Article
Computer Science, Information Systems
Chris Grasso, Hilary Goldhammer, Julie Thompson, Alex S. Keuroghlian
Summary: Recent advancements in electronic health records and health information technology offer new opportunities to enhance care quality for transgender and gender diverse individuals. The article recommends changes to EHR systems, such as creating an anatomical inventory form and developing clinical decision support tools, to provide gender-affirming care tailored to each patient's unique needs.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Health Care Sciences & Services
Prateek J. Shukla, Piper Sandel, Gurpreet Phull, Janine A. Rethy
Summary: This study aims to improve precision in asthma severity classification in the community healthcare setting through the development of an electronic asthma decision support tool. The launch of the tool in three academic community clinics resulted in a significant improvement in precision of asthma severity classification.
JOURNAL OF MEDICAL SYSTEMS
(2022)
Article
Computer Science, Information Systems
Thomas McGinn, David A. Feldstein, Isabel Barata, Emily Heineman, Joshua Ross, Dana Kaplan, Safiya Richardson, Barbara Knox, Amanda Palm, Francesca Bullaro, Nicholas Kuehnel, Linda Park, Sundas Khan, Benjamin Eithun, Rachel P. Berger
Summary: The study aimed to develop a child abuse clinical decision support system (CA-CDSS) in two different electronic health record systems. By adapting the CA-CDSS for use in hospitals using Allscripts and Epic, the research found variations in triggers, alerts, and order sets specific to child abuse.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Computer Science, Information Systems
N. Colombini, M. Abbes, A. Cherpin, D. Bagneres, M. Devos, M. Charbit, P. Rossi
Summary: This study evaluates physicians' adoption of computerised provider order-entry (CPOE) for Hospital Discharge Orders (HDO) and the prescribing error rate of HDO. It found that most HDO were edited via the CPOE system, and the system, along with pharmacist's interventions, contributed to reducing the prescription error rate. However, discrepancies in the recording process called for reinforcement of error prevention strategies and regular training for physicians in the integration of a CPOE system.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2022)
Article
Medical Informatics
Hung S. Luu, Laura M. Filkins, Jason Y. Park, Dinesh Rakheja, Jefferson Tweed, Christopher Menzies, Vincent J. Wang, Vineeta Mittal, Christoph U. Lehmann, Michael E. Sebert
Summary: The COVID-19 pandemic caused shortages of critical resources, leading to challenges in resource management. Leveraging EHR functionality and CDS algorithms can decrease order entry errors and properly flag patients for further observation.
JMIR MEDICAL INFORMATICS
(2021)
Article
Pharmacology & Pharmacy
Matthijs L. Becker, Fatih Baypinar, Marieke Pereboom, Soufiane Lilih, Ruud T. M. van der Hoeven, Thijs J. Giezen, Hylke Jan Kingma
Summary: The study evaluated the effects of implementing advanced algorithms in clinical decision support systems, showing that guideline adherence significantly increased after implementation. Acceptance rates of the advice in the alert ranged from 14% to 90%. One algorithm significantly decreased the number of alerts, while another improved the proportion of patients receiving the correct dose within 48 hours.
INTERNATIONAL JOURNAL OF CLINICAL PHARMACY
(2021)
Article
Pharmacology & Pharmacy
Lauren K. Lemke, Emily J. Cicali, Roy Williams, Khoa A. Nguyen, Larisa H. Cavallari, Kristin Wiisanen
Summary: This study aimed to characterize clinician response to standardized pharmacogenetic clinical decision support alerts at the University of Florida (UF) Health. The analysis revealed variations in alert acceptance rates based on gene-drug pairs, clinician specialties, and care settings. However, the congruence between alert response and clinical response was low.
CLINICAL PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Computer Science, Information Systems
Ian Brown, Allen Tran, Christine Soong, Karen Okrainec
Summary: The study demonstrates that electronic orders for daily laboratory testing are associated with higher rates of inappropriate indications and lower rates of discontinuation compared to paper orders.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Review
Computer Science, Information Systems
Bethany A. Van Dort, Wu Yi Zheng, Vivek Sundar, Melissa T. Baysari
Summary: The review included 8 papers that examined internal governance processes in hospitals, with a focus on multidisciplinary committees for optimizing CDS alerts. While there was limited comparison between strategies, the use of multiple approaches was found to be effective in reducing the number of CDS alerts.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Biology
Chunjun Hua, Yue Wu, Yiqiao Shi, Menghan Hu, Rong Xie, Guangtao Zhai, Xiao-Ping Zhang
Summary: A steganographic model for medical record images based on StegaStamp is developed in this study. Text region segmentation and watermark region localization are used to combat the image cropping attack, and a distortion network is designed to make the model robust against communication induced distortions. Experimental results show that the model performs well in terms of decoding accuracy and image quality.
COMPUTERS IN BIOLOGY AND MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
David S. Gish, Amy L. Ellenbogen, James T. Patrie, Cree M. Gaskin
Summary: The study found that providers preferred the use of AI tool for free-text order entry over traditional direct search for structured indications. The AI tool successfully predicted acceptable indications, aiding providers in their selection process.
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Weihan Chen, David T. Saxon, Michael P. Henry, John R. Herald, Rob Holleman, Debbie Zawol, Stacy Sivils, Mohamad A. Kenaan, Theodore J. Kolias, Hitinder S. Gurm, Nicole M. Bhave
Summary: The implementation of an electronic medical record algorithm initially increased the percentage of appropriate TTE orders, but this effect decayed over time. Among patients with no previous TTEs in the system, a higher percentage of TTEs were deemed appropriate. Further research is needed to develop lasting EMR-based interventions that impact provider ordering patterns.
