Comparative analysis of stakeholder experience with an online approach to prioritizing patient-centered research topics
Conclusion: Online approaches to engaging large numbers of stakeholders are a promising and efficient adjunct to in-person meetings. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 23, 2016 Category: Information Technology Authors: Khodyakov, D., Grant, S., Meeker, D., Booth, M., Pacheco-Santivanez, N., Kim, K. K. Tags: Research and Applications Source Type: research

Personal health records in the Netherlands: potential user preferences quantified by a discrete choice experiment
Conclusion: We identified 3 groups, of which 1 group (more than one-third of potential PHR users) indicated great interest in a PHR irrespective of PHR characteristics. Policymakers who aim to expand the use of PHRs will be most successful when health care providers and health facilities or independent organizations store PHR data while refraining from including market parties. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - December 23, 2016 Category: Information Technology Authors: Determann, D., Lambooij, M. S., Gyrd-Hansen, D., de Bekker-Grob, E. W., Steyerberg, E. W., Heldoorn, M., Pedersen, L. B., de Wit, G. A. Tags: Research and Applications Source Type: research

The cancer precision medicine knowledge base for structured clinical-grade mutations and interpretations
Conclusion: The PMKB was designed to help collect and maintain clinical-grade mutation interpretations and facilitate reporting for clinical cancer genomic testing. The PMKB was also designed to enable the creation of clinical cancer genomics automated reporting pipelines via an API. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 27, 2016 Category: Information Technology Authors: Huang, L., Fernandes, H., Zia, H., Tavassoli, P., Rennert, H., Pisapia, D., Imielinski, M., Sboner, A., Rubin, M. A., Kluk, M., Elemento, O. Tags: Research and Applications Source Type: research

Improving a full-text search engine: the importance of negation detection and family history context to identify cases in a biomedical data warehouse
Conclusion The proposed method generates a highly accurate identification of cases from a CDW of rare disease EHRs. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 20, 2016 Category: Information Technology Authors: Garcelon, N., Neuraz, A., Benoit, V., Salomon, R., Burgun, A. Tags: Case Report Source Type: research

Using a stakeholder-engaged approach to develop and validate electronic clinical quality measures
Conclusion The stakeholder-engaged processes used in this study facilitated a successful measure development and testing cycle. Engaging stakeholders early and throughout development and testing promotes early identification of and attention to potential threats to feasibility, reliability, and validity, thereby averting significant resource investments that are unlikely to be fruitful. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 7, 2016 Category: Information Technology Authors: Herndon, J. B., Aravamudhan, K., Stephenson, R. L., Brandon, R., Ruff, J., Catalanotto, F., Le, H. Tags: Research and Applications Source Type: research

Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York
Conclusions Alerting providers through event notifications may be an effective tool for improving the quality and efficiency of care among high-risk populations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 7, 2016 Category: Information Technology Authors: Unruh, M. A., Jung, H.-Y., Kaushal, R., Vest, J. R. Tags: Research and Applications Source Type: research

Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis
Conclusion Critical care settings, both adult and pediatric, involve unique complexities, making them vulnerable to medication errors and adverse patient outcomes. The currently limited evidence base requires research that has sufficient statistical power to identify the true effect of CPOE implementation. There is also a critical need to understand the nature of errors arising post-CPOE and how the addition of CDSSs can be used to provide greater benefit to delivering safe and effective patient care. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 7, 2016 Category: Information Technology Authors: Prgomet, M., Li, L., Niazkhani, Z., Georgiou, A., Westbrook, J. I. Tags: Review Source Type: research

Using social media to monitor mental health discussions - evidence from Twitter
Conclusion Spikes in tweet volume following a behavioral health event often last for less than 2 days. Individuals and organizations that want to disseminate behavioral health messages on Twitter in response to heightened periods of interest need to take this limited time frame into account. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 5, 2016 Category: Information Technology Authors: McClellan, C., Ali, M. M., Mutter, R., Kroutil, L., Landwehr, J. Tags: Research and Applications Source Type: research

Understanding vasopressor intervention and weaning: Risk prediction in a public heterogeneous clinical time series database
Conclusion Models that used SSAM features increased performance on both predictive tasks. These improvements may reflect an underlying, and ultimately predictive, latent state detectable from the physiological time series. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 5, 2016 Category: Information Technology Authors: Wu, M., Ghassemi, M., Feng, M., Celi, L. A., Szolovits, P., Doshi-Velez, F. Tags: Research and Applications Source Type: research

