Importance Acute dysfunction of vital organs is the hallmark of critical illness. The Sequential Organ Failure Assessment (SOFA) score, the most widely adopted approach to describe organ dysfunction, has not been updated in 30 years and therefore may not appropriately capture…
Importance The Sequential Organ Failure Assessment (SOFA) score was published in 1996 to describe organ dysfunction in critically ill adult patients in a readily quantifiable and sequential manner. Considerable changes have occurred over the last 3 decades in the use of…
Clinical Question Which topical anti-inflammatory treatments are most effective and safe for managing atopic dermatitis? Bottom Line In a network meta-analyses, very potent/potent topical corticosteroids; tacrolimus, 0.1%; and topical Janus kinase inhibitors were among the most effective treatments for short-term control of…
This JAMA Guide to Statistics and Methods article discusses designing and implementing clinical trials to minimize the number of missing data.
A 69-year-old woman was referred due to widespread gingival swelling, which had been worsening over the preceding 3 months and was unresponsive to antibiotic treatment. Gingival biopsy showed areas of chronic inflammation, microabscess foci, and pseudoepitheliomatous hyperplasia of the covering…
Importance Keratinocyte carcinomas are skin cancers that arise from keratinocytes and are composed of basal cell carcinomas (BCCs) and cutaneous squamous cell carcinomas (cSCCs). Keratinocyte carcinomas are common in North America, Australia, New Zealand, and Europe. Approximately 5.4 million keratinocyte carcinomas…
This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the evolution of electronic health records in street health care practice. The featured guest is Brett Feldman, the Director and…
Electronic health records are now critical in day-to-day health care operations. A drawback to using them, however, is that they tend to divert clinicians’ focus from patients to a screen. This phenomenon has generated a colloquial reference to patient-screen pairings…
Since health care organizations implemented widespread adoption of electronic health records (EHRs), clinicians’ notes about patients’ care have become longer and more cumbersome, a phenomenon colloquially known as “note bloat.” Bulky templates and blocks of data take time to sort…
This commentary on a case analyzes how integrating ambient listening and transcription technologies powered by artificial intelligence into the electronic health record documentation process influences documentation practices and clinical encounters. The commentary offers best-practice recommendations for informed consent processes and…
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