Game On: ChatGPT vs Residents and Faculty in a Diagnostic Duel

Presentation Time: 09:45 AM - 09:57 AM

Abstract Keywords: Large Language Models (LLMs), Artificial Intelligence, Clinical Decision Support
Primary Track: Applications
Programmatic Theme: Clinical Informatics

This study examines artificial intelligence (AI) integration into medical education through a gamified diagnostic case conference. Medical students, residents, and attending physicians compare their test-ordering and diagnostic strategies with a GPT-4 AI model in real-time. Results revealed that AI performed comparably to residents but less accurately than attending physicians. The familiar structure of a case conference provides an engaging way to integrate AI education into medical curricula to highlight its strengths and limitations.

Speaker:
Yaa Kumah-Crystal, MD, MPH
Vanderbilt Univeristy Medical Center

Authors:
Yaa Kumah-Crystal, MD, MPH - Vanderbilt Univeristy Medical Center; Nneayo Okabuonye, Bachelor of Science in Engineering Science - Vanderbilt University;

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Augmenting clinicians’ analytical workflow through task-based integration of data visualizations and algorithmic insights: a user-centered design study

Presentation Time: 09:57 AM - 10:09 AM

Abstract Keywords: Chronic Care Management, User-centered Design Methods, Information Visualization, Clinical Decision Support
Primary Track: Applications
Programmatic Theme: Clinical Informatics

Current diabetes decision-support platforms limit efficient use of data from diabetes devices because they do not account for clinicians’ analytical needs and workflows. Informed by data tasks that clinicians perform, we created a prototype, GlucoGuide, that combines visual data analysis strategies with algorithmic support. Formative evaluation with 11 providers shows that GlucoGuide enabled more efficient data analysis and reduced perceived cognitive burden as compared to commercially available diabetes data platforms.

Speaker:
Shriti Raj, Ph.D.
Stanford University

Authors:
Till Scholich, MS - Ficus Health; Shriti Raj, Ph.D. - Stanford University; Joyce Lee, MD, MPH - University of Michigan Medical School; Mark Newman, PhD - University of Michigan;

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Applying Human Factors and Systems Focused Simulation to an Enterprise EHR Transition

Presentation Time: 10:09 AM - 10:21 AM

Abstract Keywords: Usability, Patient Safety, Informatics Implementation
Primary Track: Applications
Programmatic Theme: Clinical Informatics

We applied human factors and system focused simulation to our enterprise EHR transition. An interdisciplinary team carried out two rounds of usability testing and one round of simulation for peri-operative and code documentation workflows. Seventy participants identified 461 recommendations through usability testing, mostly for specific EHR build changes. All safety issues identified during usability testing were either mitigated or deemed low risk. One hundred nineteen participants in simulation identified 250 opportunities for improvement prior to go live, mostly related to tools and technology. The majority of participants were satisfied or very satisfied with the simulation experience, and found it helpful to identify potential safety threats. Vendors and healthcare institutions should consider integrating human factors and systems focused simulation into EHR implementations, particularly for areas of high risk to patient safety.

Speaker:
Jonathan Hron, MD
Boston Children's Hospital

Authors:
Mirette Dube, RRT, MSc - Boston Children's Hospital; Susan Biesbroek, MSc - Healthcare Systems Simulation International; Daniel Kats, MD - Boston Children's Hospital; Lauren Coogle, MD - Children's Hospital of Philadelphia; Myrna Chan-MacRae, MSW MPH - Boston Children's Hospital; Jennifer Arnold, MD - Boston Children's Hospital;

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Balancing Act: Patient Care, Clinician Well-Being, and Organizational Belonging in EHRs

Presentation Time: 10:21 AM - 10:33 AM

Abstract Keywords: Documentation Burden, Human-computer Interaction, Quantitative Methods, Informatics Implementation, Workflow
Primary Track: Foundations

We present findings from a national study on how clinical documentation in EHRs impacts the healthcare professional-patient relationship, work satisfaction, and organizational belonging. Building on our concepts of “charting as interference” and “care through charting,” we examine how documentation influences professional identity and relational care. Though often seen as burdensome, documentation can foster purpose and connection. As AI tools (ambient documentation) advance, our findings emphasize the need for human-centered informatics to support meaningful clinical work.

Speaker:
Michael Cauley, PhD
Vanderbilt University Medical Center

Authors:
Michael Cauley, PhD - Vanderbilt University Medical Center; Yunmei Wang, PhD - Case Western Reserve University; S. Trent Rosenbloom, MD, MPH, FACMI, FAMIA - Vanderbilt University Medical Center Dept of Biomedical Informatics;

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LabGenie – A Patient-Facing AI-Powered Application for Empowering Older Adults to Act Upon Laboratory Test Results

Presentation Time: 10:33 AM - 10:45 AM

Abstract Keywords: Personal Health Informatics, Artificial Intelligence, Large Language Models (LLMs), Chronic Care Management, Information Visualization
Primary Track: Applications
Programmatic Theme: Consumer Health Informatics

Older adults often encounter difficulties in managing their healthcare, especially when using patient portals and understanding lab test results. These challenges can contribute to misinterpretations, ineffective chronic disease management, and heightened health risks. To mitigate these issues, we created LabGenie, a user-friendly, web-based tool that enhances health data comprehension and empowers patients with AI-generated question prompts, facilitating more productive discussions with their healthcare providers.

Speaker:
Zhe He, PhD, FAMIA
Florida State University

Authors:
Zhe He, PhD, FAMIA - Florida State University; Dhruv Kale, MS - Florida State University; Balu Bhasuran, Ph.D - Florida State University; Zhan Zhang, PhD; Zhan Zhang, PhD - Pace University; Mia Liza A. Lustria, PhD - Florida State University; Karim Hanna, MD - University of South Florida Health; Lisa Granville, MD - Florida State University; Xiao Luo, PhD - Oklahoma State University;

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Integrating Community Health Workers into Digital Navigation Workflows

Presentation Time: 10:45 AM - 10:57 AM

Abstract Keywords: Workflow, Workforce Development, User-centered Design Methods, Documentation Burden, Chronic Care Management
Primary Track: Applications
Programmatic Theme: Clinical Informatics

Uncontrolled hypertension (HTN) disproportionately affects Latine patients. Remote patient monitoring (RPM) offers a promising solution, but ensuring access requires addressing determinants of health. Community health workers (CHWs) can support patients using RPM for HTN management. This study takes a user-centered approach to inform the integration of CHWs into digital navigation workflows for RPM-support. Developing tools in electronic health record (EHR) systems has the potential to improve CHW-facilitated patient care while optimizing workflow efficiency.

Speaker:
Defne Levine, MPH
NYU Grossman School of Medicine

Authors:
Defne Levine, MPH - NYU Grossman School of Medicine; Tiffany Martinez, BA - NYU Grossman School of Medicine; Jacalyn Nay, RN - NYU Langone Hospital—Brooklyn; Franzenith De La Calle, MS - NYU Grossman School of Medicine; Elaine De Leon, MD - NYU Grossman School of Medicine; Devin Mann, MD - NYU Grossman School of Medicine; Antoinette Schoenthaler, EdD - NYU Grossman School of Medicine; KATHARINE LAWRENCE, MD - KATHARINE LAWRENCE;

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