A novel approach for selecting combination clinical markers of pathology applied to a large retrospective cohort of surgically resected pancreatic cysts
Conclusions Our approach identified combinatorial markers for pancreatic cyst classification that had improved performance relative to the individual features they comprise. In principle, this approach can be applied to any clinical dataset comprising dichotomous, categorical, and continuous-valued parameters. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 24, 2016 Category: Information Technology Authors: Masica, D. L., Dal Molin, M., Wolfgang, C. L., Tomita, T., Ostovaneh, M. R., Blackford, A., Moran, R. A., Law, J. K., Barkley, T., Goggins, M., Irene Canto, M., Pittman, M., Eshleman, J. R., Ali, S. Z., Fishman, E. K., Kamel, I. R., Raman, S. P., Zaheer, Tags: Research and Applications Source Type: research

Two-year longitudinal assessment of physicians perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
This study adds to the literature about current controversies surrounding EHR adoption and physician satisfaction. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 14, 2016 Category: Information Technology Authors: Hanauer, D. A., Branford, G. L., Greenberg, G., Kileny, S., Couper, M. P., Zheng, K., Choi, S. W. Tags: Case Report Source Type: research

Patient portals and personal health information online: perception, access, and use by US adults
Background: Access to online patient portals is key to improving care, but we have limited understanding of patient perceptions of online portals and the characteristics of people who use them.Methods: Using a national survey of 3677 respondents, we describe perceptions and utilization of online personal health information (PHI) portals.Results: Most respondents (92%) considered online PHI access important, yet only 34% were offered access to online PHI by a health care provider, and just 28% accessed online PHI in the past year. While there were no differences across race or ethnicity in importance of access, black and Hi...
Source: Journal of the American Medical Informatics Association - July 12, 2016 Category: Information Technology Authors: Peacock, S., Reddy, A., Leveille, S. G., Walker, J., Payne, T. H., Oster, N. V., Elmore, J. G. Tags: Brief Communication Source Type: research

Improving the discoverability, accessibility, and citability of omics datasets: a case report
Although omics datasets represent valuable assets for hypothesis generation, model testing, and data validation, the infrastructure supporting their reuse lacks organization and consistency. Using nuclear receptor signaling transcriptomic datasets as proof of principle, we developed a model to improve the discoverability, accessibility, and citability of published omics datasets. Primary datasets were retrieved from archives, processed to extract data points, then subjected to metadata enrichment and gap filling. The resulting secondary datasets were exposed on responsive web pages to support mining of gene lists, discover...
Source: Journal of the American Medical Informatics Association - July 12, 2016 Category: Information Technology Authors: Darlington, Y. F., Naumov, A., McOwiti, A., Kankanamge, W. H., Becnel, L. B., McKenna, N. J. Tags: Case Report Source Type: research

Congestive heart failure information extraction framework for automated treatment performance measures assessment
Conclusion This study demonstrated that applying natural language processing to unlock the rich and detailed clinical information found in clinical narrative text notes makes fast and scalable quality improvement approaches possible, eventually improving management and outpatient treatment of patients suffering from CHF. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 12, 2016 Category: Information Technology Authors: Meystre, S. M., Kim, Y., Gobbel, G. T., Matheny, M. E., Redd, A., Bray, B. E., Garvin, J. H. Tags: Research and Applications Source Type: research

Impact of computerized provider order entry (CPOE) on length of stay and mortality
Objective To examine changes in patient outcome variables, length of stay (LOS), and mortality after implementation of computerized provider order entry (CPOE).Materials and Methods A 5-year retrospective pre-post study evaluated 66 186 patients and 104 153 admissions (49 683 pre-CPOE, 54 470 post-CPOE) at an academic medical center. Generalized linear mixed statistical tests controlled for 17 potential confounders with 2 models per outcome.Results After controlling for covariates, CPOE remained a significant statistical predictor of decreased LOS and mortality. LOS decreased by 0.90 days, P
Source: Journal of the American Medical Informatics Association - July 8, 2016 Category: Information Technology Authors: Lyons, A. M., Sward, K. A., Deshmukh, V. G., Pett, M. A., Donaldson, G. W., Turnbull, J. Tags: Research and Applications Source Type: research