Toward automated assessment of health Web page quality using the DISCERN instrument
Conclusion Use of a probabilistic consensus model is advantageous for building a training corpus for the DISCERN instrument, and use of a features-based score is an appropriate ML metric for automated DISCERN classifiers.Availability The code for the probabilistic consensus model is available at https://bitbucket.org/A_2/em_dawid/. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 5, 2016 Category: Information Technology Authors: Allam, A., Schulz, P. J., Krauthammer, M. Tags: Research and Applications Source Type: research

Human resource information systems in health care: a systematic evidence review
Conclusions While studies of HRIS in health exist, the overall lack of evaluative research raises unanswered questions about their capacity to improve quality and efficiency and enable learning health systems, as well as how sociotechnical complexity influences implementation and effectiveness. We offer this analysis to decision makers and managers considering or currently implementing an HRIS, and make recommendations for further research.Trial Registration International Prospective Register of Systematic Reviews (PROSPERO): CRD42015023581. http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015023581#.VYu1BPlVj...
Source: Journal of the American Medical Informatics Association - October 5, 2016 Category: Information Technology Authors: Tursunbayeva, A., Bunduchi, R., Franco, M., Pagliari, C. Tags: Review Source Type: research

The use of mobile applications to support self-management for people with asthma: a systematic review of controlled studies to identify features associated with clinical effectiveness and adherence
Conclusion Meta-analysis of data from 3 trials showed improved asthma control, though overall the clinical effectiveness of apps, typically incorporating multiple features, varied. Further studies are needed to identify the features that are associated with adoption of and adherence to use of the mobile app and those that improve health outcomes. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - October 2, 2016 Category: Information Technology Authors: Hui, C. Y., Walton, R., McKinstry, B., Jackson, T., Parker, R., Pinnock, H. Tags: Review Source Type: research

Changes in the quality of care during progress from stage 1 to stage 2 of Meaningful Use
Background The Centers for Medicare and Medicaid Services (CMS) canceled Meaningful Use (MU), replacing it with Advancing Care Information, which preserves many MU elements. Therefore, transitioning from MU stage 1 to MU stage 2 has important implications for the new policy, yet the quality of care provided by physicians transitioning from MU1 to MU2 is unknown.Methods Retrospective longitudinal evaluation of the quality of care delivered by outpatient physicians at an academic medical center in the transition between MU1 and MU2.Results Between MU1 and MU2, 4 measures improved: hypertension control (35% vs 40%), influenza...
Source: Journal of the American Medical Informatics Association - September 30, 2016 Category: Information Technology Authors: Levine, D. M., Healey, M. J., Wright, A., Bates, D. W., Linder, J. A., Samal, L. Tags: Brief Communication Source Type: research

Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors
Conclusion Errors related to CPOE commonly involved transmission errors, erroneous dosing, and duplicate orders. More standardized safety reporting using a common taxonomy could help health care systems and vendors learn and implement prevention strategies. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 27, 2016 Category: Information Technology Authors: Amato, M. G., Salazar, A., Hickman, T.-T. T., Quist, A. J., Volk, L. A., Wright, A., McEvoy, D., Galanter, W. L., Koppel, R., Loudin, B., Adelman, J., McGreevey, J. D., Smith, D. H., Bates, D. W., Schiff, G. D. Tags: Research and Applications Source Type: research

IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety
Discussion IT-CARES may enhance patient safety by facilitating clinical epidemiological studies of adverse events following medical procedures. The tool’s usability must be evaluated and improved in further research. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 27, 2016 Category: Information Technology Authors: Caron, A., Chazard, E., Muller, J., Perichon, R., Ferret, L., Koutkias, V., Beuscart, R., Beuscart, J.-B., Ficheur, G. Tags: Research and Applications Source Type: research

MeSHDD: Literature-based drug-drug similarity for drug repositioning
Conclusion Our study demonstrates that literature-derived similarity is useful for identifying potential repositioning opportunities. We provided open-source code and deployed a free-to-use, interactive application to explore our database of similarity-based drug clusters (available at http://apps.chiragjpgroup.org/MeSHDD/). (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 27, 2016 Category: Information Technology Authors: Brown, A. S., Patel, C. J. Tags: Brief Communication Source Type: research

