Howie and Harlan are joined by Lee Schwamm, the Yale School of Medicine's associate dean for digital strategy & transformation and chief digital health officer of the Yale New Haven Health System, to discuss how the system is working to rapidly evaluate and deploy AI tools without compromising patient safety and oversight. Harlan highlights vaccine studies reportedly held back from publication and argues for greater scientific transparency; Howie reports on a deadly outbreak of Andes hantavirus aboard a cruise ship.

Show notes:

Suppressing Science

"F.D.A. Blocked Publication of Research Finding Covid and Shingles Vaccines Were Safe"

"Safety Monitoring of Multiple Health Outcomes Following 2023–2024 COVID-19 Vaccination among Medicare Beneficiaries Aged 65 Years and Older in the United States" One of the studies initially blocked by the FDA, published in medRxiv.

Akiko Iwasaki: "Freedom of scientific inquiry: reclaiming space for controversy"

Lee Schwamm

"What is digital transformation?"

"Use of Ambient AI Scribes to Reduce Administrative Burden and Professional Burnout"

Imaging and radiology

"What Is Remote Patient Monitoring (RPM)? An Expert Guide"

"Platform Solutions vs. Point Solutions: What's the Difference?"

"A prospective clinical feasibility study of a conversational diagnostic AI in an ambulatory primary care clinic"

"A scoping review of silent trials for medical artificial intelligence"

"Heart failure risk stratification using artificial intelligence applied to electrocardiogram images: a multinational study"

Center for Health Care Innovation

"Beyond Sterling Hall: Artificial Intelligence is a 'Natural'"

Institutional Review Board

"What is hyperscale?"

AgileMD: eCART

"Geoff Hinton: On Radiology"

"What is a private cloud?"

"What Is a GPU?"

Lee Schwamm on what makes an excellent digital patient experience:

An excellent digital patient experience is one that moves complexity away from the patient and makes it easy for patients to access, navigate, and coordinate care across the continuum without needing to fragment their care across multiple healthcare delivery systems.

It provides seamless longitudinal continuity of identity, so patients are never asked twice for the same information and their preferences endure between sessions and across experiences. This intelligent hyper-personalization enables care journeys that meaningful, effective and seamlessly intermingle traditional and digital care.

At a macro level, these experiences are delivered equitably and adjust to the patient's level of digital engagement, engendering trust and conveying empathy. An equitable digital front door is one that opens easily for everyone, allows access to the needed services, and improves clinical care and operational efficiency rather than simply digitizing existing ineffective or byzantine processes.

Lastly, excellent digital patient experiences are not just built but are maintained and curated, through continuous measurement, iteration, and alignment to the needs of patients rather than the organizational structure of the health system.

Hantavirus

Oceanwide Expeditions Press Releases

Hantavirus

"What Is Hantavirus, the Rare Disease That Killed Betsy Arakawa?"

"Hantavirus cluster linked to cruise ship travel, Multi-country"

Updates from the World Health Organization on X

"'Super-Spreaders' and Person-to-Person Transmission of Andes Virus in Argentina"

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