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Juan Chaparro

@jchaparromd.bsky.social
625 followers 182 following 60 posts

Physician #Informaticist and Pediatric #InfectiousDiseases Specialist at @NationwideKids Views expressed here are my own. #informatics #ClinicalDecisionSupport #medicalinformatics #alertfatigue #design @pediatric-cds

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Reposted by Juan Chaparro
Pediatric Clinical Decision Support Collaborative @pediatriccds.org · 20/05/2026
Starting us off at #Amplify2026 this morning is Rapid Response #CDS: Collaborative Solutions for Healthcare Emergencies 📍 Mt. Sopris B 🕥 8 AM @amia.org @jchaparromd.bsky.social @mmolloymd.bsky.social
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Ivana J @anacapa17.bsky.social · 18/05/2026
Impressive research on a unique data set www.nytimes.com/2026/05/18/w...
nytimes.com
Actually, Democracy Dies in H.R.
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Juan Chaparro @jchaparromd.bsky.social · 18/05/2026
Keeping escape rooms in business, one conference at a time! #Amplify2026 #SharedDecisionMaking l
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Juan Chaparro @jchaparromd.bsky.social · 18/05/2026
Human Centered design needs to be part of your CDS development. Looking forward to this workshop. #CDS #humandesign #amplify2026
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Isabel @isabelott.bsky.social · 15/02/2026
“Asked how the cuts have affected science, one [researcher] said, ‘This is like asking, how do you think dropping an atomic bomb on New York City will affect the future of Broadway musicals? This is a generational loss of innovation, technology, and economic power.’” 🔗 archive.ph/2026.02.12-1...
archive.ph
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Juan Chaparro @jchaparromd.bsky.social · 07/02/2026
Even the best AI models won’t work if our audiences aren’t ready for them! Cognitive readiness of nurses regarding #AI predictions #JAMIAOpen #CDS #ClinicalInformatics
academic.oup.com
Cognitive readiness of nurses regarding artificial intelligence predictions: understanding through the dual lens of verbatim and gist knowledge
AbstractObjectives. The expansion of artificial intelligence (AI)-enabled clinical decision support (CDS) requires nurses to interpret complex model output
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Juan Chaparro @jchaparromd.bsky.social · 27/01/2026
We need these to actually go to trial. These guys are the Phillip Morris of our generation. They knew damn well what the were doing. #deleteTiktok #mentalHealthMatters
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Applied Clinical Informatics Journal @aci-journal.medsky.social · 07/12/2025
NEW: Solutions for Increased Adoption of #PatientPortal Shared Access: A Human-Centered Design Approach Using the Double Diamond Model www.thieme-connect.de/products/ejo... #MedSky #HumanCenteredDesign #HCI #usability @thelizarmy.bsky.social @cait-desroches.bsky.social @opennotes.org
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Febrile @febrilepodcast.com · 01/12/2025
New episode out today: Listen in to this team from LA as they walk through several mini-cases and chat IV vs PO antibiotics! Feat: Fourth year medical student Hannah Chute, Dr. Paloma Reta-Impey, and @bradspellberg.bsky.social Also check out: www.bradspellberg.com/oral-antibio... #IDsky #MedSky
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The American Academy of Pediatrics @ameracadpeds.bsky.social · 05/12/2025
The decision by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention to downgrade its recommendations to protect infants from hepatitis B is a dangerous move that will harm children. Click here to read AAP's full statement: bit.ly/3Y9ZQJT
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Pediatric Clinical Decision Support Collaborative @pediatriccds.org · 16/11/2025
Up next at #AMIA2025 is Revenue vs. Cost Center: How Clinical Informaticists Can Boost Their Organizations' Bottom Line — a PINA-sponsored panel highlighting how CDS, analytics, training, & AI can drive financial + clinical impact.
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Juan Chaparro @jchaparromd.bsky.social · 09/09/2025
We Are Watching a Scientific Superpower Destroy Itself www.nytimes.com/2025/09/08/o...
nytimes.com
Opinion | We Are Watching a Scientific Superpower Destroy Itself
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The American Academy of Pediatrics @ameracadpeds.bsky.social · 07/07/2025
The American Academy of Pediatrics is proud to stand with leading public health organizations by taking legal action to protect the integrity of our immunization system to defend science, evidence-based medicine, and the policies that keep children safe. www.youtube.com/watch?v=DODV...
youtube.com
Protecting Kids: Why Pediatricians Are Suing the Government | AAP
YouTube video by American Academy of Pediatrics
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Juan Chaparro @jchaparromd.bsky.social · 09/07/2025
Never been prouder to be an #AAP member! #VaccinesWork
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WBUR @wbur.org · 07/07/2025
The lawsuit alleges that Kennedy and other political appointees at the U.S. Department of Health and Human Services have flouted federal procedures and systematically attempted to mislead the public.
wbur.org
Doctors and public health organizations sue RFK Jr. in Boston court over vaccine policy changes
The lawsuit alleges that Kennedy and other political appointees at the U.S. Department of Health and Human Services have flouted federal procedures and systematically attempted to mislead the public.