Predicting inpatient clinical order patterns with probabilistic topic models vs conventional order sets
Objective Build probabilistic topic model representations of hospital admissions processes and compare the ability of such models to predict clinical order patterns as compared to preconstructed order sets.Materials and Methods The authors evaluated the first 24 hours of structured electronic health record data for> 10 K inpatients. Drawing an analogy between structured items (e.g., clinical orders) to words in a text document, the authors performed latent Dirichlet allocation probabilistic topic modeling. These topic models use initial clinical information to predict clinical orders for a separate validation set of>...
Source: Journal of the American Medical Informatics Association - September 20, 2016 Category: Information Technology Authors: Chen, J. H., Goldstein, M. K., Asch, S. M., Mackey, L., Altman, R. B. Tags: Research and Applications Source Type: research

Predicting neutropenia risk in patients with cancer using electronic data
Conclusion Chemotherapy treatment data were electronically extracted from the EHR successfully. The individualized neutropenia risk prediction model performed well in our retrospective external cohort. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 16, 2016 Category: Information Technology Authors: Pawloski, P. A., Thomas, A. J., Kane, S., Vazquez-Benitez, G., Shapiro, G. R., Lyman, G. H. Tags: Research and Applications Source Type: research

National trends in safety performance of electronic health record systems in childrens hospitals
Conclusions Pediatric computerized physician order entry (CPOE) systems on average are able to intercept a majority of potential medication errors, but vary widely among implementations. Prospective and repeated testing using the Leapfrog Group’s evaluation tool is associated with improved ability to intercept potential medication errors. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 16, 2016 Category: Information Technology Authors: Chaparro, J. D., Classen, D. C., Danforth, M., Stockwell, D. C., Longhurst, C. A. Tags: Research and Applications Source Type: research

Surrogate-assisted feature extraction for high-throughput phenotyping
Conclusion SAFE advances high-throughput phenotyping methods by automatically selecting a succinct set of informative features for algorithm training, which in turn reduces overfitting and the needed number of gold-standard labels. SAFE also potentially identifies important features missed by automated feature extraction for phenotyping or experts. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 15, 2016 Category: Information Technology Authors: Yu, S., Chakrabortty, A., Liao, K. P., Cai, T., Ananthakrishnan, A. N., Gainer, V. S., Churchill, S. E., Szolovits, P., Murphy, S. N., Kohane, I. S., Cai, T. Tags: Research and Applications Source Type: research

Assessing electronic health record phenotypes against gold-standard diagnostic criteria for diabetes mellitus
Conclusions Researchers using EHR-based phenotype definitions should clearly specify the characteristics that comprise the definition, variations of ADA criteria, and how different phenotype definitions and components impact the patient populations retrieved and the intended application. Careful attention to phenotype definitions is critical if the promise of leveraging EHR data to improve individual and population health is to be fulfilled. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 11, 2016 Category: Information Technology Authors: Spratt, S. E., Pereira, K., Granger, B. B., Batch, B. C., Phelan, M., Pencina, M., Miranda, M. L., Boulware, E., Lucas, J. E., Nelson, C. L., Neely, B., Goldstein, B. A., Barth, P., Richesson, R. L., Riley, I. L., Corsino, L., McPeek Hinz, E. R., Rusincov Tags: Research and Applications Source Type: research

iCONCUR: informed consent for clinical data and bio-sample use for research
Conclusion This study suggests that a tiered electronic informed consent system is a workable solution that respects patient preferences, increases satisfaction, and does not significantly affect participation in research. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 2, 2016 Category: Information Technology Authors: Kim, H., Bell, E., Kim, J., Sitapati, A., Ramsdell, J., Farcas, C., Friedman, D., Feupe, S. F., Ohno-Machado, L. Tags: Research and Applications Source Type: research

Technology and tuberculosis control: the OUT-TB Web experience
Conclusion OUT-TB Web has proven to be an award-winning application and a useful tool. Developed and enhanced using regular user feedback, future versions will include additional data sources, enhanced map and line-list filter capabilities, and development of a mobile app. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 2, 2016 Category: Information Technology Authors: Guthrie, J. L., Alexander, D. C., Marchand-Austin, A., Lam, K., Whelan, M., Lee, B., Furness, C., Rea, E., Stuart, R., Lechner, J., Varia, M., McLean, J., Jamieson, F. B. Tags: Research and Applications Source Type: research

