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.

Leveraging conversational technology to answer common COVID-19 questions
We describe a platform, Watson Assistant (WA), which has been used to develop conversational agents to deliver COVID-19 related information. We characterized the diverse use cases and implementations during the early pandemic and measured adoption through a number of users, messages sent, and conversational turns (ie, pairs of interactions between users and agents). Thirty-seven institutions in 9 countries deployed COVID-19 conversational agents with WA between March 30 and August 10, 2020, including 24 governmental agencies, 7 employers, 5 provider organizations, and 1 health plan. Over 6.8 million messages were delivered...
Source: Journal of the American Medical Informatics Association - February 1, 2021 Category: Information Technology Source Type: research

A systematic review of contributing factors of and solutions to electronic health record –related impacts on physician well-being
ConclusionsThere are multiple complex factors involved in EHR-related well-being among physicians. Our review shows physicians have recommendations that span from federal regulations to organizational policies to EHR modifications. Future research should assess multipronged interventions that address these factors. As primary stakeholders, physicians should be included in the planning and implementation of such modifications to ensure compatibility with physician needs and clinical workflows. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 1, 2021 Category: Information Technology Source Type: research

Predicting pressure injury using nursing assessment phenotypes and machine learning methods
ConclusionsThis model accurately predicts pressure injury development and, if validated externally, may be helpful in widespread pressure injury prevention. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 1, 2021 Category: Information Technology Source Type: research

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts
ConclusionAlerts were nearly always presented inappropriately and were all overridden during the 1-year period studied. Alert fatigue resulting from receiving too many poor-quality alerts may result in failure to recognize errors that could lead to patient harm. Although medication-related CDS alerts associated with renal insufficiency had previously been found to be the most clinically beneficial alerts in a legacy system, in this system they were ineffective. These findings underscore the need for improvements in alert design, implementation, and monitoring of alert performance to make alerts more patient-specific and cl...
Source: Journal of the American Medical Informatics Association - January 31, 2021 Category: Information Technology Source Type: research

Comparison of an oncology clinical decision-support system ’s recommendations with actual treatment decisions
ConclusionThis study demonstrates that a system designed in the US to support, rather than replace, cancer-treating clinicians provides therapeutic options which are generally consistent with recommendations from oncologists outside the US. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 31, 2021 Category: Information Technology Source Type: research

Advancing electronic health record vendor usability maturity: Progress and next steps
AbstractDespite basic federal requirements promoting a user-centered design approach to electronic health record (EHR) development and usability testing there have been usability and safety risks with EHR technology. Four EHR vendors were asked to provide written descriptions of their usability practices, and we reviewed these descriptions to identify areas where there has been advancement and areas for improvement. All 4 vendors described user-centered design processes and usability testing methods that demonstrate advancement from previous studies of vendor practices. Importantly, vendors are also beginning to address as...
Source: Journal of the American Medical Informatics Association - January 31, 2021 Category: Information Technology Source Type: research

Quality assessment of real-world data repositories across the data life cycle: A literature review
ConclusionsA DQ assessment framework that covers intrinsic, technical, and contextual categories across the data life cycle enables assessment and management of RWD repositories to ensure fitness for purpose. Balancing security, privacy, and FAIR principles requires trust and reciprocity, transparent governance, and organizational cultures that value good documentation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 26, 2021 Category: Information Technology Source Type: research

Optimizing a literature surveillance strategy to retrieve sound overall prognosis and risk assessment model papers
ConclusionOur results may benefit literature surveillance and clinical guideline efforts, as our search strategy performs as well as published search strategies while capturing literature at the time of publication. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 23, 2021 Category: Information Technology Source Type: research

The risk of racial bias while tracking influenza-related content on social media using machine learning
ConclusionsThe models that result in the most unfair predictions may vary from dataset to dataset. Practitioners should be aware of the potential harms related to applying machine learning to health-related social media data. At a minimum, we recommend evaluating fairness along with traditional evaluation metrics. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 23, 2021 Category: Information Technology Source Type: research

A bottom-up approach to creating an ontology for medication indications
ConclusionsA workable model for formalizing drug indications is possible. Remaining challenges include designing workflow to model narrative label indications for all approved drug products and incorporation of standard vocabularies. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 23, 2021 Category: Information Technology Source Type: research

Leveraging Data Visualization and a Statewide Health Information Exchange to Support COVID-19 Surveillance and Response: Application of Public Health Informatics
ConclusionThe application of public health informatics methods and tools in Indiana holds promise for other states and nations. Yet development of infrastructure and partnerships will require effort and investment after the current pandemic in preparation for the next public health emergency. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 22, 2021 Category: Information Technology Source Type: research

Development and validation of a machine learning model predicting illness trajectory and hospital utilization of COVID-19 patients —a nationwide study
ConclusionThe multistate model we develop is a powerful tool for predicting individual-level patient outcomes and hospital-level utilization. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 21, 2021 Category: Information Technology Source Type: research

The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout
ConclusionPhysician burnout is not reduced by technology implementation but can be mitigated by technology and workflow optimization, training, team expansion, and careful consideration of factors affecting burnout, including specialty, practice setting, regulatory pressures, and how physicians spend their time. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 19, 2021 Category: Information Technology Source Type: research

Predicting outcomes in central venous catheter salvage in pediatric central line –associated bloodstream infection
ConclusionsMachine learning –based outcome prediction can inform clinical decision making for children. We developed and evaluated several models to predict clinically relevant outcomes in the context of CVC salvage in pediatric CLABSI and illustrate the variability of predictors over time. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 19, 2021 Category: Information Technology Source Type: research

Evaluation of electronic health record-integrated digital health tools to engage hospitalized patients in discharge preparation
ConclusionsEHR-integrated digital health tools to prepare patients for discharge did not significantly increase patient activation and was associated with a longer length of stay. While issues uncovered by the checklist may have encouraged patients to inquire about their discharge preparedness, other factors associated with patient activation and length of stay may explain our observations. We offer insights for using PAM-13 in context of real-world health-IT implementations.Trial RegistrationNIH US National Library of Medicine, NCT03116074, clinicaltrials.gov (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 19, 2021 Category: Information Technology Source Type: research