Journal of the American Medical Informatics Association This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Feeling better on hemodialysis: user-centered design requirements for promoting patient involvement in the prevention of treatment complications
ConclusionThe resulting patient-facing informatics intervention will be evaluated in a pragmatic cluster-randomized controlled trial in 28 hemodialysis facilities in 4 US regions. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 12, 2021 Category: Information Technology Source Type: research

A visual representation of microbiological culture data improves comprehension: a randomized controlled trial
ConclusionA visual representation of culture sensitivities improves comprehension when compared to standard text-based representations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 8, 2021 Category: Information Technology Source Type: research

Association between limiting the number of open records in a tele-critical care setting and retract –reorder errors
ConclusionWe found no significant difference in RAR errors in the tele-critical care setting after open record limitation. Other strategies should be studied to reduce wrong patient selection errors. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 8, 2021 Category: Information Technology Source Type: research

Bidirectional imputation of spatial GPS trajectories with missingness using sparse online Gaussian Process
ConclusionsOur approach outperformed existing methods and was significantly faster. It can be used in settings in which data need to be analyzed and acted on continuously, for example, to detect behavioral anomalies that might affect treatment adherence, or to learn about colocations of individuals during an epidemic. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 8, 2021 Category: Information Technology Source Type: research

Contemporary clinical decision support standards using Health Level Seven International Fast Healthcare Interoperability Resources
AbstractObjectiveTo facilitate the development of standards-based clinical decision support (CDS) systems, we review the current set of CDS standards that are based on Health Level Seven International Fast Healthcare Interoperability Resources (FHIR). Widespread adoption of these standards may help reduce healthcare variability, improve healthcare quality, and improve patient safety.Target AudienceThis tutorial is designed for the broad informatics community, some of whom may be unfamiliar with the current, FHIR-based CDS standards.ScopeThis tutorial covers the following standards: Arden Syntax (using FHIR as the data mode...
Source: Journal of the American Medical Informatics Association - June 8, 2021 Category: Information Technology Source Type: research

Progress toward a science of learning systems for healthcare
In a 2015 JAMIA article, Friedman et al, reporting on the proceedings of a National Science Foundation workshop, called for a “science of learning systems” for healthcare.1 Other articles in JAMIA have explicitly addressed the learning health system,2,3 and many more have addressed specific components of such a system. In this editorial, I highlight 5 articles related to the science of learning systems. Three articles recognize clinician expertise as a key knowledge asset in a learning system and describe ways of mining and supporting clinician expertise within the context of an electronic health record (EHR).4 –6 Tw...
Source: Journal of the American Medical Informatics Association - June 4, 2021 Category: Information Technology Source Type: research

Privacy-protecting, reliable response data discovery using COVID-19 patient observations
ConclusionsWe present an alternative or a complement to centralized COVID-19 registries of EHR data. We can use multivariate distributed logistic regression on observations recorded in the process of care to generate results without transferring individual-level data outside the health systems. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 29, 2021 Category: Information Technology Source Type: research

Rising to the Challenges of the Pandemic: Telehealth Innovations in U.S. Emergency Departments
ConclusionsIn response to the COVID-19 pandemic, EDs rapidly implemented many telehealth innovations. Their experiences can inform future responses. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 22, 2021 Category: Information Technology Source Type: research

Usability, inclusivity, and content evaluation of COVID-19 contact tracing apps in the United States
ConclusionMost apps alert users of COVID-19 exposure but require high English reading levels and are not fully inclusive of the U.S. population, which may limit their reach as public health tools. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 22, 2021 Category: Information Technology Source Type: research

Evaluating resampling methods and structured features to improve fall incident report identification by the severity level
ConclusionsStructured features provide essential information for categorizing the fall incident severity level. Resampling methods help rebalance the class distribution of the original incident report data, which improves the performance of machine learning models. The IRC framework presented in this study effectively automates the identification of fall incident reports by the severity level. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 19, 2021 Category: Information Technology Source Type: research

Identifying and prioritizing benefits and risks of using privacy-enhancing software through participatory design: a nominal group technique study with patients living with chronic conditions
ConclusionsPatients recognize not only the benefits of privacy-enhancing software, but also inherent risks. Patients desire information about how their data are used and protected. Effective patient engagement, communication, and transparency in research may improve patients ’ comfort levels, alleviate patients’ concerns, and thus promote ethical research. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 19, 2021 Category: Information Technology Source Type: research

Development, implementation, and use of an “equity lens” integrated into an institutional quality scorecard
AbstractFew healthcare provider organizations systematically track their healthcare equity, and fewer enable direct interaction with such data by their employees. From May to August 2019, we enhanced the data architecture and reporting functionality of our existing institutional quality scorecard to allow direct comparisons of quality measure performance by gender, age, race, ethnicity, language, zip code, and payor. The Equity Lens was made available to over 4000 staff in September 2019 for 82 institutional quality measures. During the first 11 months, 235 unique individuals used the tool; users were most commonly from th...
Source: Journal of the American Medical Informatics Association - May 19, 2021 Category: Information Technology Source Type: research

Perceptions of event notification following discharge to improve geriatric care: qualitative interviews of care team members from a 2-site cluster randomized trial
ConclusionsEvent notifications may be a valuable tool in coordinating care for high-risk older patients. Future intervention research should explore the optimal amount and types of information and delivery method across sites and test the integration of alerts into broader care coordination efforts. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 17, 2021 Category: Information Technology Source Type: research

Automated Production of Research Data Marts from a Canonical Fast Healthcare Interoperability Resource (FHIR) Data Repository: Applications to COVID-19 Research
ConclusionsThe approach leverages evolving standards for the availability of EHR data developed to facilitate data exchange under the 21st Century Cures Act and could greatly enhance the availability of standardized datasets for research. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 16, 2021 Category: Information Technology Source Type: research

Accessibility Evaluation of COVID-19 Vaccine Registration Websites across the United States
AbstractThis exploratory study investigated the web accessibility of 54 official COVID-19 vaccine registration websites in the US and their concordance with the WCAG 2.0 and 2.1 guidelines. We employed AChecker, WAVE, and SortSite web accessibility evaluation tools to conduct automated analyses of these websites. The results showed suboptimal compliance with WCAG 2.0 and 2.1 guidelines, as determined using the AChecker, WAVE, and SortSite tools. These shortcomings in compliance may pose difficulties to users with disabilities as they access information on the websites. Based on our findings, we offered recommendations for ...
Source: Journal of the American Medical Informatics Association - May 16, 2021 Category: Information Technology Source Type: research