Online cancer communities as informatics intervention for social support: conceptualization, characterization, and impact
Objectives: The Internet and social media are revolutionizing how social support is exchanged and perceived, making online health communities (OHCs) one of the most exciting research areas in health informatics. This paper aims to provide a framework for organizing research of OHCs and help identify questions to explore for future informatics research. Based on the framework, we conceptualize OHCs from a social support standpoint and identify variables of interest in characterizing community members. For the sake of this tutorial, we focus our review on online cancer communities.Target audience: The primary target audience...
Source: Journal of the American Medical Informatics Association - July 8, 2016 Category: Information Technology Authors: Zhang, S., OCarroll Bantum, E., Owen, J., Bakken, S., Elhadad, N. Tags: Review Source Type: research

Online patient websites for electronic health record access among vulnerable populations: portals to nowhere?
Conclusion: Our findings suggest a strong need for tailored and accessible training and support to assist all vulnerable patients and/or caregivers with portal registration and use. Measuring the health literacy of a patient population might serve as a strong proxy for identifying patients who need the most support in using health technologies. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 8, 2016 Category: Information Technology Authors: Tieu, L., Schillinger, D., Sarkar, U., Hoskote, M., Hahn, K. J., Ratanawongsa, N., Ralston, J. D., Lyles, C. R. Tags: Research and Applications Source Type: research

Two-year longitudinal assessment of physicians perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
This study adds to the literature about current controversies surrounding EHR adoption and physician satisfaction. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 3, 2016 Category: Information Technology Authors: Hanauer, D. A., Branford, G. L., Greenberg, G., Kileny, S., Couper, M. P., Zheng, K., Choi, S. W. Tags: Case Report Source Type: research

Use of electronic healthcare records to identify complex patients with atrial fibrillation for targeted intervention
Discussion: We developed and tested a set of algorithms to identify AF patients and known risk factors for stroke and major bleeding using EHR data. Algorithms such as these can be built into EHR systems to facilitate informed decision making and help shift population health management efforts towards patients with the greatest need. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 3, 2016 Category: Information Technology Authors: Wang, S. V., Rogers, J. R., Jin, Y., Bates, D. W., Fischer, M. A. Tags: Research and Applications Source Type: research

The electronic health record audit file: the patient is waiting
Conclusions This study provides insights on uses of audit file data for workflow analysis during PC encounters.Discussion Scalable ways to quantify clinical encounter workflow elements may provide the means to develop more efficient approaches to care and improve the patient experience. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 3, 2016 Category: Information Technology Authors: Hirsch, A. G., Jones, J. B., Lerch, V. R., Tang, X., Berger, A., Clark, D. N., Stewart, W. F. Tags: Research and Applications Source Type: research

A framework for evaluating electronic health record vendor user-centered design and usability testing processes
Conclusion: The framework highlights the need for clearer certification requirements and suggests that the authorized certification bodies that examine vendor usability reports may need to be provided with clearer guidance. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - July 3, 2016 Category: Information Technology Authors: Ratwani, R. M., Zachary Hettinger, A., Kosydar, A., Fairbanks, R. J., Hodgkins, M. L. Tags: Research and Applications Source Type: research

Predicting mortality over different time horizons: which data elements are needed?
Conclusions Different variable groups were predictive over different time horizons, with vital signs most predictive for near-term mortality and demographic and comorbidities more important in long-term mortality. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 29, 2016 Category: Information Technology Authors: Goldstein, B. A., Pencina, M. J., Montez-Rath, M. E., Winkelmayer, W. C. Tags: Brief Communication Source Type: research

Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record
Conclusions During the initial phase of implementation of an EHR, inaccuracies were more common in progress notes in the EHR compared to the paper charts. Residents had a lower rate of inaccuracies and omissions compared to attending physicians. Further research is needed to identify training methods and incentives that can reduce inaccuracies in EHRs during initial implementation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 29, 2016 Category: Information Technology Authors: Yadav, S., Kazanji, N., K C, N., Paudel, S., Falatko, J., Shoichet, S., Maddens, M., Barnes, M. A. Tags: Research and Applications Source Type: research