Leveraging electronic health record documentation for Failure Mode and Effects Analysis team identification
Conclusion Findings suggest EHR data may reveal gaps in process maps used for quality improvement and identify characteristics about workflow activities that can identify perspectives for inclusion in an FMEA. Organizations with access to EHR data may be able to leverage clinical documentation to enhance process maps used for quality improvement. While focused on FMEA protocols, findings from this study may be applicable to other quality activities that require process maps. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - September 1, 2016 Category: Information Technology Authors: Kricke, G. S., Carson, M. B., Lee, Y. J., Benacka, C., Mutharasan, R. K., Ahmad, F. S., Kansal, P., Yancy, C. W., Anderson, A. S., Soulakis, N. D. Tags: Research and Applications Source Type: research

A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care
Conclusions Human factors design is important to reduce error rates. Drop-down menus should be designed with safeguards to decrease the likelihood of selection errors. Development of more sophisticated clinical decision support, which can perform checks on free-text, may also prevent errors. Further research is needed to ensure that systems minimize error likelihood and meet users’ workflow expectations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 30, 2016 Category: Information Technology Authors: Brown, C. L., Mulcaster, H. L., Triffitt, K. L., Sittig, D. F., Ash, J. S., Reygate, K., Husband, A. K., Bates, D. W., Slight, S. P. Tags: Review Source Type: research

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety
Conclusions If, despite poor validity, US policy continues to rely on PSIs for incentive and penalty programs, improvements are needed in the quality of administrative data and the standardized PSI algorithms. These solutions require national motivation, research attention, and dissemination support. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 30, 2016 Category: Information Technology Authors: Hefner, J. L., Huerta, T. R., McAlearney, A. S., Barash, B., Latimer, T., Moffatt-Bruce, S. D. Tags: Research and Applications Source Type: research

Barriers to comparing the usability of electronic health records
We describe the importance of providing purchasers with improved information about EHR usability, barriers to making usability comparisons, and solutions to overcome these barriers. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 29, 2016 Category: Information Technology Authors: Ratwani, R. M., Hettinger, A. Z., Fairbanks, R. J. Tags: Perspective Source Type: research

Variation in high-priority drug-drug interaction alerts across institutions and electronic health records
Conclusion DDI alerting is clinically important but not standardized. There is significant room for improvement and standardization around evidence-based DDIs. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 28, 2016 Category: Information Technology Authors: McEvoy, D. S., Sittig, D. F., Hickman, T.-T., Aaron, S., Ai, A., Amato, M., Bauer, D. W., Fraser, G. M., Harper, J., Kennemer, A., Krall, M. A., Lehmann, C. U., Malhotra, S., Murphy, D. R., OKelley, B., Samal, L., Schreiber, R., Singh, H., Thomas, E. J., Tags: Research and Applications Source Type: research

Identifying collaborative care teams through electronic medical record utilization patterns
Conclusions EMR utilization records can be mined for collaborative care patterns in large complex medical centers. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 28, 2016 Category: Information Technology Authors: Chen, Y., Lorenzi, N. M., Sandberg, W. S., Wolgast, K., Malin, B. A. Tags: Research and Applications Source Type: research

Changes in the quality of care during progress from stage 1 to stage 2 of Meaningful Use
Background The Centers for Medicare and Medicaid Services (CMS) canceled Meaningful Use (MU), replacing it with Advancing Care Information, which preserves many MU elements. Therefore, transitioning from MU stage 1 to MU stage 2 has important implications for the new policy, yet the quality of care provided by physicians transitioning from MU1 to MU2 is unknown.Methods Retrospective longitudinal evaluation of the quality of care delivered by outpatient physicians at an academic medical center in the transition between MU1 and MU2.Results Between MU1 and MU2, 4 measures improved: hypertension control (35% vs 40%), influenza...
Source: Journal of the American Medical Informatics Association - August 26, 2016 Category: Information Technology Authors: Levine, D. M., Healey, M. J., Wright, A., Bates, D. W., Linder, J. A., Samal, L. Tags: Brief Communication Source Type: research

