Foster Goss, DO
Associate Professor, Emergency Medicine

Professional Titles

• Emergency Physician
• Clinical Informaticist

Recognition & Awards

• Parners In Exellence, Partners Healthcare (2017)
  Given in recognition for outstanding performance and commitment to excellence for our team’s research on improving the quality and accuracy of dictated Medical documents using natural language processing.
• Partners In Excellence, Partners Healthcare (2016)
  Given in recognition for outstanding performance and commitment to excellence for our team’s research on encoding and processing allergy information in EHRs.
• Paper of the Month, Swiss Patient Safety Foundation (2015)
  Selected as “Paper of the Month” by the Swiss Patient Safety Foundation who recommended this paper on “Rising Drug allergy alerts overrides in electronic health records” to ~4000 professionals in patient safety in Switzerland, Germany and Austria; Reported in AHRQ’s Patient Safety Network.

Teaching

Publications

• Wang L, Park H, Vallamkonda S, Seger DL, Blackley SV, Garabedian PM, Goss F, Blumenthal KG, Bates DW, Murphy S, Zhou L. Dynamic reaction picklist for improving allergy reaction documentation: A usability study. Int J Med Inform. 2023 Feb;170:104939. PubMed PMID: 36529027
• Sinaiko AD, Sloan CE, Soto MJ, Zhao O, Lin CT, Goss FR. Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record. JAMA Intern Med. 2023 Oct 1;183(10):1172-1175. PubMed PMID: 37669058
• Mehrpour O, Hoyte C, Al Masud A, Biswas A, Schimmel J, Nakhaee S, Nasr MS, Delva-Clark H, Goss F. Deep learning neural network derivation and testing to distinguish acute poisonings. Expert Opin Drug Metab Toxicol. 2023 Jan-Jun;19(6):367-380. PubMed PMID: 37395108
• Mehrpour O, Hoyte C, Goss F, Shirazi FM, Nakhaee S. Decision tree algorithm can determine the outcome of repeated supratherapeutic ingestion (RSTI) exposure to acetaminophen: review of 4500 national poison data system cases. Drug Chem Toxicol. 2023 Nov;46(4):692-698. PubMed PMID: 35670081
• Mehrpour O, Hoyte C, Nakhaee S, Megarbane B, Goss F. Using a decision tree algorithm to distinguish between repeated supra-therapeutic and acute acetaminophen exposures. BMC Med Inform Decis Mak. 2023 Jun 1;23(1):102. PubMed PMID: 37264381
• Mehrpour O, Saeedi F, Abdollahi J, Amirabadizadeh A, Goss F. The value of machine learning for prognosis prediction of diphenhydramine exposure: National analysis of 50,000 patients in the United States. J Res Med Sci. 2023;28:49. PubMed PMID: 37496638
• Mehrpour O, Saeedi F, Vohra V, Abdollahi J, Shirazi FM, Goss F. The role of decision tree and machine learning models for outcome prediction of bupropion exposure: A nationwide analysis of more than 14?000 patients in the United States. Basic Clin Pharmacol Toxicol. 2023 Jul;133(1):98-110. PubMed PMID: 36960587
• Varghese S, Wang L, Blackley SV, Blumenthal KG, Goss FR, Zhou L. Expanding the reaction picklist in electronic health records improves allergy documentation. J Allergy Clin Immunol Pract. 2022 Oct;10(10):2768-2771.e2. PubMed PMID: 35835388
• Betz ME, Boggs JM, Goss FR. Predicting Firearm Suicide-Small Steps Forward With Big Data. JAMA Netw Open. 2022 Jul 1;5(7):e2223758. PubMed PMID: 35816308
• Lo YC, Varghese S, Blackley S, Seger DL, Blumenthal KG, Goss FR, Zhou L. Reconciling Allergy Information in the Electronic Health Record After a Drug Challenge Using Natural Language Processing. Front Allergy. 2022;3:904923. PubMed PMID: 35769562
