JMIR Medical Informatics
Clinical informatics, decision support for health professionals, electronic health records, and eHealth infrastructures.
Editor-in-Chief:
Arriel Benis, PhD, FIAHSI, SMIEEE, Associate Professor and Head of the Department of Digital Medical Technologies, Holon Institute of Technology (HIT), Israel
Impact Factor 5.0 More information about Impact Factor CiteScore 7.5 More information about CiteScore
Recent Articles

Qualitative thematic analysis is widely used in health research to examine patient experiences and inform the refinement of digital health interventions, but it is time- and labor-intensive. Large language models (LLMs) may help accelerate this process, yet their performance may depend not only on the model itself but also on how the analytic workflow is structured. Current evidence remains limited on how different LLMs perform across multistage thematic analysis workflows and across multiple health-related qualitative datasets.

Irregularly sampled data, as a common data structure in the medical field, is frequently observed in emergency clinical datasets. It poses problems such as unequal sampling time intervals and frequencies, making it difficult to align the data without losing information for input into models. Meanwhile, due to information loss in the dataset, it is also difficult for the model to effectively analyze the overall data variation and predict the complex and dynamic conditions of emergency patients in the future.

Computer-aided diagnostic systems such as S-Detect (Samsung Medison) are increasingly integrated into breast ultrasound workflows. Notwithstanding extensive past evaluation of S-Detect’s diagnostic accuracy, its intrasystem repeatability at the software level with identical static images, a fundamental prerequisite for clinical reliability, has not been systematically investigated.

Concept mapping (CM) is a widely used mixed method research approach for structuring and visualizing complex ideas across various fields, such as the health sciences. A critical bottleneck in the CM process is the idea synthesis phase, which remains labor-intensive, subjective, and consequently challenging to scale for large datasets.

In intensive care unit (ICU) settings, structured team-based communication, such as multidisciplinary rounds, handoffs, and goals-of-care discussions, is foundational to high-quality care. However, accurately documenting these complex discussions in the medical record remains a challenge due to time pressures, documentation burdens, and competing clinical demands. Ambient artificial intelligence (AI) scribes, which passively transcribe and summarize spoken interactions, offer a potential solution to assist ICU clinicians with documentation. Yet, little is known about how ICU clinicians perceive the integration of these tools into their high-stakes, collaborative workflows.

We discovered that the official list of clinical codes for pregnancy during the COVID-19 pandemic identified some unlikely pregnancies (for example, in older men), principally due to a code describing a specific fetal position (“knee presentation”), which notably lacks “fetal” in the code description. This is an informative example of commonly overlooked problems in creating and using clinical data.

Most US health systems operate on a local or regional scale and face substantial financial and staffing pressures, which are intensified by challenges related to physician satisfaction and difficulties in recruitment and retention. Ambient artificial intelligence (AI) documentation solutions have the potential to reduce burdens and improve satisfaction, but vendor selection is often undermined by cognitive biases, unvalidated marketing claims, and limited real-world testing.

Timely hospital admission is a prerequisite for effective acute stroke management, yet a substantial proportion of patients fail to reach medical facilities within the optimal therapeutic window. Existing prediction models often lack temporal robustness and clinical interpretability, limiting their utility in real-world, evolving health care systems.

Machine learning is increasingly used to develop prognostic prediction models for spinal cord injury. Nevertheless, current studies exhibit heterogeneity in outcome measures, predictors, modeling strategies, and validation methods. Moreover, the reporting quality, risk of bias, and clinical applicability of these models have not been systematically evaluated using assessment tools specific to prediction models.

Patient-generated health data (PGHD) can enhance patient-centered care by improving disease awareness and preparedness for clinical encounters. However, automated incorporation of PGHD into electronic medical records (EMRs), which is a prerequisite for broader clinical implementation, remains technically and administratively challenging.
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