Availability and quality of routine morbidity data: review of studies in South Africa
Conclusion This review confirmed concerns about the quality of data in RHISs, and highlighted the need for a comprehensive evaluation of the quality of patient-level morbidity data in RHISs in South Africa. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 29, 2016 Category: Information Technology Authors: Roomaney, R. A., Pillay-van Wyk, V., Awotiwon, O. F., Nicol, E., Joubert, J. D., Bradshaw, D., Hanmer, L. A. Tags: Review Source Type: research

Acute care patient portals: a qualitative study of stakeholder perspectives on current practices
Conclusion Portals should provide a single integrated experience across the inpatient and ambulatory settings. Core functionality includes tools that facilitate communication, personalize the patient, and deliver education to advance safe, coordinated, and dignified patient-centered care. Our findings can be used to inform a "road map" for future work related to acute care patient portals. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 29, 2016 Category: Information Technology Authors: Collins, S. A., Rozenblum, R., Leung, W. Y., Morrison, C. R., Stade, D. L., McNally, K., Bourie, P. Q., Massaro, A., Bokser, S., Dwyer, C., Greysen, R. S., Agarwal, P., Thornton, K., Dalal, A. K. Tags: Research and Applications Source Type: research

Translating evidence to practice in the health professions: a randomized trial of Twitter vs Facebook
Objective: Our objective was to compare the change in research informed knowledge of health professionals and their intended practice following exposure to research information delivered by either Twitter or Facebook.Methods: This open label comparative design study randomized health professional clinicians to receive "practice points" on tendinopathy management via Twitter or Facebook. Evaluated outcomes included knowledge change and self-reported changes to clinical practice.Results: Four hundred and ninety-four participants were randomized to 1 of 2 groups and 317 responders analyzed. Both groups demonstrated ...
Source: Journal of the American Medical Informatics Association - June 29, 2016 Category: Information Technology Authors: Tunnecliff, J., Weiner, J., Gaida, J. E., Keating, J. L., Morgan, P., Ilic, D., Clearihan, L., Davies, D., Sadasivan, S., Mohanty, P., Ganesh, S., Reynolds, J., Maloney, S. Tags: Brief Communication Source Type: research

A novel approach for selecting combination clinical markers of pathology applied to a large retrospective cohort of surgically resected pancreatic cysts
Conclusions Our approach identified combinatorial markers for pancreatic cyst classification that had improved performance relative to the individual features they comprise. In principle, this approach can be applied to any clinical dataset comprising dichotomous, categorical, and continuous-valued parameters. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 21, 2016 Category: Information Technology Authors: Masica, D. L., Dal Molin, M., Wolfgang, C. L., Tomita, T., Ostovaneh, M. R., Blackford, A., Moran, R. A., Law, J. K., Barkley, T., Goggins, M., Irene Canto, M., Pittman, M., Eshleman, J. R., Ali, S. Z., Fishman, E. K., Kamel, I. R., Raman, S. P., Zaheer, Tags: Research and Applications Source Type: research

Integrative review of clinical decision support for registered nurses in acute care settings
Conclusions: Clinical support systems targeting bedside nurses have positive effects on outcomes and hold promise for improving care quality; however, this research is lagging behind studies of CDS targeting medical decision-making in both volume and level of evidence. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 21, 2016 Category: Information Technology Authors: Dunn Lopez, K., Gephart, S. M., Raszewski, R., Sousa, V., Shehorn, L. E., Abraham, J. Tags: Review Source Type: research

Creating a scalable clinical pharmacogenomics service with automated interpretation and medical record result integration - experience from a pediatric tertiary care facility
Conclusion The incorporation of PGx data at the time of prescribing and dispensing, if done correctly, has the potential to impact the incidence of adverse drug events, a significant cause of morbidity and mortality. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 14, 2016 Category: Information Technology Authors: Manzi, S. F., Fusaro, V. A., Chadwick, L., Brownstein, C., Clinton, C., Mandl, K. D., Wolf, W. A., Hawkins, J. B. Tags: Research and Applications Source Type: research

