Health IT

Advances in information technology, including electronic health records, that improve on the way that health care is delivered and coordinated.

Spoken Words as Biomarkers: Using Machine Learning to Gain Insight into Communication as a Predictor of Anxiety

May. 6, 2020

George Demiris, Kristin L. Corey Magan, Debra Parker Oliver, Karla T. Washington, Chad Chadwick, Jeffrey D. Voigt, Sam Brotherton, Mary D. Naylor

Abstract [from journal]

Objective: The goal of this study was to explore whether features of recorded and transcribed audio communication data extracted by machine learning algorithms can be used to train a classifier for anxiety.

Materials and Methods: We used a secondary data set generated by a clinical trial examining problem-solving therapy for hospice caregivers consisting of 140 transcripts of multiple, sequential conversations between an interviewer and a family caregiver along with standardized assessments of anxiety prior to


Remote Monitoring of Medication Adherence and Patient and Industry Responsibilities in a Learning Health System

May. 4, 2020

Junhewk Kim, Austin Connor Kassels, Nathaniel Isaac Costin, Harald Schmidt

Abstract [from journal]

A learning health system (LHS) seeks to establish a closer connection between clinical care and research and establishes new responsibilities for healthcare providers as well as patients. A new set of technological approaches in medication adherence monitoring can potentially yield valuable data within an LHS, and raises the question of the scope and limitations of patients' responsibilities to use them. We argue here that, in principle, it is plausible to suggest that patients have a prima facie obligation to use novel adherence monitors. However,


A Pragmatic Randomized Trial of Cardiopulmonary Resuscitation Training for Families of Cardiac Patients Before Hospital Discharge Using a Mobile Application

May. 3, 2020

Audrey L. Blewera, Mary E. Putt, Shaun K. McGovern, Andrew D. Murray, Marion Leary, Barbara Riegel, Judy A. Shea, Robert A. Berg, David A. Asch, Anthony J. Viera, Raina M. Merchant, Vinay M. Nadkarni, Benjamin S...

Abstract [from journal]

Aim of the Study: Since over 80% of sudden cardiac arrests occur in the home, cardiopulmonary resuscitation (CPR) training for family members of high-risk cardiac patients represents a promising intervention. The use of mobile application-based (mApp) CPR training may facilitate this approach, but evidence regarding its efficacy is lacking.

Methods: We conducted a multicenter, pragmatic, cluster-randomized trial assessing CPR training for family members of cardiac patients. The interventions were mApp (video,


The Influence of Peer Beliefs on Nurses' Use of New Health Information Technology: A Social Network Analysis

Ingrid Nembhard, PhD
Apr. 22, 2020

Christina T. Yuan, Ingrid M. Nembhard, Gerald C. Kane

Abstract [from journal]

Implementation of health information technology fails at an alarming rate because intended users often choose not to use it. Implementation theory and frameworks suggest that social networks may influence individuals' use, but empirical study remains limited. Furthermore, neither theory nor research has identified whose beliefs within the network matter most for implementation. We examine the relationship between an individual's system use and the beliefs of his or her peers. We assess the relationship for two peer groups: the entire group of peers


Enabling Pregnant Women and their Physicians to make Informed Medication Decisions Using Artificial Intelligence

Mary Regina Boland
Apr. 11, 2020

Lena Davidson, Mary Regina Boland

Abstract [from journal]

The role of artificial intelligence (AI) in healthcare for pregnant women. To assess the role of AI in women's health, discover gaps, and discuss the future of AI in maternal health. A systematic review of English articles using EMBASE, PubMed, and SCOPUS. Search terms included pregnancy and AI. Research articles and book chapters were included, while conference papers, editorials and notes were excluded from the review. Included papers focused on pregnancy and AI methods, and pertained to pharmacologic interventions. We identified 376 distinct


Telemedicine in Liver Disease and Beyond: Can the COVID-19 Crisis Lead to Action?

Roy Rosin, Chief Innovation Officer, Penn Medicine
Apr. 10, 2020

Marina Serper, Allen W. Cubell, Mary Elisabeth Deleener, Tara K. Casher, Dale J. Rosenberg, Dale Whitebloom, Roy M. Rosin

Abstract [from journal]

Evidence strongly supports that access to specialty gastroenterology or hepatology care in cirrhosis is associated with higher adherence to guideline-recommended care and improves clinical outcomes. Presently, only about one half of acute care hospitalizations for cirrhosis-related complications result in inpatient specialty care and the current hepatology workforce cannot meet the demand of patients with liver disease nationwide, particularly in less densely populated areas and in community-based practices not affiliated with academic centers.


