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1.
AMIA Jt Summits Transl Sci Proc ; 2024: 230-238, 2024.
Article de Anglais | MEDLINE | ID: mdl-38827085

RÉSUMÉ

Electronic health record (EHR) documentation is a leading reason for clinician burnout. While technology-enabled solutions like virtual and digital scribes aim to improve this, there is limited evidence of their effectiveness and minimal guidance for healthcare systems around solution selection and implementation. A transdisciplinary approach, informed by clinician interviews and other considerations, was used to evaluate and select a virtual scribe solution to pilot in a rapid iterative sprint over 12 weeks. Surveys, interviews, and EHR metadata were analyzed over a staggered 30 day implementation with live and asynchronous virtual scribe solutions. Among 16 pilot clinicians, documentation burden metrics decreased for some but not all. Some clinicians had highly positive comments, and others had concerns regarding scribe training and quality. Our findings demonstrate that virtual scribes may reduce documentation burden for some clinicians and describe a method for a collaborative and iterative technology selection process for digital tools in practice.

2.
Stud Health Technol Inform ; 310: 609-613, 2024 Jan 25.
Article de Anglais | MEDLINE | ID: mdl-38269881

RÉSUMÉ

While advanced care planning (ACP) is an essential practice for ensuring patient-centered care, its adoption remains poor and the completeness of its documentation variable. Natural language processing (NLP) approaches hold promise for supporting ACP, including its use for decision support to improve ACP gaps at the point of care. ACP themes were annotated on palliative care notes across four annotators (Fleiss kappa = 0.753) and supervised models trained (Huggingface models bert-base-uncased and Bio_ClinicalBERT) using 5-fold cross validation (F1=0.8, precision=0.75, recall=0.86, any theme). When applied across the full note corpus of 12,711 notes, we observed variability in documentation of ACP information. Our findings demonstrate the promise of NLP approaches for informatics-based approaches for ACP and patient-centered care.


Sujet(s)
Planification anticipée des soins , Traitement du langage naturel , Humains , Documentation , Soins palliatifs , Soins centrés sur le patient
3.
Stud Health Technol Inform ; 310: 976-980, 2024 Jan 25.
Article de Anglais | MEDLINE | ID: mdl-38269954

RÉSUMÉ

We describe the development and usability evaluation of a novel patient engagement tool (OPY) in its early stage from perspectives of both experts and end-users. The tool is aimed at engaging patients in positive behaviors surrounding the use, weaning, and disposal of opioid medications in the post-surgical setting. The messaging and design of the application were created through a behavioral economics lens. Expert-based heuristic analysis and user testing were conducted and demonstrated that while patients found the tool to be easy to use and subjectively somewhat useful, additional work to enhance the user interface and features is needed in close partnership with developers and stakeholders.


Sujet(s)
Lentilles optiques , Applications mobiles , Humains , Analgésiques morphiniques/usage thérapeutique , Économie comportementale , Heuristique
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