Review
Health Care Sciences & Services
Ah Ra Lee, Il Kon Kim, Eunjoo Lee
Summary: With the advancement of digital healthcare, personal health records have become crucial, but face challenges in portability when individuals move across countries. To address this issue, establishing a transnational health information infrastructure with interoperability guidelines is essential.
Review
Health Care Sciences & Services
Vincent Blijleven, Florian Hoxha, Monique Jaspers
Summary: This study provides a scoping review of workarounds in electronic health record systems, resulting in a theoretically validated and more complete SEWA framework. The revised framework can assist researchers and practitioners in identifying, analyzing, and resolving workarounds, ultimately improving patient safety, quality of care, and efficiency of care.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Computer Science, Information Systems
Christine Dymek, Bryan Kim, Genevieve B. Melton, Thomas H. Payne, Hardeep Singh, Chun-Ju Hsiao
Summary: Clinicians face challenges in using imperfect electronic health record systems while maximizing patient interaction, leading to burnout. Evidence-based informatics approaches like speech recognition and AI can help improve documentation, chart review, and inbox tasks. Collaboration between EHR vendors, healthcare leaders, and policymakers is essential for implementing user-friendly solutions.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Health Care Sciences & Services
Perla J. Marang-van de Mheen, Hein Putter, Esther Bastiaannet, Alex Bottle
Summary: This study highlights the importance of considering competing risks in hospital readmission rate assessments, emphasizing the impact of research questions and perspectives on whether competing risks should be included in the analysis. Correctly including or ignoring competing risks is crucial, as even small biases may lead to different conclusions.
BMJ QUALITY & SAFETY
(2021)
Article
Health Care Sciences & Services
Alison M. Cogan, Seppo T. Rinne, Michael Weiner, Steven Simon, Jessica Davila, Elizabeth M. Yano
Summary: This paper reports on the development of a research agenda aimed at optimizing the EHR transition processes and implementation outcomes in a large, national integrated delivery system.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Review
Computer Science, Information Systems
Anne M. Walling, Joshua Pevnick, Antonia Bennett, V. G. Vinod Vydiswaran, Christine S. Ritchie
Summary: This study conducted a scoping review of algorithms using electronic health record (EHR) data to identify patients with Alzheimer's disease and related dementias (ADRD) and promote their use in research and clinical care. The results showed that there are various EHR-based phenotypes available for identifying populations with or at high-risk of developing ADRD. This review provides comparative detail to aid in choosing the best algorithm for research, clinical care, and population health projects.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Computer Science, Information Systems
Xiaomei Wang, H. Joseph Blumenthal, Daniel Hoffman, Natalie Benda, Tracy Kim, Shawna Perry, Ella S. Franklin, Emilie M. Roth, A. Zachary Hettinger, Ann M. Bisantz
Summary: Understanding and managing clinician workload is crucial for occupational health and patient safety. This study demonstrates the potential of using EHR data to predict patient-related workload in the emergency department, which can support decisions around patient assignment and improve workload management. Further research is needed to investigate the relationship between workload proxies and actual workload, and to enhance prediction performance.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Multidisciplinary Sciences
Vinicius Costa Lima, Rui Pedro Charters Lopes Rijo, Filipe Andrade Bernardi, Marcio Eloi Colombo Filho, Francisco Barbosa-Junior, Felipe Carvalho Pellison, Rafael Mello Galliez, Afranio Lineu Kritski, Domingos Alves
Summary: Clinical research outcomes rely on the accurate definition of research protocols, data collection strategies, and data management plans. Electronic Data Capture Systems mitigate resource challenges and provide a reliable environment for health research, promoting result dissemination and data reusability.
SCIENTIFIC REPORTS
(2023)
Review
Health Care Sciences & Services
Edmond Li, Jonathan Clarke, Hutan Ashrafian, Ara Darzi, Ana Luisa Neves
Summary: This study aimed to examine the impact of EHR interoperability on patient safety and care quality in high-income healthcare settings. The findings showed that EHR interoperability had positive effects on medication safety, reducing patient safety events, and lowering costs. However, the heterogeneity in outcome measures used and variation in study quality make it difficult to determine the true extent of these effects.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Medicine, General & Internal
Helen Cashman, Eleni Mayson, David Kliman, Janet Kesby, Jennifer Bell, Sue Vachalec, Barbara Withers, Orly Lavee, Sam Milliken, John Moore, Nada Hamad
Summary: This study successfully integrated electronic healthcare systems between a metropolitan hospital and a rural outreach haematology clinic, improving continuity of care and management efficiency during patient transitions, leading to an increase in clinic patients and appointments.