Health information exchange policies of 11 diverse health systems and the associated impact on volume of exchange
Conclusions Automatic querying and limited consent requirements are organizational HIE policy decisions that impact the volume of exchange, and ultimately the information available to providers to support optimal care. Future efforts to ensure effective HIE may need to explicitly address these factors. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 14, 2016 Category: Information Technology Authors: Downing, N. L., Adler-Milstein, J., Palma, J. P., Lane, S., Eisenberg, M., Sharp, C., Northern California HIE Collaborative, Longhurst, C. A. Tags: Research and Applications Source Type: research

Electronic tools to support medication reconciliation - a systematic review
Conclusion Successful implementation of electronic tools to support MedRec requires favorable context, properly designed tools, and attention to implementation features. Future research is needed to evaluate the effect of these tools on the quality and safety of healthcare. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 14, 2016 Category: Information Technology Authors: Marien, S., Krug, B., Spinewine, A. Tags: Review Source Type: research

Using an inpatient portal to engage families in pediatric hospital care
Conclusions Overall, parents were satisfied with the inpatient portal. Portals may engage parents in hospital care, facilitate parent recognition of medication errors, and improve perceptions of safety and quality. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 14, 2016 Category: Information Technology Authors: Kelly, M. M., Hoonakker, P. L. T., Dean, S. M. Tags: Research and Applications Source Type: research

Evaluation of clinical information modeling tools
Conclusions The proposed evaluation metrics were successfully tested and validated against a representative sample of existing tools. The results identify the need to improve tool support for information modeling and software development processes, especially in those areas related to governance, clinician involvement, and optimizing the technical validation of testing processes. This research confirmed the potential of these evaluation metrics to support decision makers in identifying the most appropriate tool for their organization.OBJECTIVO Los Modelos de Información Clínica son especificaciones para repre...
Source: Journal of the American Medical Informatics Association - June 7, 2016 Category: Information Technology Authors: Moreno-Conde, A., Austin, T., Moreno-Conde, J., Parra-Calderon, C. L., Kalra, D. Tags: Research and Applications Source Type: research

Effectiveness of computer-aided learning in oral health among patients and caregivers - a systematic review
Computer-aided learning (CAL) offers enormous potential in disseminating oral health care information to patients and caregivers. The effectiveness of CAL, however, remains unclear.Objectives The purpose of this study was to systematically review published evidence on the effectiveness of CAL in disseminating oral health care information to patients and caregivers.Materials and Methods A structured comprehensive search was undertaken among 7 electronic databases (PUBMED, CINAHL Plus, EMBASE, SCOPUS, WEB of SCIENCE, the Cochrane Library, and PsycINFO) to identify relevant studies. Randomized controlled trials (RCTs) and obs...
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Ab Malik, N., Zhang, J., Lam, O. L. T., Jin, L., McGrath, C. Tags: Review Source Type: research

Learning temporal rules to forecast instability in continuously monitored patients
We present example rules that have been learned from data to illustrate potential benefits of comprehensibility of the extracted models, and we analyze the empirical utility of each VS as a potential leading indicator of an impending CRI event. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Guillame-Bert, M., Dubrawski, A., Wang, D., Hravnak, M., Clermont, G., Pinsky, M. R. Tags: Research and Applications Source Type: research

Precision medicine informatics
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Frey, L. J., Bernstam, E. V., Denny, J. C. Tags: Editorial Source Type: research

Improving the quality of EHR recording in primary care: a data quality feedback tool
Conclusions Our EHR data quality feedback tool is capable of highlighting differences among practices and software packages. As such, it also stimulates improvements. As substantial variability in recording is related to the software package, our study strengthens the evidence that data quality can be improved substantially by standardizing the functionalities of EHR software packages. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: van der Bij, S., Khan, N., ten Veen, P., de Bakker, D. H., Verheij, R. A. Tags: Research and Applications Source Type: research