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ACIF @acifellows.bsky.social · 30/06/2025
Are you ready with your Clinical Informatics Fellowships applications? Remember, we are on a July cycle, which means that you can begin submitting to  programs on July 2nd at 9 a.m. ET. Here's a helpful guide for you. www.acifellows.org/future-fellows #clinicalinformatics #clinformatics
acifellows.org
Prospective Applicants | ACIF: AMIA Clinical Informatics Fellows
AMIA Clinical Informatics Fellows
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Juan Chaparro @jchaparromd.bsky.social · 10/06/2025
Unbelievable. #RFK is setting the state of American medical sciences back DECADES. Thanks, Dr. Kressly, for calling this nonsense out. #VaccinesWork
aap.org
AAP Statement on Changes to Advisory Committee on Immunization Practices | AAP
“The American Academy of Pediatrics is deeply troubled and alarmed by Secretary Kennedy’s mass firing of all 17 experts on the Advisory Committee on Immunization Practices. This unprecedented action, ...
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Juan Chaparro @jchaparromd.bsky.social · 17/04/2025
Docs get tons of #PatientPortal messages, some more urgent than others. Can #LLMs with Retrieval-Augmented Generation be used to identify emergencies from these messages? @allisonbmccoy.phd academic.oup.com/jamia/advanc...
academic.oup.com
Detecting emergencies in patient portal messages using large language models and knowledge graph-based retrieval-augmented generation
AbstractObjectives. This study aims to develop and evaluate an approach using large language models (LLMs) and a knowledge graph to triage patient messages
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Reposted by Juan Chaparro
Jonathan Cohn @jonathancohn.bsky.social · 13/04/2025
The bipartisan belief that America would be a better place if *other people* worked in a factory. www.ft.com/content/8459...
80+% of both Democrats and Republicans believe America would be better off if more Americans worked in manufacturing, but < 30% say that about themselves.
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Yale School of Public Health @yalesph.bsky.social · 24/02/2025
We'll leave you with this: 7/7
We’ll leave you with this: On what looks like a piece of paper reads, Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it. Then one morning, when she was well on the road to recovery, I was sitting on her bed showing her how to fashion little animals out of coloured pipe-cleaners, and when it came to her turn to make one herself, I noticed that her fingers and her mind were not working together and she couldn’t do anything.“Are you feeling all right?” I asked her.“I feel all sleepy,” she said.In an hour, she was unconscious. In twelve hours she was dead.Next to the paper reads, In 1988, author Roald Dahl wrote a letter to parents begging them not to deny their children vaccinations. His daughter died in 1962, a year before the measles vaccine. His words, excerpted at left, still resonate. Source: TIME  Yale School of Public Health
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Yale School of Public Health @yalesph.bsky.social · 01/04/2025
476 of these measles cases are linked to a large regional outbreak in the Southwest. Experts warn that this number may be a severe undercount. 2/11
Southwest measles outbreak as of March 30, 2025 Map shows four states - New Mexico: 44 cases, 2 hospitalizations, 1 death. Kansas: 23 cases. Oklahoma: 9 cases. Texas: 400 cases, 41 hospitalizations, 1 death.
SOURCES: CORI, state health departments, news outlets, YALE ESF-8 Virtual Medical Operation Center
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Infectious Diseases @infectiousdz.bsky.social · 09/03/2025
More Measles Maryland reports a new case linked to international travel—not connected to the Texas/New Mexico outbreak. Potential exposures: - Dulles International Airport (arrivals baggage claim) - Johns Hopkins Howard County Pediatric ER health.maryland.gov/newsroom/Pag...
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Juan Chaparro @jchaparromd.bsky.social · 10/03/2025
#delabel #savepenicillins Removing allergy labels is hard! We need to work on preventing allergy labels from ever making it to the chart!