INTERNAL MEDICINE JOURNAL
(2021)
Article
Computer Science, Information Systems
Eli M. Lourie, Levon Haig Utidjian, Maria F. Ricci, Linda Webster, Carola Young, Stephanie M. Grenfell
Summary: Personalized optimization programs can significantly improve providers' knowledge, efficiency, and reduce feelings of burnout related to the electronic health record (EHR). Utilizing a one-on-one approach for optimization sessions helps enhance provider engagement and outcomes.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Medical Informatics
Georgia Bell Black, Afsana Bhuiya, Claire Friedemann Smith, Yasemin Hirst, Brian David Nicholson
Summary: The original text discusses the role of e-safety-netting tools in managing diagnostic uncertainty, highlighting the need for robust research evaluation. The article presents an emergent framework for effective e-safety-netting tools and outlines key areas for future research.
JMIR MEDICAL INFORMATICS
(2022)
Review
Pharmacology & Pharmacy
Ravi Jhaveri, Jordan John, Marc Rosenman
Summary: The increasing use of electronic health records (EHR) for clinical care has led to efforts to leverage EHR data for research in the field of infectious diseases. These studies can help identify patients at higher risk for complications or better candidates for treatment. The review discusses the rationale for network projects, opportunities, challenges, and previous studies within the field of infectious diseases.
CLINICAL THERAPEUTICS
(2021)
Article
Medicine, General & Internal
A. Jay Holmgren, David W. Bates
Summary: This study evaluated the association between publicly reported feedback and hospital improvement in medication-related clinical decision support safety performance. The findings suggest that negative feedback can lead to greater improvement in hospital performance compared to positive feedback in the subsequent year.
Review
Engineering, Multidisciplinary
Brian J. Meacham
Summary: The current performance-based design for fire safety is not widely accepted, and it is proposed to move towards a sociotechnical systems approach to advance it. This approach considers fire safety as one of several objectives and focuses on controllable system attributes, adopting a "fail-safe" perspective to prevent events that could result in unacceptable performance.
Article
Critical Care Medicine
Robert El-Kareh, Dean F. Sittig
CRITICAL CARE CLINICS
(2022)
Article
Behavioral Sciences
Joseph R. Keebler, Michael A. Rosen, Dean F. Sittig, Eric Thomas, Eduardo Salas
Summary: This article reviews three industry demands that will impact the future of Human Factors and Ergonomics in Healthcare settings. It discusses the path forward through improved medical teams, error management, and safety testing of medical devices and tools. Future challenges are also discussed.
Editorial Material
Behavioral Sciences
Joseph R. Keebler, Eduardo Salas, Michael A. Rosen, Dean F. Sittig, Eric Thomas
Editorial Material
Medicine, General & Internal
Dean F. Sittig, Patricia Sengstack, Hardeep Singh
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Article
Computer Science, Information Systems
Dean F. Sittig, Priti Lakhani, Hardeep Singh
Summary: This article provides 6 recommendations for health care organizations transitioning from one electronic health record to another, including implementing proactive leadership, risk assessment, reducing unwarranted variation, addressing information access problems, and supporting the workforce through the transition.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Editorial Material
Health Care Sciences & Services
Peter Cram, Elliot Cram, Joseph Antos, Dean F. Sittig, Ajay Anand, Yue Li
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Editorial Material
Computer Science, Information Systems
Dean F. Sittig, Jodi D. Sherman, Matthew J. Eckelman, Andrew Draper, Hardeep Singh
Summary: This article introduces a framework called i-CLIMATE, which aims to reduce environmental pollution and climate-related impacts in the healthcare industry through the application of clinical informatics. The framework includes actionable components such as creating a circular economy for health IT, reducing energy consumption, supporting environmentally friendly decision-making, mobilizing healthcare workforce environmental stewardship, and informing policies and regulations for change.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Computer Science, Information Systems
Adam Wright, Scott Nelson, David Rubins, Richard Schreiber, Dean F. Sittig
Summary: This study aims to identify common causes of clinical decision support malfunctions related to medication routes and to provide best practices for avoiding these malfunctions. The results revealed that value set errors related to medication routes are widespread and can impact the accuracy of CDS interventions.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Computer Science, Information Systems
