Review
Oncology
Pasquale Pisapia, Vincenzo L'Imperio, Francesca Galuppini, Elham Sajjadi, Alessandro Russo, Bruna Cerbelli, Filippo Fraggetta, Giulia D'Amati, Giancarlo Troncone, Matteo Fassan, Nicola Fusco, Fabio Pagni, Umberto Malapelle
Summary: Anatomic pathology has undergone significant changes in recent years, with molecular profiling becoming equally important in cancer diagnosis. Modern pathologists must acquire additional knowledge in predictive molecular pathology to bridge the gap between clinicians and molecular biologists, and they play a growing role in the management of cancer patients.
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
(2022)
Article
Primary Health Care
Ellen C. Meltzer, Kelly S. Vorseth, Ivana T. Croghan, Yu-Hui H. Chang, Carolyn Mead-Harvey, Lori A. Johnston, Racquel D. Strader, Kathleen J. Yost, Lisa A. Marks, Kenneth G. Poole
Summary: This study found that there was a discrepancy between the experiences and attitudes of patients and healthcare practitioners regarding the use of electronic health records (EHRs) during clinical encounters. While practitioners reported a decrease in eye contact, attentiveness, and personalization of visits due to EHR use, patients felt that practitioners still provided sufficient attention and listened carefully. Most patients viewed EHR use positively, whereas only a third of practitioners believed that patients would agree. Practitioners also reported stress, burnout, and a lack of time for EHR documentation.
ANNALS OF FAMILY MEDICINE
(2022)
Review
Health Care Sciences & Services
Clemens Scott Kruse, Michael Mileski, Gevin Dray, Zakia Johnson, Cameron Shaw, Harsha Shirodkar
Summary: This review analyzed empirical evidence from the past 5 years regarding physician burnout caused by electronic health records (EHR). The results showed that the time spent on documentation and workflow was the main factor contributing to physician's loss of autonomy, lack of work-life balance, and cognitive fatigue. Training, local customization of templates and workflow, and the use of scribes were identified as effective strategies to alleviate the administrative burden of EHR and reduce burnout symptoms. However, the existing solutions only addressed two out of the three factors, leaving the usability factor unresolved.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Cardiac & Cardiovascular Systems
Charlie Harper, Marion Mafham, William Herrington, Natalie Staplin, William Stevens, Karl Wallendszus, Richard Haynes, Martin J. Landray, Sarah Parish, Louise Bowman, Jane Armitage
Summary: This study assessed the reliability of UK routine data compared with adjudicated follow-up for identifying major bleeding events. The results showed that major bleeding events ascertained via routine data were similar to those from adjudicated follow-up in terms of treatment effects.
Article
Public, Environmental & Occupational Health
S. Elangovan, X. J. Xie, C. McBrearty, D. J. Caplan
Summary: This study demonstrates the utility of electronic dental records (EDRs) in mining meaningful public health information by assessing disease prevalence among unique patients in a U.S. dental college. The prevalence of various non-communicable medical conditions increased with age, and many conditions matched published national estimates, highlighting the potential of EDRs for disease surveillance and research.
Article
Health Care Sciences & Services
Eve Rittenberg, Jeffrey B. Liebman, Kathryn M. Rexrode
Summary: Previous research has shown that female physicians spend more time than male physicians in the electronic health record (EHR). This study aimed to examine gender differences in EHR usage among primary care physicians and identify potential causes for those differences. The findings indicate that female primary care physicians spend more time working in the EHR and receive more staff and patient messages compared to their male colleagues.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Psychology, Multidisciplinary
Chao-Ran Li, E. Zhang, Jing-Ti Han
Summary: This study, based on the Elaboration Likelihood Model, examines the impact of online health community medical service factors on patients' online follow-up intentions. The results indicate that technical quality, interpersonal quality, and electronic word-of-mouth have a positive influence on patients' intention for online follow-up, with high-privacy diseases and private doctor services moderating this relationship.
COMPUTERS IN HUMAN BEHAVIOR
(2021)
Article
Pathology
Jeremy W. Jacobs, Dan Milner, Aaron Lunda Shibemba, Quentin Eichbaum
Summary: This study provides a comprehensive analysis of the pathology capabilities in Zambia, revealing limited availability of anatomic pathology services and challenges in personnel and infrastructure. Given a population of approximately 20 million, expansion of anatomic pathology services in Zambia needs to be prioritized.
AMERICAN JOURNAL OF CLINICAL PATHOLOGY
(2023)
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
Clinical Neurology
Matteo Lucchini, Sara Bortolani, Mauro Monforte, Manuela Papacci, Enzo Ricci, Massimiliano Mirabella, Giorgio Tasca
Summary: BCIM is an inflammatory myopathy that predominantly affects neck and proximal upper limb muscles, with MRI showing greater involvement in upper girdle and neck muscles compared with lower limbs. Early and appropriate treatment can lead to partial clinical and radiologic improvement in most patients.