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Liz Highleyman @lizhighleyman.bsky.social · 09/03/2025
There's always a few withdrawn presentations at conferences, but seeing 3 withdrawals in a session on diversity is sad. I wonder how many CDC & NIH colleagues couldn't come? #CROI2025
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Scott McGrath @smcgrath.phd · 07/03/2025
🧪 AI is exposing errors in research papers, fast. Tools like the Black Spatula Project and YesNoError use AI to catch mistakes in calculations, methodology, and references before they spread. 🩺💻 #MLSky #AcademicSky
nature.com
AI tools are spotting errors in research papers: inside a growing movement
Study that hyped the toxicity of black plastic utensils inspires projects that use large language models to check papers.
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Ryan Radecki MD MS @www.evidencetriage.com · 08/03/2025
How much would it take to entice you to review a journal article? $50? $100? $250? $1000? #medsky medicineminute.substack.com/p/you-dont-h...
medicineminute.substack.com
You Don't Have to Review for Free?
The bribes aren't emphasized nearly enough here.
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Juan Chaparro @jchaparromd.bsky.social · 05/03/2025
Nice to see publications of implemented AI/ML #CDSS models, but this one is very light on the details. Particularly Table 2. 🤔 #informatics
medinform.jmir.org
The Construction and Application of a Clinical Decision Support System for Cardiovascular Diseases: Multimodal Data-Driven Development and Validation Study
Background: Due to the acceleration of the aging population and the prevalence of unhealthy lifestyles, the incidence of cardiovascular diseases (CVD) in China continues to grow. However, due to uneve...
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Juan Chaparro @jchaparromd.bsky.social · 05/02/2025
A reminder that even non-Avian #influenza can kill you (or your child)! 47 children have lost their lives so far this season to influenza. #getVaccinated #FightFlu #flu #VaccinesWork
CDC reports 47 children have died of flu during the 2024-2025 season. 
44.1% of US children have been vaccinated for the flu, down from 48.8% last year.
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Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · 04/02/2025
@drneilstone.bsky.social
Dr. Neil Stone-
Villain of the day 
Senator Bill Cassidy
A doctor
Used to work on Hepatitis B vaccination 
Voted to confirm an anti vaccine conspiracy theororist for HHS head
He knows better 
Shameful
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Ezra Levin ❌👑 @ezralevin.bsky.social · 02/02/2025
When I was a Hill staffer in 2009, a Dem trifecta was trying to pass universal healthcare. In response, Senate GOP released a memo detailing all of the tactics they in the minority could use to delay the effort as much as possible. I'm recirculating that 2009 GOP memo here. Take inspiration from it.
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John Cusack @johncusack.bsky.social · 05/01/2025
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ᐯIᑕTOᖇ ᑎIᘔET, ᗰᗪ @nizet.bsky.social · 28/12/2024
In 2023 RFK Jr said “their are much better candidates than HIV for what causes AIDS”, e.g. pointing instead to amyl nitrate poppers popular in the gay club scene in the 1980s. Just imagine how such abject misinformation hurts the families below and the 40M people living with AIDS across the globe.
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Juan Chaparro @jchaparromd.bsky.social · 28/12/2024
Seeing a TON of kids being admitted with RSV, COVID and Influenza over the holidays. A bit frustrating because we have effective immunizations for all three!! #Nirsevimab #FluVaccine #COVIDVaccine #PedsID #IDSky
media.tenor.com
a little girl is sitting on a couch with her eyes closed and making a funny face .
Alt: a little girl is sitting on a couch with her eyes closed and making a funny face .
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Literary Pearls @literarypearls.bsky.social · 21/12/2024
"One of the great tragedies of mankind is that morality has been hijacked by religion. So now people assume that religion and morality have a necessary connection. But the basis of morality is really very simple and doesn't require religion at all." Arthur C. Clarke
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Kevin M. Kruse @kevinmkruse.bsky.social · 22/12/2024
I bet the one thing all the experts agree on is that neither of these clowns should be remotely involved in matters of public health
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Juan Chaparro @jchaparromd.bsky.social · 22/12/2024
Conan remains the best late night host ever. Also, check out his podcast “Conan O’Brien Needs a Friend”.
nytimes.com
Conan O’Brien Doesn’t Matter*
*That’s his opinion. And yet he’s setting a new standard for what life after late-night can look like. (Hint: It’s a lot like what he did on talk shows.)
