, Wynne, Lee, Mong Li, Tan, Ngiap Chuan
DOI: 10.1093/jamia/ocac212
Electronic (e)-phenotype specification by noninformaticist investigators remains a challenge. Although validation of each patient returned by e-phenotype could ensure accuracy of cohort representation, this approach is not practical. Understanding the factors leading to successful e-phenotype specification may reveal generalizable strategies leading to better results.
Author(s): Hamidi, Bashir, Flume, Patrick A, Simpson, Kit N, Alekseyenko, Alexander V
DOI: 10.1093/jamia/ocac157