• Wang L, Park H, Vallamkonda S, Seger DL, Blackley SV, Garabedian PM, Goss F, Blumenthal KG, Bates DW, Murphy S, Zhou L. Dynamic reaction picklist for improving allergy reaction documentation: A usability study. Int J Med Inform. 2022 Dec 5;170:104939. [Epub ahead of print] PubMed PMID: 36529027
• Mehrpour O, Hoyte C, Delva-Clark H, Al Masud A, Biswas A, Schimmel J, Nakhaee S, Goss F. Classification of acute poisoning exposures with machine learning models derived from the National Poison Data System. Basic Clin Pharmacol Toxicol. 2022 Dec;131(6):566-574. PubMed PMID: 36181236
• Mehrpour O, Hoyte C, Goss F, Shirazi FM, Nakhaee S. Decision tree algorithm can determine the outcome of repeated supratherapeutic ingestion (RSTI) exposure to acetaminophen: review of 4500 national poison data system cases. Drug Chem Toxicol. 2022 Jun 7;:1-7. [Epub ahead of print] PubMed PMID: 35670081
• Yerneni S, Shah SN, Blackley SV, Ortega CA, Blumenthal KG, Goss F, Seger DL, Wickner PG, Mancini CM, Bates DW, Zhou L. Heterogeneity of Drug Allergies and Reaction Lists in Two U.S. Health Care Systems' Electronic Health Records. Appl Clin Inform. 2022 May;13(3):741-751. PubMed PMID: 35617970
• Mehrpour O, Saeedi F, Hoyte C, Goss F, Shirazi FM. Utility of support vector machine and decision tree to identify the prognosis of metformin poisoning in the United States: analysis of National Poisoning Data System. BMC Pharmacol Toxicol. 2022 Jul 13;23(1):49. PubMed PMID: 35831909
• Korach ZT, Gradwohl S, Messinger A, Bookman K, Cohen K, Zhou L, Goss F. Unsupervised clinical relevancy ranking of structured medical records to retrieve condition-specific information in the emergency department. Int J Med Inform. 2021 May;149:104410. PubMed PMID: 33621793
• Goss FR, Sinaiko A, Podhajsky T, Lin CT. Real-time medication prices at the point of care: Experiences of prescribers. Am J Health Syst Pharm. 2021 Mar 18;78(7):550-551. PubMed PMID: 33507262
• Ortega C, Lo YC, Blackley S, Vallamkonda S, Chang F, James O, Yerneni S, Seger D, Wang L, Blumenthal K, Goss F. Methods for identifying and reconciling allergy information in the electronic health record. Journal of Allergy and Clinical Immunology. 2021 Feb 1;147(2):AB168.
• Wang L, Blackley SV, Blumenthal KG, Yerneni S, Goss FR, Lo YC, Shah SN, Ortega CA, Korach ZT, Seger DL, Zhou L. A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record. J Am Med Inform Assoc. 2020 Jun 1;27(6):917-923. PubMed PMID: 32417930
• Blackley SV, Schubert VD, Goss FR, Al Assad W, Garabedian PM, Zhou L. Physician use of speech recognition versus typing in clinical documentation: A controlled observational study. Int J Med Inform. 2020 Sep;141:104178. PubMed PMID: 32521449
• Goss FR, Bookman K, Barron M, Bickley D, Landgren B, Kroehl M, Williamson K, Zane R, Wiler J. Improved antibiotic prescribing using indication-based clinical decision support in the emergency department. J Am Coll Emerg Physicians Open. 2020 Jun;1(3):214-221. PubMed PMID: 33000036
• Dhaliwal JS, Goss F, Whittington MD, Bookman K, Ho PM, Zane R, Wiler J. Reduced admission rates and resource utilization for chest pain patients using an electronic health record-embedded clinical pathway in the emergency department. J Am Coll Emerg Physicians Open. 2020 Dec;1(6):1602-1613. PubMed PMID: 33392569
• Real-time Medication Prices at the Point of Care: Experiences of Prescribers. American Journal of Hospital Pharmacy (accepted)
• Unsupervised Clinical Relevancy Ranking of Structured Medical Records to Retrieve Condition-Specific Information in the Emergency Department. IJMI (accepted)
