Letter to the editors in response to "Gender-specific clinical risk scores incorporating blood pressure variability for predicting incident dementia".
Author(s): Ser, Sarah E
DOI: 10.1093/jamia/ocac116
Author(s): Ser, Sarah E
DOI: 10.1093/jamia/ocac116
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
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
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
During the coronavirus disease-2019 (COVID-19) pandemic, the Centers for Disease Control and Prevention (CDC) supplemented traditional COVID-19 case and death reporting with COVID-19 aggregate case and death surveillance (ACS) to track daily cumulative numbers. Later, as public health jurisdictions (PHJs) revised the historical COVID-19 case and death data due to data reconciliation and updates, CDC devised a manual process to update these records in the ACS dataset for improving the [...]
Author(s): Khan, Diba, Park, Meeyoung, Lerma, Samuel, Soroka, Stephen, Gaughan, Denise, Bottichio, Lyndsay, Bray, Monika, Fukushima, Mary, Bregman, Brooke, Wiedeman, Caleb, Duck, William, Dee, Deborah, Gundlapalli, Adi, Suthar, Amitabh B
DOI: 10.1093/jamia/ocac090
The coronavirus disease 2019 (COVID-19) is a resource-intensive global pandemic. It is important for healthcare systems to identify high-risk COVID-19-positive patients who need timely health care. This study was conducted to predict the hospitalization of older adults who have tested positive for COVID-19.
Author(s): Song, Wenyu, Zhang, Linying, Liu, Luwei, Sainlaire, Michael, Karvar, Mehran, Kang, Min-Jeoung, Pullman, Avery, Lipsitz, Stuart, Massaro, Anthony, Patil, Namrata, Jasuja, Ravi, Dykes, Patricia C
DOI: 10.1093/jamia/ocac083
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
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
Complex interventions with multiple components and behavior change strategies are increasingly implemented as a form of clinical decision support (CDS) using native electronic health record functionality. Objectives of this study were, therefore, to (1) identify the proportion of randomized controlled trials with CDS interventions that were complex, (2) describe common gaps in the reporting of complexity in CDS research, and (3) determine the impact of increased complexity on CDS effectiveness.
Author(s): Reese, Thomas J, Liu, Siru, Steitz, Bryan, McCoy, Allison, Russo, Elise, Koh, Brian, Ancker, Jessica, Wright, Adam
DOI: 10.1093/jamia/ocac089
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