Using mobile devices for inpatient rounding and handoffs: an innovative application developed and rapidly adopted by clinicians in a pediatric hospital
This study shows how a handoff and rounding tool was quickly adopted in pediatric and neonatal ICUs in a hospital setting where patient charts were still paper-based. Originally developed as a tool to support informal documentation using smartphones, it was adapted to local practices and expanded to print sign-out documents and import notes within the medicolegal record with desktop computers. Interestingly, even if not supported by the nursing administrative authorities, the level of use for data entry among nurses and doctors was similar in all units, indicating close collaboration in documentation practices in these ICU...
Source: Journal of the American Medical Informatics Association - August 22, 2016 Category: Information Technology Authors: Motulsky, A., Wong, J., Cordeau, J.-P., Pomalaza, J., Barkun, J., Tamblyn, R. Tags: Research and Applications Source Type: research

International health IT benchmarking: learning from cross-country comparisons
Conclusion While health policies and priorities differ, many nations aim to increase access, quality, and/or efficiency of care through effective ICT use. By identifying variations and describing key contextual factors, benchmarking offers the potential to facilitate cross-national learning and accelerate the progress of individual countries. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 22, 2016 Category: Information Technology Authors: Zelmer, J., Ronchi, E., Hyppönen, H., Lupianez-Villanueva, F., Codagnone, C., Nohr, C., Huebner, U., Fazzalari, A., Adler-Milstein, J. Tags: Research and Applications Source Type: research

A long journey to short abbreviations: developing an open-source framework for clinical abbreviation recognition and disambiguation (CARD)
Conclusion CARD detected 27 317 and 107 303 distinct abbreviations from discharge summaries and clinic visit notes, respectively. Two sense inventories were constructed for the 1000 most frequent abbreviations in these 2 corpora. Using the sense inventories created from discharge summaries, CARD achieved an F1 score of 0.755 for identifying and disambiguating all abbreviations in a corpus from the VUMC discharge summaries, which is superior to MetaMap and Apache’s clinical Text Analysis Knowledge Extraction System (cTAKES). Using additional external corpora, we also demonstrated that the MetaMap-CARD wrapper improved...
Source: Journal of the American Medical Informatics Association - August 18, 2016 Category: Information Technology Authors: Wu, Y., Denny, J. C., Rosenbloom, S. T., Miller, R. A., Giuse, D. A., Wang, L., Blanquicett, C., Soysal, E., Xu, J., Xu, H. Tags: Research and Applications Source Type: research

A web-based and mobile patient-centered "microblog" messaging platform to improve care team communication in acute care
Communication in acute care settings is fragmented and occurs asynchronously via a variety of electronic modalities. Providers are often not on the same page with regard to the plan of care. We designed and developed a secure, patient-centered "microblog" messaging platform that identifies care team members by synchronizing with the electronic health record, and directs providers to a single forum where they can communicate about the plan of care. The system was used for 35% of patients admitted to a medical intensive care unit over a 6-month period. Major themes in messages included care coordination (49%), clin...
Source: Journal of the American Medical Informatics Association - August 18, 2016 Category: Information Technology Authors: Dalal, A. K., Schnipper, J., Massaro, A., Hanna, J., Mlaver, E., McNally, K., Stade, D., Morrison, C., Bates, D. W. Tags: Brief Communication Source Type: research

A mixed methods study of clinical information availability in obstetric triage and prenatal offices
Discussion and conclusions Increased availability of specific clinical information enables providers to deliver better care and improve outcomes, but some types of clinical data are more important than others. More available information does not always result from automated integration of electronic records, but rather from the availability of the source records. Providers depend upon information that they trust to be reliable, complete, consistent, and easily retrievable, even if this requires multiple interfaces. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 18, 2016 Category: Information Technology Authors: Meyerhoefer, C. D., Sherer, S. A., Deily, M. E., Chou, S.-Y., Peng, L., Hu, T., Nihen, M., Sheinberg, M., Levick, D. Tags: Research and Applications Source Type: research

