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Journal of the American Medical Informatics Association: JAMIA

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https://www.readbyqxmd.com/read/29771350/accuracy-of-the-medication-list-in-the-electronic-health-record-implications-for-care-research-and-improvement
#1
Kathleen E Walsh, Keith A Marsolo, Cori Davis, Theresa Todd, Bernadette Martineau, Carlie Arbaugh, Frederique Verly, Charles Samson, Peter Margolis
Objective: Electronic medication lists may be useful in clinical decision support and research, but their accuracy is not well described. Our aim was to assess the completeness of the medication list compared to the clinical narrative in the electronic health record. Methods: We reviewed charts of 30 patients with inflammatory bowel disease (IBD) from each of 6 gastroenterology centers. Centers compared IBD medications from the medication list to the clinical narrative...
May 15, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29767726/the-role-of-ethics-in-data-governance-of-large-neuro-ict-projects
#2
Bernd Carsten Stahl, Stephen Rainey, Emma Harris, B Tyr Fothergill
Objective: We describe current practices of ethics-related data governance in large neuro-ICT projects, identify gaps in current practice, and put forward recommendations on how to collaborate ethically in complex regulatory and normative contexts. Methods: We undertake a survey of published principles of data governance of large neuro-ICT projects. This grounds an approach to a normative analysis of current data governance approaches. Results: Several ethical issues are well covered in the data governance policies of neuro-ICT projects, notably data protection and attribution of work...
May 14, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29762686/presenting-self-monitoring-test-results-for-consumers-the-effects-of-graphical-formats-and-age
#3
Da Tao, Juan Yuan, Xingda Qu
Objective: To examine the effects of graphical formats and age on consumers' comprehension and perceptions of the use of self-monitoring test results. Methods: Participants (36 older and 36 young adults) were required to perform verbatim comprehension and value interpretation tasks with hypothetical self-monitoring test results. The test results were randomly presented by four reference range number lines: basic, color enhanced, color/text enhanced, and personalized information enhanced formats...
May 11, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29762678/using-statistical-anomaly-detection-models-to-find-clinical-decision-support-malfunctions
#4
Soumi Ray, Dustin S McEvoy, Skye Aaron, Thu-Trang Hickman, Adam Wright
Objective: Malfunctions in Clinical Decision Support (CDS) systems occur due to a multitude of reasons, and often go unnoticed, leading to potentially poor outcomes. Our goal was to identify malfunctions within CDS systems. Methods: We evaluated 6 anomaly detection models: (1) Poisson Changepoint Model, (2) Autoregressive Integrated Moving Average (ARIMA) Model, (3) Hierarchical Divisive Changepoint (HDC) Model, (4) Bayesian Changepoint Model, (5) Seasonal Hybrid Extreme Studentized Deviate (SHESD) Model, and (6) E-Divisive with Median (EDM) Model and characterized their ability to find known anomalies...
May 11, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29741695/technology-use-and-preferences-to-support-clinical-practice-guideline-awareness-and-adherence-in-individuals-with-sickle-cell-disease
#5
Amol Utrankar, Tilicia L Mayo-Gamble, Whitney Allen, Laurie Novak, Adetola A Kassim, Kemberlee Bonnet, David Schlundt, Velma M Murry, Gretchen Purcell Jackson, Michael DeBaun, Robert M Cronin
Objective: Sickle cell disease (SCD) is a chronic condition affecting over 100 000 individuals in the United States, predominantly from vulnerable populations. Clinical practice guidelines, written for providers, have low adherence. This study explored knowledge about guidelines; desire for guidelines; and how technology could support guideline awareness and adherence, examining current technology uses, and user preferences to inform design of a patient-centered guidelines application in a chronic disease...
May 7, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29741630/machine-learning-approach-for-early-detection-of-autism-by-combining-questionnaire-and-home-video-screening
#6
Halim Abbas, Ford Garberson, Eric Glover, Dennis P Wall
Background: Existing screening tools for early detection of autism are expensive, cumbersome, time- intensive, and sometimes fall short in predictive value. In this work, we sought to apply Machine Learning (ML) to gold standard clinical data obtained across thousands of children at-risk for autism spectrum disorder to create a low-cost, quick, and easy to apply autism screening tool. Methods: Two algorithms are trained to identify autism, one based on short, structured parent-reported questionnaires and the other on tagging key behaviors from short, semi-structured home videos of children...