Alan H. Morris, Christopher Horvat, Brian Stagg, David W. Grainger, Michael Lanspa, James Orme, Terry P. Clemmer, Lindell K. Weaver, Frank O. Thomas, Colin K. Grissom, Ellie Hirshberg, Thomas D. East, Carrie Jane Wallace, Michael P. Young, Dean F. Sittig, Mary Suchyta, James E. Pearl, Antinio Pesenti, Michela Bombino, Eduardo Beck, Katherine A. Sward, Charlene Weir, Shobha Phansalkar, Gordon R. Bernard, B. Taylor Thompson, Roy Brower, Jonathon Truwit, Jay Steingrub, R. Duncan Hiten, Douglas F. Willson, Jerry J. Zimmerman, Vinay Nadkarni, Adrienne G. Randolph, Martha A. Q. Curley, Christopher J. L. Newth, Jacques Lacroix, Michael S. D. Agus, Kang Hoe Lee, Bennett P. DeBoisblanc, Frederick Alan Moore, R. Scott Evans, Dean K. Sorenson, Anthony Wong, Michael Boland, Willard H. Dere, Alan Crandall, Julio Facelli, Stanley M. Huff, Peter J. Haug, Ulrike Pielmeier, Stephen E. Rees, Dan S. Karbing, Steen Andreassen, Eddy Fan, Roberta M. Goldring, Kenneth Berger, Beno W. Oppenheimer, E. Wesley Ely, Brian W. Pickering, David A. Schoenfeld, Irena Tocino, Russell S. Gonnering, Peter J. Pronovost, Lucy A. Savitz, Didier Dreyfuss, Arthur S. Slutsky, James D. Crapo, Michael R. Pinsky, Brent James, Donald M. Berwick
Summary: Delivering the best care in various clinical settings is a challenging problem. Evidence-based guidelines currently address only a fraction of the care provided by clinicians, especially in underserved areas. The use of validated clinical decision support systems (eActions) could help overcome cognitive limitations in advanced healthcare environments.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Computer Science, Information Systems
Daniel R. Murphy, Andrew J. Zimolzak, Divvy K. Upadhyay, Li Wei, Preeti Jolly, Alexis Offner, Dean F. Sittig, Saritha Korukonda, Riyaa Murugaesh Rekha, Hardeep Singh
Summary: Two eCQMs were developed to assess diagnostic evaluation of cancer and were implemented in two large health systems. These eCQMs can be used to monitor diagnostic performance related to cancer.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Computer Science, Information Systems
Siru Liu, Aileen P. Wright, Barron L. Patterson, Jonathan P. Wanderer, Robert W. Turer, Scott D. Nelson, Allison B. McCoy, Dean F. Sittig, Adam Wright
Summary: This study used ChatGPT to generate suggestions for improving clinical decision support (CDS) logic and compared them to human-generated suggestions. The results showed that ChatGPT-generated suggestions offered unique perspectives and were highly understandable and relevant, but had moderate usefulness and lower acceptance, bias, inversion, and redundancy.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Computer Science, Information Systems
Adam Wright, Richard Schreiber, David W. Bates, Skye Aaron, Angela Ai, Raja Arul Cholan, Akshay Desai, Miguel Divo, David A. Dorr, Thu-Trang Hickman, Salman Hussain, Shari Just, Brian Koh, Stuart Lipsitz, Dustin Mcevoy, Trent Rosenbloom, Elise Russo, David Yut-Chee Ting, Asli Weitkamp, Dean F. Sittig
Summary: The study aimed to improve problem list documentation and care quality. Algorithms were developed to infer clinical problems missing from the coded problem list and a clinical decision support intervention was implemented to suggest adding these missing problems. The intervention significantly improved problem list completeness, but did not show significant differences in clinical quality measures.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Computer Science, Information Systems
Dean F. Sittig, Aziz Boxwala, Adam Wright, Courtney Zott, Priyanka Desai, Rina Dhopeshwarkar, James Swiger, Edwin A. Lomotan, Angela Dobes, Prashila Dullabh
Summary: In order to achieve the quintuple aim in healthcare, it is necessary to design, develop, implement, use, and evaluate high-quality, patient-centered clinical decision support (PC CDS). We developed a PC CDS lifecycle framework to create a common understanding and language for communication among researchers, patients, clinicians, and policymakers. The framework emphasizes the involvement of patients and their caregivers in all stages of the process.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Health Care Sciences & Services
Andrew J. Zimolzak, Hardeep Singh, Daniel R. Murphy, Li Wei, Sahar A. Memon, Divvy K. Upadhyay, Saritha Korukonda, Lisa Zubkoff, Dean F. Sittig
Summary: Researchers collaborated with clinical operations personnel at two US health systems to implement algorithms that proactively identify patients needing diagnostic evaluation for colorectal or lung cancer. The steps involved in implementation and lessons learned were summarized.
BMJ HEALTH & CARE INFORMATICS
(2022)
Article
Computer Science, Information Systems
Prashila Dullabh, Krysta Heaney-Huls, David F. Lobach, Lauren S. Hovey, Shana F. Sandberg, Priyanka J. Desai, Edwin Lomotan, James Swiger, Michael Harrison, Chris Dymek, Dean F. Sittig, Aziz Boxwala
Summary: This article examines the technical landscape of patient-centered clinical decision support (PC CDS) and identifies areas for improvement in terms of standardization, integration of patient-generated health data, and translating clinical guidelines into PC CDS.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)