Explore the latest in clinical decision support, including recent advances in EHR, mobile, and patient-oriented point-of-care decision tools.
This qualitative study describes the development of a tool to audio record the clinician and patient interaction during a patient encounter to communicate diagnostic uncertainty.
This randomized clinical trial assesses the impact of behavioral nudges to clinicians on the rate of serious illness conversations and end-of-life outcomes among patients at high risk of death.
This quality improvement study evaluates low vision rehabilitation service use before and after implementation of an electronic health record–based clinical decision support system at a large ophthalmology department in an academic medical center.
This cross-sectional study describes a screening program that was developed to screen for type 2 diabetes in an urban emergency department setting in the US.
This diagnostic study establishes and validates esophageal squamous cell cancer prediction models for the follow-up stage of esophageal cancer screening and optimization of the esophageal cancer screening program.
This retrospective cohort study compares stroke-specific algorithms with pooled cohort equations developed for atherosclerotic cardiovascular disease for the prediction of new-onset stroke across different subgroups (race, sex, and age) and the added value of novel machine learning techniques.
This Viewpoint discusses recent legal directives by the DHHS and FDA that could increase health care entities’ liability for possible discriminatory biases of clinical algorithms and the need for additional legal clarity to avoid adverse effects on algorithm development and use.
This Viewpoint discusses a proposed DHHS rule to address discrimination in clinical algorithms and the need for additional considerations to ensure the burden of liability for biased algorithms is not disproportionately placed on health care professionals.
This prognostic study reports the development and validation of a clinical prediction rule that uses the results of a neurological examination to predict upper limb functional outcomes among patients with traumatic cervical spinal cord injury at 1-year follow-up.
This randomized clinical trial examine the efficacy of computer-tailored print feedback (CTPF), motivational interviewing (MI), and motivational enhancement therapy (MET) on completion of a set of advance care planning activities, each as compared with usual care.
This systematic review and meta-analysis assesses the use of noncontrast computed tomography of the head in patients with atraumatic acute-onset altered mental status.
This prognostic study develops pediatric readmission risk tools that use clinical, demographic, and socioeconomic data readily available in the electronic health record and reflect the dynamic trajectory of illness and clinical care throughout the hospital stay among children and adolescents.
This Viewpoint discusses the role of the International Patient Decision Aid Standards Collaboration in emphasizing the importance of shared decision-making facilitated by trained individuals and the use of decision aids that meet minimal quality standards when counseling patients for lung cancer screening.
This randomized clinical trial assesses the use of clinical decision support tools to provide primary care clinicians with information about contextual factors regarding patient life challenges at the point of care.
This diagnostic study assesses the ability of a pediatric blood pressure percentile tool to accelerate identification of children with hypertension and hypotension by clinicians and researchers.
This quality improvement study examines disparities in the availability and comprehensiveness of cancer family history information by sex, race and ethnicity, and language preference in electronic health record data in 2 large US health care systems.
This study attempts to determine whether the diarrheal etiology prediction algorithm impacts antibiotic prescriptions in patients with acute diarrhea.
This cluster randomized trial determines the effect of a decision aid on agreement between patient preference for abdominal aortic aneurysm repair type and the repair type they receive.
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