May 7, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29726993/monitoring-for-change-the-role-of-family-and-friends-in-helping-older-adults-manage-personal-health-information
#7
Jean O Taylor, Andrea L Hartzler, Katie P Osterhage, George Demiris, Anne M Turner
Objective: Although family and friends (FF) often play a significant support role in the health of older adults (OA), we know little about their role in personal health information management (PHIM). To address this gap and inform the design of PHIM tools, we describe the work, needs, and barriers of FF in the context of PHIM for OAs. Methods: We conducted semi-structured telephone interviews with 52 FF identified by OA as being important in their health and PHIM...
May 2, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29718377/automatic-recognition-of-self-acknowledged-limitations-in-clinical-research-literature
#8
Halil Kilicoglu, Graciela Rosemblat, Mario Malicki, Gerben Ter Riet
Objective: To automatically recognize self-acknowledged limitations in clinical research publications to support efforts in improving research transparency. Methods: To develop our recognition methods, we used a set of 8431 sentences from 1197 PubMed Central articles. A subset of these sentences was manually annotated for training/testing, and inter-annotator agreement was calculated. We cast the recognition problem as a binary classification task, in which we determine whether a given sentence from a publication discusses self-acknowledged limitations or not...
April 28, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29718258/the-benefits-of-health-information-exchange-an-updated-systematic-review
#9
Nir Menachemi, Saurabh Rahurkar, Christopher A Harle, Joshua R Vest
Objective: Widespread health information exchange (HIE) is a national objective motivated by the promise of improved care and a reduction in costs. Previous reviews have found little rigorous evidence that HIE positively affects these anticipated benefits. However, early studies of HIE were methodologically limited. The purpose of the current study is to review the recent literature on the impact of HIE. Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to conduct our systematic review...
April 28, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29718407/design-and-implementation-of-a-standardized-framework-to-generate-and-evaluate-patient-level-prediction-models-using-observational-healthcare-data
#10
Jenna M Reps, Martijn J Schuemie, Marc A Suchard, Patrick B Ryan, Peter R Rijnbeek
Objective: To develop a conceptual prediction model framework containing standardized steps and describe the corresponding open-source software developed to consistently implement the framework across computational environments and observational healthcare databases to enable model sharing and reproducibility. Methods: Based on existing best practices we propose a 5 step standardized framework for: (1) transparently defining the problem; (2) selecting suitable datasets; (3) constructing variables from the observational data; (4) learning the predictive model; and (5) validating the model performance...
April 27, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29701854/adherence-to-recommended-electronic-health-record-safety-practices-across-eight-health-care-organizations
#11
Dean F Sittig, Mandana Salimi, Ranjit Aiyagari, Colin Banas, Brian Clay, Kathryn A Gibson, Ashutosh Goel, Robert Hines, Christopher A Longhurst, Vimal Mishra, Anwar M Sirajuddin, Tyler Satterly, Hardeep Singh
Objective: The Safety Assurance Factors for EHR Resilience (SAFER) guides were released in 2014 to help health systems conduct proactive risk assessment of electronic health record (EHR)- safety related policies, processes, procedures, and configurations. The extent to which SAFER recommendations are followed is unknown. Methods: We conducted risk assessments of 8 organizations of varying size, complexity, EHR, and EHR adoption maturity. Each organization self-assessed adherence to all 140 unique SAFER recommendations contained within 9 guides (range 10-29 recommendations per guide)...
April 26, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29688461/transition-to-a-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned-in-pediatrics-within-a-large-academic-health-system
#12
Kimberly Whalen, Emily Lynch, Iman Moawad, Tanya John, Denise Lozowski, Brian M Cummings
Objective: While the electronic health record (EHR) has become a standard of care, pediatric patients pose a unique set of risks in adult-oriented systems. We describe medication safety and implementation challenges and solutions in the pediatric population of a large academic center transitioning its EHR to Epic. Methods: Examination of the roll-out of a new EHR in a mixed neonatal, pediatric and adult tertiary care center with staggered implementation. We followed the voluntarily reported medication error rate for the neonatal and pediatric subsets and specifically monitored the first 3 months after the roll-out of the new EHR...