Using clinical data to predict high-cost performance coding issues associated with pressure ulcers: a multilevel cohort model
The objective is to use electronic health records to predict pressure ulcers and to identify coding issues leading to penalties.Materials and Methods We evaluated all hospitalized patient electronic medical records at an academic medical center data repository between 2011 and 2014. These data contained patient encounter level demographic variables, diagnoses, prescription drugs, and provider orders. HAPUs were defined by PSI-03: stages III, IV, or unstageable pressure ulcers not present on admission as a secondary diagnosis, excluding cases of paralysis. Random forests reduced data dimensionality. Multilevel logistic regr...
Source: Journal of the American Medical Informatics Association - August 18, 2016 Category: Information Technology Authors: Padula, W. V., Gibbons, R. D., Pronovost, P. J., Hedeker, D., Mishra, M. K., Makic, M. B. F., Bridges, J. F., Wald, H. L., Valuck, R. J., Ginensky, A. J., Ursitti, A., Venable, L. R., Epstein, Z., Meltzer, D. O. Tags: Research and Applications Source Type: research

Developing an evidence base of best practices for integrating computerized systems into the exam room: a systematic review
Conclusion We developed an evidence base of best practices for clinicians to maintain patient-centered communications in the presence of computerized systems in the exam room. Further work includes development and empirical evaluation of evidence-based guidelines to better integrate computerized systems into clinical care. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 18, 2016 Category: Information Technology Authors: Patel, M. R., Vichich, J., Lang, I., Lin, J., Zheng, K. Tags: Review Source Type: research

Using recurrent neural network models for early detection of heart failure onset
Conclusion Deep learning models adapted to leverage temporal relations appear to improve performance of models for detection of incident heart failure with a short observation window of 12–18 months. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 13, 2016 Category: Information Technology Authors: Choi, E., Schuetz, A., Stewart, W. F., Sun, J. Tags: Research and Applications Source Type: research

Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations
Conclusion The relationship between HIE and improved care processes and reduced utilization in the ED is mediated by faster accessing of information from outside organizations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 12, 2016 Category: Information Technology Authors: Everson, J., Kocher, K. E., Adler-Milstein, J. Tags: Research and Applications Source Type: research

Automation bias and verification complexity: a systematic review
Conclusion: AB appears to be associated with the degree of cognitive load experienced in decision tasks, and appears to not be uniquely associated with multitasking. Strategies to minimize AB might focus on cognitive load reduction. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 11, 2016 Category: Information Technology Authors: Lyell, D., Coiera, E. Tags: Review Source Type: research

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records
Conclusion: The success of this test case suggests that gains are possible in reducing medication errors and improving patient safety with automated algorithm-based detection systems. Follow-up studies will determine if the positive effects of the system persist and if these changes lead to improved safety outcomes. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 9, 2016 Category: Information Technology Authors: Kirkendall, E. S., Kouril, M., Dexheimer, J. W., Courter, J. D., Hagedorn, P., Szczesniak, R., Li, D., Damania, R., Minich, T., Spooner, S. A. Tags: Research and Applications Source Type: research

Evaluating electronic health record data sources and algorithmic approaches to identify hypertensive individuals
Conclusion This work shows that billing codes or blood pressure readings alone yield good hypertension classification performance. However, even simple combinations of input categories improve performance. The most complex algorithms classified hypertension with excellent recall and precision. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Teixeira, P. L., Wei, W.-Q., Cronin, R. M., Mo, H., VanHouten, J. P., Carroll, R. J., LaRose, E., Bastarache, L. A., Rosenbloom, S. T., Edwards, T. L., Roden, D. M., Lasko, T. A., Dart, R. A., Nikolai, A. M., Peissig, P. L., Denny, J. C. Tags: Research and Applications Source Type: research

Opening government health data to the public: benefits, challenges, and lessons learned from early innovators
Conclusions The open data movement has a bright future but unknown long-term impact. To maintain momentum, important directions for the field include reconsidering legal guidance on protecting health data in the open data era and quantifying the return on investment. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Martin, E. G., Begany, G. M. Tags: Research and Applications Source Type: research

eHealth patient-provider communication in the United States: interest, inequalities, and predictors
This study aimed to describe sociodemographic and health- and Internet-related correlates that influence adult patients’ interest in and electronic exchange of medical information with health care providers in the United States.Methods: Nationally representative cross-sectional data from the 2014 Health Information National Trends Survey (N = 3677) were analyzed. Descriptive statistics and multivariable regression analyses were performed to examine associations between patient-level characteristics and online PPC behavior and interests.Results: Most respondents were Internet users (82.8%), and 61.5% of information se...
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Spooner, K. K., Salemi, J. L., Salihu, H. M., Zoorob, R. J. Tags: Research and Applications Source Type: research