Health informatics and analytics - building a program to integrate business analytics across clinical and administrative disciplines
Health care organizations must develop integrated health information systems to respond to the numerous government mandates driving the movement toward reimbursement models emphasizing value-based and accountable care. Success in this transition requires integrated data analytics, supported by the combination of health informatics, interoperability, business process design, and advanced decision support tools. This case study presents the development of a master’s level cross- and multidisciplinary informatics program offered through a business school. The program provides students from diverse backgrounds with the k...
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Tremblay, M. C., Deckard, G. J., Klein, R. Tags: Case Report Source Type: research

Which veterans enroll in a VA health information exchange program?
Conclusion Enrollment in HIE is complex, with several factors involved in a patient’s decision to enroll. To broaden HIE participation, populations less likely to enroll should be targeted with tailored recruitment and educational strategies. Moreover, inclusion of special populations, such as patients with higher comorbidity or high utilizers, may help refine the definition of success with respect to HIE implementation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Dixon, B. E., Ofner, S., Perkins, S. M., Myers, L. J., Rosenman, M. B., Zillich, A. J., French, D. D., Weiner, M., Haggstrom, D. A. Tags: Research and Applications Source Type: research

Computer use, language, and literacy in safety net clinic communication
Objective: Patients with limited health literacy (LHL) and limited English proficiency (LEP) experience suboptimal communication and health outcomes. Electronic health record implementation in safety net clinics may affect communication with LHL and LEP patients.We investigated the associations between safety net clinician computer use and patient-provider communication for patients with LEP and LHL.Materials and Methods: We video-recorded encounters at 5 academically affiliated US public hospital clinics between English- and Spanish-speaking patients with chronic conditions and their primary and specialty care clinicians....
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Ratanawongsa, N., Barton, J. L., Lyles, C. R., Wu, M., Yelin, E. H., Martinez, D., Schillinger, D. Tags: Research and Applications Source Type: research

An electronic documentation system improves the quality of admission notes: a randomized trial
Objective There are concerns that structured electronic documentation systems can limit expressivity and encourage long and unreadable notes. We assessed the impact of an electronic clinical documentation system on the quality of admission notes for patients admitted to a general medical unit.Methods This was a prospective randomized crossover study comparing handwritten paper notes to electronic notes on different patients by the same author, generated using a semistructured electronic admission documentation system over a 2-month period in 2014. The setting was a 4-team, 80-bed general internal medicine clinical teaching...
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Jamieson, T., Ailon, J., Chien, V., Mourad, O. Tags: Research and Applications Source Type: research

Alert override as a habitual behavior - a new perspective on a persistent problem
We present evidence consistent with the notion of alert override as a habitual behavior and discuss implications of this novel perspective for future research on alert override, a common and persistent problem accompanying decision support system implementation. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Baysari, M. T., Tariq, A., Day, R. O., Westbrook, J. I. Tags: Perspective Source Type: research

Assessment-based health informatics curriculum improvement
The objective of this study is to describe a method for using assessment data to identify areas for curriculum, student selection, and assessment improvement.Materials and Methods A multiple-choice examination covering the content in the Commission for Health Accreditation of Informatics and Information Management Education curricular facets/elements was developed and administered to 2 cohorts of entering students prior to the beginning of the program and to the first cohort after completion of the first year’s courses. The reliability of the examination was assessed using Cronbach’s alpha. Content validity was...
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Berner, E. S., Dorsey, A. D., Garrie, R. L., Qu, H. Tags: Research and Applications Source Type: research

The organization and content of informatics doctoral dissertations
This article offers suggested guidelines for graduate students who are embarking on informatics doctoral studies and anticipating the dissertation research and its documentation. Much of the guidance is pertinent for writing dissertations in other disciplines as well. The messages are largely directed at doctoral students, but some elements are also pertinent for master’s students. All are relevant for faculty research advisors. The value of the dissertation is often underestimated. Too often it is seen as a hurdle to be overcome rather than an opportunity to gain insight into one’s own research and to learn ho...
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Shortliffe, E. H. Tags: Perspective Source Type: research

A novel use of the discrete templated notes within an electronic health record software to monitor resident supervision
Conclusion The templated procedure note system with hard stops and integrated reporting can successfully be used to improve monitoring of resident supervision. This has potential impact on resident education and patient safety. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Ban, V. S., Madden, C. J., Browning, T., OConnell, E., Marple, B. F., Moran, B. Tags: Research and Applications Source Type: research