NEUROLOGY-NEUROIMMUNOLOGY & NEUROINFLAMMATION
(2021)
Article
Surgery
Natalie Liu, Jacob A. Greenberg, Yiwei Xu, Amber L. Shada, Luke M. Funk, Anne O. Lidor
Summary: Phone follow-up after outpatient inguinal hernia repair is found to be as safe and effective as in-person follow-up, with similar rates of adverse outcomes. It can be implemented as an alternative for patients and help decrease healthcare utilization.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Health Care Sciences & Services
Laura R. Baratta, Derek Harford, Christine A. Sinsky, Thomas Kannampallil, Sunny S. Lou
Summary: This study characterizes the use of a secure messaging platform integrated with an electronic health record in a large healthcare system. The findings show widespread use of the platform by various healthcare professionals, with continuous growth throughout the study. However, the high frequency of messaging and short response times highlight the disruptive nature of secure messaging, raising questions about its potential harmful effects on clinician workflow, cognition, and errors.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Thiago Bulhoes da Silva Costa, Lucas Shinoda, Ramon Alfredo Moreno, Jose E. Krieger, Marco Gutierrez
Summary: This article emphasizes the importance of blockchain in the field of personal health records and proposes a novel ledger-oriented architecture to securely collect, store, share, and manage health data. The authors also highlight the significance of suitable ledgers and smart contracts in operating a blockchain network, as well as the need for standardized evaluation metrics to compare related networks.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Multidisciplinary Sciences
Alistair E. W. Johnson, Lucas Bulgarelli, Lu Shen, Alvin Gayles, Ayad Shammout, Steven Horng, Tom J. Pollard, Benjamin Moody, Brian Gow, Li-wei H. Lehman, Leo A. Celi, Roger G. Mark
Summary: Digital data collection during routine clinical practice is now common in hospitals. The data holds valuable information for patient care and treatment response, offering exciting research opportunities. However, the data is often stored in archival systems that are not researcher-friendly. MIMIC-IV, a publicly available database, aims to address this issue by providing comprehensive and accessible patient data for various research studies and educational purposes.
Article
Immunology
Marjorie A. Margolis, Noel T. Brewer, Marcella H. Boynton, Jennifer Elston Lafata, Brian G. Southwell, Melissa B. Gilkey
Summary: The study found that provider follow-up after the visit is crucial for promoting secondary acceptance of HPV vaccination, while an active provider response during the visit is not directly associated with secondary acceptance. Parents generally believe that healthcare providers should actively respond to HPV vaccine declination and follow-up afterwards.
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
Gastroenterology & Hepatology
Theresa Nguyen Wenker, Joel H. Rubenstein, Aaron P. Thrift, Hardeep Singh, Hashem B. El-Serag
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2023)
Article
Health Care Sciences & Services
Jennifer F. Sloane, Chris Donkin, Ben R. Newell, Hardeep Singh, Ashley N. D. Meyer
Summary: Interruptions are common in health care, including in diagnostic decision-making, and can have negative effects on the decision-making process and well-being of the decision-maker. It is important to develop strategies to manage interruptions and mitigate their impact on diagnostic decision-making.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Editorial Material
Health Care Sciences & Services
Traber D. Giardina, LeChauncy D. Woodard, Hardeep Singh
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Editorial Material
Medicine, General & Internal
Andrea Bradford, Hardeep Singh
JOURNAL OF HOSPITAL MEDICINE
(2023)
Article
Medicine, General & Internal
Victoria Hardy, Juliet Usher-Smith, Stephanie Archer, Rebecca Barnes, John Lancaster, Margaret Johnson, Matthew Thompson, Jon Emery, Hardeep Singh, Fiona M. Walter
Summary: This study explores how abdominal symptoms are communicated in primary care and identifies factors that influence the accuracy and completeness of their documentation. The results show that the information documented by doctors often does not match what patients describe, potentially leading to missed opportunities for timely investigation. Therefore, it is crucial to understand patients' descriptions of symptoms.
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
Public, Environmental & Occupational Health
Laura Zwaan, Kelly M. Smith, Traber D. Giardina, Jacky Hooftman, Hardeep Singh
Summary: This study aimed to engage patients in setting research priorities for improving diagnosis. By involving patients, we identified the top-10 research questions that can guide future studies on reducing diagnostic errors.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Medicine, General & Internal
Thimo Marcin, Stefanie C. Hautz, Hardeep Singh, Laura Zwaan, David Schwappach, Gert Krummrey, Stefan K. Schauber, Mathieu Nendaz, Aristomenis Konstantinos Exadaktylos, Martin Mueller, Cornelia Lambrigger, Thomas C. Sauter, Gregor Lindner, Simon Bosbach, Ines Griesshammer, Wolf E. Hautz
Summary: This study investigates the impact of computerised diagnostic decision support systems (CDDS) on diagnostic quality, workflow, resource consumption, and patient outcomes in the emergency department. The study uses a multicentre, outcome assessor and patient-blinded, cluster-randomised, multiperiod crossover superiority trial with a total of 1184 patients. The primary outcome is a binary diagnostic quality risk score, including unscheduled medical care after discharge, change in diagnosis, or death during follow-up, and unexpected upscale in care within 24 hours after hospital admission. The study results will be disseminated through peer-reviewed journals, open repositories, and the network of investigators and advisory boards.
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
Respiratory System
Minjoung Monica Koo, Luke T. A. Mounce, Meena Rafiq, Matthew E. J. Callister, Hardeep Singh, Gary A. Abel, Georgios Lyratzopoulos
Summary: Despite being eligible, a large proportion of patients presenting with dyspnoea and haemoptysis do not receive prompt chest imaging, indicating opportunities for earlier lung cancer diagnosis.
Review
Medicine, General & Internal
Kisha J. Ali, Christine A. Goeschel, Derek M. Delia, Leah M. Blackall, Hardeep Singh
Summary: The PRIDx framework can help foster collaboration between payers and providers to improve diagnostic safety.