Tele-Critical Care: An Update From the Society of Critical Care Medicine Tele-ICU Committee

Apr. 1, 2020

Sanjay Subramanian, Jeremy C. Pamplin, Marilyn Hravnak, Christina Hielsberg, Richard Riker, Fred Ricon, Krzysztof Laudanski, Lana A. Adzhigirey, Anas M. Moughrabieh, Fiona A. Winterbottom, Vitaly Herasevich

Abstract [from journal]

Objectives: In 2014, the Tele-ICU Committee of the Society of Critical Care Medicine published an article regarding the state of ICU telemedicine, one better defined today as tele-critical care. Given the rapid evolution in the field, the authors now provide an updated review.

Data Sources and Study Selection: We searched PubMed and OVID for peer-reviewed literature published between 2010 and 2018 related to significant developments in tele-critical care, including its prevalence, function, activity, and


A Behavioral Economics-based Telehealth Intervention to Improve Aspirin Adherence Following Hospitalization for Acute Coronary Syndrome

Stephen Kimmel, MD, MSCE
Mar. 31, 2020

Barbara Riegel, Alisa Stephens‐Shields, Anne Jaskowiak‐Barr, Marguerite Daus, Stephen E. Kimmel

Abstract [from journal]

Purpose: A significant number of patients with acute coronary syndrome (ACS) are nonadherent to aspirin after hospital discharge, with an associated increased risk of subsequent cardiovascular events. The purpose of this pilot study was to test the efficacy of a telehealth intervention based on behavioral economics to improve aspirin adherence following hospitalization for ACS.

Methods: We enrolled 130 participants (c¯X = 58 ± 10.7 years of age, 38% female, 45% black) from two hospitals. Patients were eligible


Use of an Online Crowdsourcing Platform to Assess Patient Comprehension of Radiology Reports and Colloquialisms

Hanna M. Zafar, MD, MHS
Mar. 24, 2020

Joshua K. Cho, Hanna M. Zafar, Tessa S. Cook

Abstract [from journal]

Objective: The purpose of this study was to use an online crowdsourcing platform to assess patient comprehension of five radiology reporting templates and radiology colloquialisms. 

Materials and Methods: In this cross-sectional study, participants were surveyed as patient surrogates using a crowdsourcing platform. Two tasks were completed within two 48-hour time periods. For the first crowdsourcing task, each participant was randomly assigned a set of radiology reports in a constructed reporting template and


Access to Internet, Smartphone Usage, and Acceptability of Mobile Health Technology Among Cancer Patients

Mar. 12, 2020

Rashmika Potdar, Arun Thomas, Matthew DiMeglio, Kamran Mohiuddin, Djeneba Audrey Djibo, Krzysztof Laudanski, Claudia M. Dourado, John Charles Leighton, Jean G. Ford 

Abstract [from journal]

Purpose: The use of mobile health (mHealth) technologies to augment patient care enables providers to communicate remotely with patients enhancing the quality of care and patient engagement. Few studies evaluated predictive factors of its acceptance and subsequent implementation, especially in medically underserved populations.

Methods: A cross-sectional study of 151 cancer patients was conducted at an academic medical center in the USA. A trained interviewer performed structured interviews regarding the


Association Between Mobile Telephone Interruptions and Medication Administration Errors in a Pediatric Intensive Care Unit

Christopher Bonafide, MD
Dec. 20, 2019

Christopher P. Bonafide, Jeffrey M. Miller, A. Russell Localio, Amina Khan, Adam C. Dziorny, Mark Mai, MD, Shannon Stemler, Wanxin Chen, John H. Holmes, Vinay M. Nadkarni, Ron Keren

Abstract [from journal]

Importance: Incoming text messages and calls on nurses’ mobile telephones may interrupt medication administration, but whether such interruptions are associated with errors has not been established.

Objective: To assess whether a temporal association exists between mobile telephone interruptions and subsequent errors by pediatric intensive care unit (PICU) nurses during medication administration.

Design, Setting, and Participants: A retrospective cohort study was...