Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · Nov 2017
Electronic health record adoption in US hospitals: the emergence of a digital "advanced use" divide.
While most hospitals have adopted electronic health records (EHRs), we know little about whether hospitals use EHRs in advanced ways that are critical to improving outcomes, and whether hospitals with fewer resources - small, rural, safety-net - are keeping up. ⋯ Hospital EHR adoption is widespread and many hospitals are using EHRs to support performance measurement and patient engagement. However, this is not happening across all hospitals.
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J Am Med Inform Assoc · Nov 2017
What's buzzing on your feed? Health authorities' use of Facebook to combat Zika in Singapore.
In 2016, Singapore grappled with one of the largest Zika outbreaks in Southeast Asia. This study examines the use of Facebook for Zika-related outreach by the Ministry of Health (MOH) and the National Environmental Agency (NEA) from March 1, 2015, to September 1, 2016, and public response to this effort. Despite nearly equivalent outreach, MOH's Facebook posts received more likes (µ = 3.49) and shares (µ = 30.11), whereas NEA's posts received more comments (µ = 4.55), with NEA posting mostly on prevention (N = 30) and MOH on situational updates (N = 24). ⋯ Public engagement was significantly higher during Zika compared with prior haze and dengue outbreaks. The results indicate the value of Facebook as a tool for rapid outreach during infectious disease outbreaks, and as a "listening" platform for those managing the situation. We discuss implications for public health communication research and policy.
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J Am Med Inform Assoc · Nov 2017
Identifying reports of randomized controlled trials (RCTs) via a hybrid machine learning and crowdsourcing approach.
Identifying all published reports of randomized controlled trials (RCTs) is an important aim, but it requires extensive manual effort to separate RCTs from non-RCTs, even using current machine learning (ML) approaches. We aimed to make this process more efficient via a hybrid approach using both crowdsourcing and ML. ⋯ Hybrid crowd-ML strategies warrant further exploration for biomedical curation/annotation tasks.
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J Am Med Inform Assoc · Nov 2017
Comparative StudyEfficiency and safety of speech recognition for documentation in the electronic health record.
To compare the efficiency and safety of using speech recognition (SR) assisted clinical documentation within an electronic health record (EHR) system with use of keyboard and mouse (KBM). ⋯ Use of SR to drive interactive clinical documentation in the EHR requires careful evaluation. Current generation implementations may require significant development before they are safe and effective. Improving system integration and workflow, as well as SR accuracy and user-focused error correction strategies, may improve SR performance.