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Nick Genes @genes.bsky.social · 19/12/2024
Fascinating JAMIA paper compares EHR note volume to literature. Emergency physicians went from reading Orwell (2006) to Moby Dick (2023) per patient. The metaphor feels apt - we're all just searching for meaning, amidst vast seas of text. #EMedSky pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov
Call me Dr Ishmael: trends in electronic health record notes available at emergency department visits and admissions
Numerous studies have identified information overload as a key issue for electronic health records (EHRs). This study describes the amount of text data across all notes available to emergency physicia...
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Acyn @acyn.bsky.social · 19/12/2024
Jeffries: In our nation's history, 25% of our nation's debt was accumulated during the four years of the former president, 25%. How dare you lecture America about fiscal responsibility ever.
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Juan Chaparro @jchaparromd.bsky.social · 19/12/2024
Laboratory stewardship is important! And never waste a crisis to make that burning platform #labstewardship #cds 🩺💻
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Ryan Marino, MD @ryanmarino.bsky.social · 12/12/2024
The American Medical Association surveyed doctors about insurance “prior authorizations” and found: 41 prior auths per doctor per week 13 hours spent per week on prior auths 24% reported hospitalizations due to delays from prior auths 8% reported disability/deaths due to delays from prior auths
Infographic summarizing negative outcomes documented from prior authorization Infographic summarizing negative outcomes documented from prior authorization
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The Guardian @theguardian.com · 13/12/2024
Steven Bartlett accused of amplifying dangerous health claims on his podcast
theguardian.com
Steven Bartlett accused of amplifying dangerous health claims on his podcast
Experts say Dragons’ Den star’s Diary of a CEO podcast contained unfounded claims, including that evidence-based medication is ‘toxic’ for patients Diary of a CEO host Steven Bartlett has been criticised by health experts for amplifying harmful health…
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Daniel Keywan Hollister @dkh.bsky.social · 08/12/2024
Storytime. In 2005, my mom died from cancer, but the real cause was the actions taken by an insurance company 12 years earlier. What happened to her was evil, hard to identify or fight, and hidden from the public by legal mechanisms. Because of that, I have no idea how often it has happened.
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🦋•𝒜𝓁𝒾𝓈𝓈𝒶 •🦋 @alienissa.bsky.social · 10/12/2024
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Hell Gate *subscribe today!* @hellgatenyc.com · 09/12/2024
As NYPD officials boasted of the resources expended finding the killer of a corporate CEO, another sidewalk murder the same week, of a migrant teen, has not received the same treatment. hellgatenyc.com/two-manhatta...
hellgatenyc.com
Two Very Different Manhattan Murder Investigations
The NYPD spent countless hours and resources searching for a CEO’s killer, but has made little evident progress on the fatal stabbing of a migrant teen.
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Altmetric @altmetric.com · 06/12/2024
THREAD So your Attention Score went down because people are rage-deleting their Twitter accounts. Why is that happening? Should I be worried? Should I see my doctor? Let's get into what the Attention Score actually is, how it's impacted by posts and deletions, WITH THE HELP OF MEMES. 1/20
#AcademicSky #MedSky #Metascience
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Shematologist, MD @shematologist.medsky.social · 08/12/2024
Staggering statistics at #ASH24 #TreatingFairly Patients with cancer who go bankrupt are nearly 80% more likely to die regardless of disease status. Our system quite literally kills people.
Slide on financial toxicity of cancer care
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Robert Cooper @robertcooper-us.bsky.social · 06/12/2024
BREAKING: Spanish Prime Minister Pedro Sanchez today vowed to add abortion rights and gay marriage to Spain’s constitution so they “can never be undone.”
theolivepress.es
Spain to enshrine gay marriage and abortion rights into its constitution so 'they cannot be undone in the future' - Olive Press News Spain
PRIME Minister Pedro Sanchez today vowed to add abortion rights and gay marriage to Spain's constitution so they 'can never be undone'. The left-wing PSOE
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Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · 05/12/2024
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Dr. Glaucomflecken @glaucomflecken.bsky.social · 05/12/2024
I know somebody died but that doesn’t mean you have to say nice things about health insurance companies. They won’t approve your claims. They will fuck you though.
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Juan Chaparro @jchaparromd.bsky.social · 05/12/2024
"oops, I meant to send that to someone else!" Higher volume secure messaging users associated with increased risk of wrong-patient ordering. #wrongpatient #EHR #patientsafety #HealthIT #informatics
jamanetwork.com
Secure Messaging Use and Wrong-Patient Ordering Errors by Inpatient Clinicians
This cohort study uses electronic health record data to investigate the association between hospital clinician use of secure messaging and wrong-patient ordering errors.
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