SMART-on-FHIR implemented over i2b2
We have developed an interface to serve patient data from Informatics for Integrating Biology and the Bedside (i2b2) repositories in the Fast Healthcare Interoperability Resources (FHIR) format, referred to as a SMART-on-FHIR cell. The cell serves FHIR resources on a per-patient basis, and supports the "substitutable" modular third-party applications (SMART) OAuth2 specification for authorization of client applications. It is implemented as an i2b2 server plug-in, consisting of 6 modules: authentication, REST, i2b2-to-FHIR converter, resource enrichment, query engine, and cache. The source code is freely availabl...
Source: Journal of the American Medical Informatics Association - June 6, 2016 Category: Information Technology Authors: Wagholikar, K. B., Mandel, J. C., Klann, J. G., Wattanasin, N., Mendis, M., Chute, C. G., Mandl, K. D., Murphy, S. N. Tags: Brief Communication Source Type: research

An informatics research agenda to support precision medicine: seven key areas
The recent announcement of the Precision Medicine Initiative by President Obama has brought precision medicine (PM) to the forefront for healthcare providers, researchers, regulators, innovators, and funders alike. As technologies continue to evolve and datasets grow in magnitude, a strong computational infrastructure will be essential to realize PM’s vision of improved healthcare derived from personal data. In addition, informatics research and innovation affords a tremendous opportunity to drive the science underlying PM. The informatics community must lead the development of technologies and methodologies that wil...
Source: Journal of the American Medical Informatics Association - May 31, 2016 Category: Information Technology Authors: Tenenbaum, J. D., Avillach, P., Benham-Hutchins, M., Breitenstein, M. K., Crowgey, E. L., Hoffman, M. A., Jiang, X., Madhavan, S., Mattison, J. E., Nagarajan, R., Ray, B., Shin, D., Visweswaran, S., Zhao, Z., Freimuth, R. R. Tags: Perspective Source Type: research

Automated pictographic illustration of discharge instructions with Glyph: impact on patient recall and satisfaction
Conclusion It is feasible to automatically illustrate discharge instructions and provide them to patients in a timely manner without interfering with clinical work. Illustrations in discharge instructions were found to improve patients’ short-term recall of discharge instructions and delayed satisfaction (1-week post hospitalization) with the instructions. Therefore, it is likely that patients’ understanding of and interaction with their discharge instructions is improved by the addition of illustrations. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 27, 2016 Category: Information Technology Authors: Hill, B., Perri-Moore, S., Kuang, J., Bray, B. E., Ngo, L., Doig, A., Zeng-Treitler, Q. Tags: Research and Applications Source Type: research

Evaluating the impact of a computerized surveillance algorithm and decision support system on sepsis mortality
Conclusion: A program consisting of change management and electronic surveillance with highly sensitive and specific decision support delivered to the point of care resulted in significant reduction in deaths from sepsis. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 25, 2016 Category: Information Technology Authors: Manaktala, S., Claypool, S. R. Tags: Research and Applications Source Type: research

Beyond access: barriers to internet health information seeking among the urban poor
Conclusion After initial internet access, a second-level digital divide emerged due to connectivity issues, highlighting the need to understand the complex network of barriers experienced by low-SEP internet users. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 20, 2016 Category: Information Technology Authors: McCloud, R. F., Okechukwu, C. A., Sorensen, G., Viswanath, K. Tags: Research and Applications Source Type: research

Early experiences of accredited clinical informatics fellowships
Since the launch of the clinical informatics subspecialty for physicians in 2013, over 1100 physicians have used the practice and education pathways to become board-certified in clinical informatics. Starting in 2018, only physicians who have completed a 2-year clinical informatics fellowship program accredited by the Accreditation Council on Graduate Medical Education will be eligible to take the board exam. The purpose of this viewpoint piece is to describe the collective experience of the first four programs accredited by the Accreditation Council on Graduate Medical Education and to share lessons learned in developing ...
Source: Journal of the American Medical Informatics Association - May 20, 2016 Category: Information Technology Authors: Longhurst, C. A., Pageler, N. M., Palma, J. P., Finnell, J. T., Levy, B. P., Yackel, T. R., Mohan, V., Hersh, W. R. Tags: Case Report Source Type: research