April 23, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29688391/evaluating-a-mobile-application-for-improving-clinical-laboratory-test-ordering-and-diagnosis
#13
Ashley N D Meyer, Pamela J Thompson, Arushi Khanna, Samir Desai, Benji K Mathews, Elham Yousef, Anita V Kusnoor, Hardeep Singh
Objective: Mobile applications for improving diagnostic decision making often lack clinical evaluation. We evaluated if a mobile application improves generalist physicians' appropriate laboratory test ordering and diagnosis decisions and assessed if physicians perceive it as useful for learning. Methods: In an experimental, vignette study, physicians diagnosed 8 patient vignettes with normal prothrombin times (PT) and abnormal partial thromboplastin times (PTT)...
April 20, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29684196/correspondence
#14
David M Klubert, Caroline Black
No abstract text is available yet for this article.
April 18, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29684190/can-online-social-support-be-detrimental-in-stigmatized-chronic-diseases-a-quadratic-model-of-the-effects-of-informational-and-emotional-support-on-self-care-behavior-of-hiv-patients
#15
Xunyi Wang, Srikanth Parameswaran, Darshan Mahendra Bagul, Rajiv Kishore
Objective: We studied the impact of online social support on patient self-care behavior in an online health community for human immunodeficiency virus (HIV) patients. We conceptualized emotional and informational support provided by community members into nuanced sub-dimensions. We explored how the direct and interaction effects of these sub-dimensions impact the self-care behavior of a support seeker. Methods: We used data from 330 255 posts in 30 050 threads from POZ, an online health community for HIV patients...
April 18, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29684156/response-to-letter-secondary-use-of-electronic-health-record-data-for-clinical-workflow-analysis
#16
Michelle R Hribar, Michael F Chiang
No abstract text is available yet for this article.
April 18, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29669066/does-health-informatics-have-a-replication-crisis
#17
Enrico Coiera, Elske Ammenwerth, Andrew Georgiou, Farah Magrabi
Objective: Many research fields, including psychology and basic medical sciences, struggle with poor reproducibility of reported studies. Biomedical and health informatics is unlikely to be immune to these challenges. This paper explores replication in informatics and the unique challenges the discipline faces. Methods: Narrative review of recent literature on research replication challenges. Results: While there is growing interest in re-analysis of existing data, experimental replication studies appear uncommon in informatics...
April 13, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29659856/integration-of-physical-abuse-clinical-decision-support-into-the-electronic-health-record-at-a-tertiary-care-children-s-hospital
#18
Srinivasan Suresh, Richard A Saladino, Janet Fromkin, Emily Heineman, Tom McGinn, Rudolph Richichi, Rachel P Berger
Objective: To evaluate the effect of a previously validated electronic health record-based child abuse trigger system on physician compliance with clinical guidelines for evaluation of physical abuse. Methods: A randomized controlled trial (RCT) with comparison to a preintervention group was performed. RCT-experimental subjects' providers received alerts with a direct link to a physical abuse-specific order set. RCT-control subjects' providers had no alerts, but could manually search for the order set...
April 12, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29648604/umls-to-dbpedia-link-discovery-through-circular-resolution
#19
John Cuzzola, Ebrahim Bagheri, Jelena Jovanovic
Objective: The goal of this work is to map Unified Medical Language System (UMLS) concepts to DBpedia resources using widely accepted ontology relations from the Simple Knowledge Organization System (skos:exactMatch, skos:closeMatch) and from the Resource Description Framework Schema (rdfs:seeAlso), as a result of which a complete mapping from UMLS (UMLS 2016AA) to DBpedia (DBpedia 2015-10) is made publicly available that includes 221 690 skos:exactMatch, 26 276 skos:closeMatch, and 6 784 322 rdfs:seeAlso mappings...
April 10, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29659868/automatic-population-of-emeasurements-from-ehr-systems-for-inpatient-falls
#20
Insook Cho, Eun-Hee Boo, Soo-Youn Lee, Patricia C Dykes
Objective: Representing nursing data sets in a standard way will help to facilitate sharing relevant information across settings. We aimed to populate nursing process and outcome metrics with electronic health record (EHR) data and then compare the results with event reporting systems. Methods: We used the "eMeasure" development process of the National Quality Forum adopted by the American Nurses Association. We used operational definitions of quality measures from the American Nurses Association and the US Institute for Healthcare Improvement and employed concept mapping of local data elements to 2 controlled vocabularies to define a standard data dictionary: (1) Logical Observation Identifiers Names and Codes and (2) International Classification for Nursing Practice...
April 6, 2018: Journal of the American Medical Informatics Association: JAMIA
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