Search AMIA.org

To evaluate an automated reporting checklist generation tool using large language models and retrieval augmentation generation technology, called RAPID.

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.

Interruptive clinical decision support (CDS) alerts are intended to improve patient care, but can contribute to alert fatigue, diminishing their effectiveness. The alert demonstrated minimal clinical effect while contributing significantly to alert fatigue.This study aims to evaluate if transitioning a high-firing medication on hold alert from interruptive to noninterruptive would change provider practices.The alert was triggered when at least two medications were held for >48 hours. A pre-post intervention cohort study [...]

Central line-associated bloodstream infections (CLABSIs) are associated with substantial pediatric morbidity and mortality. The capacity to predict which children with central lines are at greatest risk of CLABSI could inform surveillance and prevention efforts. Our team previously published in silico predictive models for CLABSI.To prospectively implement a pediatric CLABSI predictive model and achieve adequate performance in offline validation for implementation in clinical practice.Most performant predictive models were deep learning models [...]

Intrahospital patient transport is pivotal in enabling hospital operations and facilitating safe and efficient patient movement. However, transport delays are common in hospitals, signaling a need for improvement. This study develops, implements, and evaluates a proximity-based transporter-to-request assignment system aimed at improving transport service system efficiency.

Clinicians currently make decisions about placing an intracranial pressure (ICP) monitor in children with traumatic brain injury (TBI) without the benefit of an accurate clinical decision support tool. The goal of this study was to develop and validate a model that predicts placement of an ICP monitor and updates as new information becomes available.

Emerging efforts to identify patients at risk of suicide have focused on the development of predictive algorithms for use in healthcare settings. We address a major challenge in effective risk modeling in healthcare settings with insufficient data with which to create and apply risk models. This study aimed to improve risk prediction using transfer learning or data fusion by incorporating risk information from external data sources to augment the data [...]

Machine learning algorithms can advance clinical care, including identifying mental health conditions. These algorithms are often developed without considering the perspectives of the affected populations. This study describes the process of incorporating end-user perspectives into the development and implementation planning of a prediction algorithm for new perinatal depression onset.

Unlocking clinical information embedded in clinical notes has been hindered to a significant degree by domain-specific and context-sensitive language. Identification of note sections and structural document elements has been shown to improve information extraction and dependent downstream clinical natural language processing (NLP) tasks and applications. This study investigates the viability of a dynamic example selection prompting method to section classification using lightweight, open-source large language models (LLMs) as a practical [...]