Learning disease relationships from clinical drug trials
Conclusion The agreement of our results with other sources indicates that our premise regarding latent expert knowledge holds. The disease relationships unique to our network may be used to generate hypotheses for future biological and clinical research as well as drug repurposing and design. Our results provide an example of using experimental data on humans to generate biologically useful information and point to a set of new and promising strategies to link clinical outcomes data back to biological research. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 17, 2016 Category: Information Technology Authors: Haslam, B., Perez-Breva, L. Tags: Research and Applications Source Type: research

Opportunities and challenges in developing risk prediction models with electronic health records data: a systematic review
Conclusions EHR data present both opportunities and challenges for clinical risk prediction. There is room for improvement in designing such studies. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 17, 2016 Category: Information Technology Authors: Goldstein, B. A., Navar, A. M., Pencina, M. J., Ioannidis, J. P. Tags: Review Source Type: research

National findings regarding health IT use and participation in health care delivery reform programs among office-based physicians
Objective: Our objective was to characterize physicians’ participation in delivery and payment reform programs over time and describe how participants in these programs were using health information technology (IT) to coordinate care, engage patients, manage patient populations, and improve quality.Materials and Methods: A nationally representative cohort of physicians was surveyed in 2012 (unweighted N = 2567) and 2013 (unweighted N = 2399). Regression analyses used those survey responses to identify associations between health IT use and participation in and attrition from patient-centered medical homes (PCMHs), ac...
Source: Journal of the American Medical Informatics Association - May 16, 2016 Category: Information Technology Authors: Heisey-Grove, D., Patel, V. Tags: Research and Applications Source Type: research

Patient crossover and potentially avoidable repeat computed tomography exams across a health information exchange
Conclusions A small proportion (3%) of our cohort had CTs performed at more than one location, however this represents a large number of scans (48 293). A noteworthy portion of these CTs (51.7%) shared the same LOINC code and may represent potentially avoidable studies, especially those done within a short time frame. This represents an addressable issue, and future HIE-based alerts could be utilized to reduce potentially avoidable CT scans. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 13, 2016 Category: Information Technology Authors: Slovis, B. H., Lowry, T., Delman, B. N., Beitia, A. O., Kuperman, G., DiMaggio, C., Shapiro, J. S. Tags: Research and Applications Source Type: research

Learning statistical models of phenotypes using noisy labeled training data
Conclusions Our method provides an alternative to manual labeling for creating training sets for statistical models of phenotypes. Such an approach can accelerate research with large observational healthcare datasets and may also be used to create local phenotype models. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 12, 2016 Category: Information Technology Authors: Agarwal, V., Podchiyska, T., Banda, J. M., Goel, V., Leung, T. I., Minty, E. P., Sweeney, T. E., Gyang, E., Shah, N. H. Tags: Research and Applications Source Type: research

Developing strategies for predicting hyperkalemia in potassium-increasing drug-drug interactions
Conclusion Continuous monitoring of the risk for hyperkalemia based on current potassium level shows a better predictive power than predictions triggered at the onset of DDI. This contrasts with efforts to improve DDI alerts by taking into account more patient parameters at the time of ordering. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 12, 2016 Category: Information Technology Authors: Eschmann, E., Beeler, P. E., Schneemann, M., Blaser, J. Tags: Research and Applications Source Type: research

The Medical Science DMZ
Conclusion By implementing a Medical Science DMZ architecture, biomedical researchers can leverage the scale provided by high-performance computer and cloud storage facilities and national high-speed research networks while preserving privacy and meeting regulatory requirements. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 9, 2016 Category: Information Technology Authors: Peisert, S., Barnett, W., Dart, E., Cuff, J., Grossman, R. L., Balas, E., Berman, A., Shankar, A., Tierney, B. Tags: Brief Communication Source Type: research