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
(2021)
Article
Education & Educational Research
Sean D. D. Kafke, Adelheid Kuhlmey, Johanna Schuster, Stefan Blueher, Constanze Czimmeck, Jan C. C. Zoellick, Pascal Grosse
Summary: The study aimed to explore the usefulness of clinical decision support systems (CDSSs) for medical students in assessing their diagnostic abilities. The results showed that medical students performed equally well in diagnosing two cases of common diseases with typical or atypical clinical presentations using conventional methods or a CDSS. Medical students had higher diagnostic accuracy and trust in the correct diagnosis for diseases with typical presentations. The study received a rating of 7 out of 10.
BMC MEDICAL EDUCATION
(2023)
Article
Medicine, General & Internal
Daniel Laxar, Magdalena Eitenberger, Mathias Maleczek, Alexandra Kaider, Fabian Peter Hammerle, Oliver Kimberger
Summary: This study investigated the impact of clinical decision support systems on physicians' ratings. The results showed that the system's advice had a certain influence on physicians' ratings, but the difference between the explaining and non-explaining systems was not significant.
Article
Computer Science, Information Systems
Jennifer R. Simpson, Chen-Tan Lin, Amber Sieja, Stefan H. Sillau, Jonathan Pell
Summary: The inpatient EHR optimization sprint led to an increase in EHR Net Promoter Score and overall satisfaction among users, despite no significant decrease in time spent in the EHR as indicated by user log data.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Emergency Medicine
Emily C. Webber, Benjamin D. Bauer, Chrissy K. Marcum, Mara E. Nitu, Jennifer D. Walthall, Michele S. Saysana
PEDIATRIC EMERGENCY CARE
(2018)
Article
Pediatrics
Christoph U. Lehmann
Article
Pediatrics
Emily C. Webber
PEDIATRIC CLINICS OF NORTH AMERICA
(2016)
Article
Allergy
Nadia L. Krupp, Cindy Fiscus, Russell Webb, Emily C. Webber, Teresa Stanley, Rebecca Pettit, Ashley Davis, Judy Hollingsworth, Deborah Bagley, Marjorie McCaskey, John C. Stevens, Andrea Weist, A. Ioana Cristea, Heather Warhurst, Benjamin Bauer, Michele Saysana, Gregory S. Montgomery, Michelle S. Howenstine, Stephanie D. Davis
Article
Medical Informatics
Kristen R. Nichols, Allison L. Petschke, Emily C. Webber, Chad A. Knoderer
APPLIED CLINICAL INFORMATICS
(2019)
Article
Pediatrics
Emily C. Webber, David Brick, James P. Scibilia, Peter Dehnel, Stuart T. Weinberg, Gregg M. Alexander, Eric L. Beyer, Alexander M. Hamling, Eric S. Kirkendall, Donald E. Lighter, Ann M. Mann, Stephen J. Morgan, Eric Shelov, Jeffrey A. Wright, Dale C. Alverson, Francis D. Chan, Melissa S. Van Cain, Lisa A. Krams, Robin L. Altman, Steven A. Bondi, Jonathan M. Fanaroff, Sandeep K. Narang, Richard L. Oken, John W. Rusher, Karen A. Santucci, James P. Scibilia, Susan M. Scott, Julie Kersten Ake, Joshua J. Alexander, Chelsea E. F. Bodnar, Alison Curfman, Neil E. Herendeen, Joseph A. Kahn, Steven D. McSwain, Kelli M. Garber, Trisha M. Calabrese
Article
Emergency Medicine
Lauren E. Buenger, Emily C. Webber
PEDIATRIC EMERGENCY CARE
(2020)
Article
Pediatrics
Heather C. O'Donnell, Srinivasan Suresh
Article
Pediatrics
Heather C. O'Donnell, Srinivasan Suresh
Editorial Material
Pediatrics
Natalie M. Pageler, Emily C. Webber, Dennis P. Lund
Article
Health Care Sciences & Services
Emily C. Webber, Heather Lovely, Kelley Wells, Michele Saysana
Summary: During the COVID-19 pandemic, clinical informatics team members redeployed to virtual care screening hub felt prepared and encountered stress mainly from rapidly changing clinical protocols, but most enjoyed the opportunity to work with patients.
TELEMEDICINE AND E-HEALTH
(2022)
Article
Health Care Sciences & Services
Emily C. Webber, Brock D. McMillen, Deanna R. Willis
Summary: The study surveyed patients at an urban primary care clinic regarding their access to telemedicine tools before and after the COVID-19 pandemic. Not all patients had access to the devices, cellular data, and internet service needed for telemedicine, with patients with Medicaid or Medicaid waiver insurance being less likely to have these tools compared to those with commercial payor. Access to these telemedicine tools correlated with patients' interest in using telemedicine visits, highlighting the need for attention to and mitigation strategies for these gaps in access.
TELEMEDICINE AND E-HEALTH
(2022)
Article
Health Care Sciences & Services
Eli M. Lourie, Lindsay A. Stevens, Emily C. Webber
Article
Emergency Medicine
Janine E. Zee-Cheng, Emily C. Webber, Samer Abu-Sultaneh
INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE
(2017)