Comparison of heuristic and cognitive walkthrough usability evaluation methods for evaluating health information systems
The objective of this study was to compare 2 expert-based methods, heuristic evaluation (HE) and cognitive walkthrough (CW), for evaluating usability of health care information systems.Materials and methods. Five evaluators independently evaluated a medical office management system using HE and CW. We compared the 2 methods in terms of the number of identified usability problems, their severity, and the coverage of each method.Results. In total, 156 problems were identified using the 2 methods. HE identified a significantly higher number of problems related to the "satisfaction" attribute (P = .002). The number o...
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Khajouei, R., Zahiri Esfahani, M., Jahani, Y. Tags: Research and Applications Source Type: research

Biomedical informatics advancing the national health agenda: the AMIA 2015 year-in-review in clinical and consumer informatics
This article organizes the clinical and consumer health informatics research from 2015 under 3 themes: the electronic health record (EHR), the learning health system (LHS), and consumer engagement. Key findings include the following: (1) There are significant advances in establishing policies for EHR feature implementation, but increased interoperability is necessary for these to gain traction. (2) Decision support systems improve practice behaviors, but evidence of their impact on clinical outcomes is still lacking. (3) Progress in natural language processing (NLP) suggests that we are approaching but have not yet achieve...
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Roberts, K., Boland, M. R., Pruinelli, L., Dcruz, J., Berry, A., Georgsson, M., Hazen, R., Sarmiento, R. F., Backonja, U., Yu, K.-H., Jiang, Y., Brennan, P. F. Tags: Perspective Source Type: research

Context-sensitive decision support (infobuttons) in electronic health records: a systematic review
Conclusions Weak evidence suggests that infobuttons can help providers answer clinical questions. Research on optimal infobutton design and implementation, and on the impact on patient outcomes and provider behaviors, is needed. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Cook, D. A., Teixeira, M. T., Heale, B. S., Cimino, J. J., Del Fiol, G. Tags: Review Source Type: research

Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design
Conclusion. EHR vendors should work with stakeholder groups to improve the AVS to ensure that this important communication device achieves its patient-centered potential. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Federman, A. D., Sanchez-Munoz, A., Jandorf, L., Salmon, C., Wolf, M. S., Kannry, J. Tags: Research and Applications Source Type: research

Inviting patients and care partners to read doctors notes: OpenNotes and shared access to electronic medical records
We examined the acceptability and effects of delivering doctors’ visit notes electronically (via OpenNotes) to patients and care partners with authorized access to patients’ electronic medical records. Adult patients and care partners at Geisinger Health System were surveyed at baseline and after 12 months of exposure to OpenNotes. Reporting on care partner access to OpenNotes, patients and care partners stated that they had better agreement about patient treatment plans and more productive discussions about their care. At follow-up, patients were more confident in their ability to manage their health, felt bet...
Source: Journal of the American Medical Informatics Association - August 7, 2016 Category: Information Technology Authors: Wolff, J. L., Darer, J. D., Berger, A., Clarke, D., Green, J. A., Stametz, R. A., Delbanco, T., Walker, J. Tags: Case Report Source Type: research

Modeling and testing maternal and newborn care mHealth interventions: a pilot impact evaluation and follow-up qualitative study in Guatemala
Objective. To develop a descriptive model of structural characteristics of mHealth in the context of newborn nutrition, and to assess the effects of illustrative interventions through a mixed-methods study consisting of an impact evaluation and a qualitative assessment.Materials and Methods. We conducted a 23-week intervention with 100 mothers in rural Guatemala in 2013 and 2014. In group 1 (n = 24), participants received health-promoting text messages. In group 2 (n = 32), peer-to-peer groups were formed. In group 3 (n = 30), peer-to-peer groups were formed, a health professional participated in the discussions, and parti...
Source: Journal of the American Medical Informatics Association - July 29, 2016 Category: Information Technology Authors: Prieto, J. T., Zuleta, C., Rodriguez, J. T. Tags: Research and Applications Source Type: research