Journal of the American Medical Informatics Association 
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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.Enhancing the use of EHR systems for pragmatic embedded research: lessons from the NIH Health Care Systems Research Collaboratory
ConclusionWe are hopeful our collection of specific EHR challenges and research needs will drive health system leaders, policymakers, and EHR designers to support these suggestions to improve our national capacity for generating real-world evidence. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 1, 2021 Category: Information Technology Source Type: research
Impact of event notification services on timely follow-up and rehospitalization among primary care patients at two Veterans Affairs Medical Centers
ConclusionGiven the importance of ENS to the VA and other health systems, this study provides guidance for future research on ENS for improving care coordination and population outcomes.Trial RegistrationClinicalTrials.gov NCT02689076. “Regional Data Exchange to Improve Care for Veterans After Non-VA Hospitalization.” Registered February 23, 2016. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 1, 2021 Category: Information Technology Source Type: research
Predicting next-day discharge via electronic health record access logs
ConclusionEHR audit log data contain rich information such that it can improve hospital-wide discharge predictions. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 30, 2021 Category: Information Technology Source Type: research
Synergies between Centralized and Federated Approaches to Data Quality: A Report from the National COVID Cohort Collaborative
ConclusionBy combining rapid, continual assessment of DQ with a large volume of multi-site data, it is possible to support more nuanced scientific questions with the scale and rigor that they require. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 30, 2021 Category: Information Technology Source Type: research
Transferability of neural network clinical deidentification systems
ConclusionsTransferability from a single external source gave inconsistent results. Usingadditional external sources consistently yielded an F1-score of approximately 80%. Fine-tuning emerged as a dominant transfer strategy, with or without domain generalization. We also found that external sources were useful even in cases where in-domain training data were available. Transferability across institutions differed by note type and annotation label but resulted in improved performance. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 29, 2021 Category: Information Technology Source Type: research
It ’s like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals
ConclusionsThrough the theory of workarounds, we see that there is a trajectory to workarounds with potential consequences for clinicians and patients. Two-way communication technologies could minimize workarounds and gaps in information exchange, and reduce unnecessary interruptions and the potential for adverse events. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 27, 2021 Category: Information Technology Source Type: research
Transphobia, encoded: an examination of trans-specific terminology in SNOMED CT and ICD-10-CM
AbstractTransgender people experience harassment, denial of services, and physical assault during healthcare visits. Electronic health record (EHR) structure and language can exacerbate the harm they experience by using transphobic terminology, emphasizing binary genders, and pathologizing transness. Here, we investigate the ways in which SNOMED CT and ICD-10-CM record gender-related terminology and explore their shortcomings as they contribute to this EHR-mediated violence. We discuss how this “standardized” gender-related medical terminology pathologizes transness, fails to accommodate nonbinary patients, and uses de...
Source: Journal of the American Medical Informatics Association - September 27, 2021 Category: Information Technology Source Type: research
Interoperable genetic lab test reports: mapping key data elements to HL7 FHIR specifications and professional reporting guidelines
ConclusionThe FHIR CG IG covers the majority of the identified KDEs. However, we suggested some FHIR extensions that might better represent some KDEs. These extensions may be relevant to FHIR implementations or future FHIR updates.The FHIR CG IG is an excellent step toward the interoperability of genetic lab test reports. However, it is a work-in-progress that needs informative and continuous input from the clinical genetics ’ community, specifically professional organizations, systems implementers, and genetic knowledgebase providers. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 27, 2021 Category: Information Technology Source Type: research
Use of machine learning to transform complex standardized nursing care plan data into meaningful research variables: a palliative care exemplar
AbstractThe aim of this article was to describe a novel methodology for transforming complex nursing care plan data into meaningful variables to assess the impact of nursing care. We extracted standardized care plan data for older adults from the electronic health records of 4 hospitals. We created a palliative care framework with 8 categories. A subset of the data was manually classified under the framework, which was then used to train random forest machine learning algorithms that performed automated classification. Two expert raters achieved a 78% agreement rate. Random forest classifiers trained using the expert conse...
Source: Journal of the American Medical Informatics Association - September 27, 2021 Category: Information Technology Source Type: research
A comprehensive digital phenotype for postpartum hemorrhage
ConclusionWe have developed a scalable, accurate, and valid digital phenotype that may be of significant use for tracking outcomes and ongoing clinical research to deliver better preventative interventions for PPH. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 24, 2021 Category: Information Technology Source Type: research
Recurrent preterm birth risk assessment for two delivery subtypes: A multivariable analysis
ConclusionsWe developed an analytical framework that utilizes a clinical phenotyping tool and performed a survival analysis to analyze risk for recurrent preterm birth. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 24, 2021 Category: Information Technology Source Type: research
Documentation and review of social determinants of health data in the EHR: measures and associated insights
ConclusionMeasures revealed opportunities to optimize SDOH data documentation and review. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 21, 2021 Category: Information Technology Source Type: research
Guidance for publishing qualitative research in informatics
AbstractQualitative research, the analysis of nonquantitative and nonquantifiable data through methods such as interviews and observation, is integral to the field of biomedical and health informatics. To demonstrate the integrity and quality of their qualitative research, authors should report important elements of their work. This perspective article offers guidance about reporting components of the research, including theory, the research question, sampling, data collection methods, data analysis, results, and discussion. Addressing these points in the paper assists peer reviewers and readers in assessing the rigor of t...
Source: Journal of the American Medical Informatics Association - September 19, 2021 Category: Information Technology Source Type: research
Digital health needs for implementing high-quality primary care: recommendations from the National Academies of Sciences, Engineering, and Medicine
This article reviews primary care’s digital health needs and describes successful digital health for primary care. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 19, 2021 Category: Information Technology Source Type: research
A predictive model for next cycle start date that accounts for adherence in menstrual self-tracking
ConclusionsDisentangling physiological patterns of menstruation from adherence allows for accurate and informative predictions of menstrual cycle start date and is necessary for mobile tracking apps. The proposed predictive model can support app users in being more aware of their self-tracking behavior and in better understanding their cycle dynamics. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 17, 2021 Category: Information Technology Source Type: research
