A5043673081- Electronic Health Records Systems
- Biomedical Text Mining and Ontologies
- Healthcare Technology and Patient Monitoring
- Patient Safety and Medication Errors
- Healthcare Systems and Technology
- Telemedicine and Telehealth Implementation
- Cancer survivorship and care
- Economic and Financial Impacts of Cancer
- Nursing Diagnosis and Documentation
- Semantic Web and Ontologies
- Topic Modeling
- Medical Coding and Health Information
- Machine Learning in Healthcare
- Radiomics and Machine Learning in Medical Imaging
- Data Quality and Management
- Cancer Genomics and Diagnostics
- Patient-Provider Communication in Healthcare
- Astronomical Observations and Instrumentation
- Natural Language Processing Techniques
- Clinical practice guidelines implementation
- Health Sciences Research and Education
- Hospital Admissions and Outcomes
- COVID-19 and healthcare impacts
- Ethics in Clinical Research
- Music Therapy and Health
Memorial Sloan Kettering Cancer Center
2016-2025
Cornell University
2024-2025
Presbyterian Hospital
2024
Weill Cornell Medicine
2024
Kettering University
2022-2024
Columbia University
2004-2014
Columbia University Irving Medical Center
2001-2013
New York Hospital Queens
2009-2013
NewYork–Presbyterian Hospital
2009-2013
Carl Zeiss (United States)
2007
To develop an electronic health record that facilitates rapid capture of detailed narrative observations from clinicians, with partial structuring information for integration and reuse.We propose a design in which unstructured text coded data are fused into single model called structured narrative. Each major clinical event (e.g., encounter or procedure) is represented as document marked up to identify gross structure (sections, fields, paragraphs, lists) well fine within sentences...
Objective Although electronic notes have advantages compared to handwritten notes, they take longer write and promote information redundancy in health records (EHRs). We sought quantify clinical documentation by studying collections of physician an EHR.
Nurses alter their monitoring behavior as a patient's clinical condition deteriorates, often detecting and documenting subtle changes before physiological trends are apparent. It was hypothesized that nurse's of recording optional documentation (beyond what is required) reflects concern about status mining data from patients' electronic health records for the presence these features could help predict mortality.Data-mining methods were used to analyze nursing 15-month period at large, urban...
To understand the nature of emerging electronic documentation practices, disconnects between workflows and computing systems designed to support them, ways improve design systems.
Summary Objective: To refine the Physician Documentation Quality Instrument (PDQI) and test validity reliability of 9-item version (PDQI-9). Methods: Three sets each admission notes, progress notes discharge summaries were evaluated by two groups physicians using PDQI-9 an overall general assessment: one gold standard group consisting program or assistant directors (n = 7), other attending chief residents 24). The main measures criterion-related (correlation coefficients between Total scores...
The digitization of health records and growing availability tumour DNA sequencing provide an opportunity to study the determinants cancer outcomes with unprecedented richness. Patient data are often stored in unstructured text siloed datasets. Here we combine natural language processing annotations1,2 structured medication, patient-reported demographic, registry genomic from 24,950 patients at Memorial Sloan Kettering Cancer Center generate a clinicogenomic, harmonized oncologic real-world...
The impact of left ventricular ejection fraction (LVEF) on outcome in patients with heart failure (HF) undergoing noncardiac surgery has not been extensively evaluated. In this study, 174 (mean age, 75+/-12 years, 47% male, mean LVEF (47%+/-18%) underwent intermediate- or high-risk surgery. Patients were stratified by LVEF, and adverse perioperative complications identified compared. Adverse events occurred 53 (30.5%), including 14 (8.1%) deaths within 30 days, 26 (14.9%) myocardial...
<h3>Background/aims:</h3> A limited number of scans compromise conventional optical coherence tomography (OCT) to track chorioretinal disease in its full extension. Failures edge-detection algorithms falsify the results retinal mapping even further. High-definition-OCT (HD-OCT) is based on raster scanning and was used visualise localisation volume intra- sub-pigment-epithelial (RPE) changes fibrovascular pigment epithelial detachments (fPED). Two different patterns were evaluated....
Background It is unknown whether the observed increase in computed tomography pulmonary angiography (CTPA) utilization has resulted increased detection of emboli (PEs) with a less severe disease spectrum. Methods Trends utilization, diagnostic yield, and severity were evaluated for 4,048 consecutive initial CTPAs performed adult patients emergency department large urban academic medical center between 1/1/2004 10/31/2009. Transthoracic echocardiography (TTE) findings peak serum troponin...
The process of documentation in electronic health records (EHRs) is known to be time consuming, inefficient, and cumbersome. use dictation coupled with manual transcription has become an increasingly common practice. In recent years, natural language processing (NLP)-enabled data capture a viable alternative for entry. It enables the clinician maintain control potentially reduce burden. question remains how this NLP-enabled workflow will impact EHR usability whether it can meet structured...
Abstract The COVID-19 pandemic placed a spotlight on the potential to dramatically increase use of telehealth across cancer care continuum, but whether and how can be implemented in practice ways that reduce, rather than exacerbate, inequities are largely unknown. To help fill this critical gap research practice, we developed Framework for Integrating Telehealth Equitably (FITE), process evaluation model designed guide equitable integration into practice. In manuscript, present FITE showcase...
This study sought to design and validate a reliable instrument assess the quality of physician documentation.Adjectives describing clinician attitudes about high-quality clinical documentation were gathered through literature review, assessed by experts, transformed into semantic differential scale. Using scale, physicians nurse practitioners scored importance adjectives for in three note types: admission, progress, discharge notes. Psychometric methods including exploratory factor analysis...
Objective: We implemented routine daily electronic monitoring of patient-reported outcomes (PROs) for 10 days after discharge ambulatory cancer surgery, with alerts to clinical staff worrying symptoms. sought determine whether enhancing this by adding immediate automated normative feedback patients regarding expected symptoms would further improve the patient experience. Summary Background Data: PRO reduces symptom severity in patients. In it potentially avoidable urgent care center (UCC)...
Electronic patient‐reported outcome (ePRO) programs may offer advantages for patients with cancer, clinicians, health care systems, payors, and society in general; but developing maintaining an ePRO program will require cancer centers to navigate defining meaningful problems, collecting ePROs, implementing action when those ePROs intervention without over‐burdening monitoring the successes failures of their programs. Physician informaticists from National Comprehensive Cancer Network Health...
Wireless handheld technology provides new ways to deliver and present information. As with any technology, its unique features must be taken into consideration applications designed accordingly. In the clinical setting, availability of needed information can crucial during decision-making process. Preliminary studies performed at New York Presbyterian Hospital (NYPH) determined that there are inadequate access ineffective communication among clinicians (potential proximal causes medical...
As Large Language Models (LLMs) are integrated into electronic health record (EHR) workflows, validated instruments essential to evaluate their performance before implementation. Existing for provider documentation quality often unsuitable the complexities of LLM-generated text and lack validation on real-world data. The Provider Documentation Summarization Quality Instrument (PDSQI-9) was developed clinical summaries. Multi-document summaries were generated from EHR data across multiple...
PURPOSE Clinical trials are integral for patients with cancer but remain inaccessible to many because of barriers including geographic and transportation challenges. This study aimed evaluate patients' preferences telemedicine versus in-person visits clinical trial discussions informed consent (IC). METHODS An electronic survey was administered first-time users at Memorial Sloan Kettering Cancer Center from 2021 2023. The assessed the IC process their comfort discussing virtually. primary...