• Yushkevich, S. Giddins, M. Fuchs, A. Irwin, A. Keith, A. Jeffers, A. Jeffers, M. Barron, FR. Goss, S. Metzger, C. Price. Effectiveness of Antibiotic Neutralization with Broad-spectrum ß-lactamase in Whole Blood Patient Samples. ASM Microbe
• Wong A, Seger DL, Lai KH, Goss FR, Blumenthal KG, Zhou L. Drug Hypersensitivity Reactions Documented in Electronic Health Records within a Large Health System. J Allergy Clin Immunol Pract. 2019 Apr;7(4):1253-1260.e3. PubMed PMID: 30513361
• Goss FR, Blackley SV, Ortega CA, Kowalski LT, Landman AB, Lin CT, Meteer M, Bakes S, Gradwohl SC, Bates DW, Zhou L. A clinician survey of using speech recognition for clinical documentation in the electronic health record. Int J Med Inform. 2019 Oct;130:103938. PubMed PMID: 31442847
• Horng S, Greenbaum NR, Nathanson LA, McClay JC, Goss FR, Nielson JA. Consensus Development of a Modern Ontology of Emergency Department Presenting Problems-The Hierarchical Presenting Problem Ontology (HaPPy). Appl Clin Inform. 2019 May;10(3):409-420. PubMed PMID: 31189204
• Reno E, Goss F, Franco-Paredes C, Henao-Martínez AF. Fatal fulminant hepatitis A in a US traveller returning from Peru. J Travel Med. 2019 Jun 11;26(5). PubMed PMID: 30843589
• Zhou L, Blackley SV, Kowalski L, Doan R, Acker WW, Landman AB, Kontrient E, Mack D, Meteer M, Bates DW, Goss FR. Analysis of Errors in Dictated Clinical Documents Assisted by Speech Recognition Software and Professional Transcriptionists. JAMA Netw Open. 2018 Jul;1(3). PubMed PMID: 30370424
• Cohen KB, Xia J, Zweigenbaum P, Callahan TJ, Hargraves O, Goss F, Ide N, Névéol A, Grouin C, Hunter LE. Three Dimensions of Reproducibility in Natural Language Processing. LREC Int Conf Lang Resour Eval. 2018 May;2018:156-165. PubMed PMID: 29911205
• Goss FR, Lai KH, Topaz M, Acker WW, Kowalski L, Plasek JM, Blumenthal KG, Seger DL, Slight SP, Wah Fung K, Chang FY, Bates DW, Zhou L. A value set for documenting adverse reactions in electronic health records. J Am Med Inform Assoc. 2018 Jun 1;25(6):661-669. PubMed PMID: 29253169
• Topaz M, Goss F, Blumenthal K, Lai K, Seger DL, Slight SP, Wickner PG, Robinson GA, Fung KW, McClure RC, Spiro S, Acker WW, Bates DW, Zhou L. Towards improved drug allergy alerts: Multidisciplinary expert recommendations. Int J Med Inform. 2017 Jan;97:353-355. PubMed PMID: 27729200
• Acker WW, Plasek JM, Blumenthal KG, Lai KH, Topaz M, Seger DL, Goss FR, Slight SP, Bates DW, Zhou L. Prevalence of food allergies and intolerances documented in electronic health records. J Allergy Clin Immunol. 2017 May 23. [Epub ahead of print] PubMed PMID: 28577971
• Genco EK, Forster JE, Flaten H, Goss F, Heard KJ, Hoppe J, Monte AA. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Preventing Adverse Drug Events in the Emergency Department. Ann Emerg Med. 2016 Feb;67(2):240-248.e3. PubMed PMID: 26553282
• Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016 Sep;93:70-3. PubMed PMID: 27435949
• Zhou L, Dhopeshwarkar N, Blumenthal KG, Goss F, Topaz M, Slight SP, Bates DW. Drug allergies documented in electronic health records of a large healthcare system. Allergy. 2016 Sep;71(9):1305-13. PubMed PMID: 26970431
• Topaz M, Seger DL, Goss F, Lai K, Slight SP, Lau JJ, Nandigam H, Zhou L. Standard Information Models for Representing Adverse Sensitivity Information in Clinical Documents. Methods Inf Med. 2016;55(2):151-7. PubMed PMID: 26905461
• Topaz M, Seger DL, Slight SP, Goss F, Lai K, Wickner PG, Blumenthal K, Dhopeshwarkar N, Chang F, Bates DW, Zhou L. Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. J Am Med Inform Assoc. 2016 May;23(3):601-8. PubMed PMID: 26578227
• Genco EK, Forster JE, Flaten H, Goss F, Heard KJ, Hoppe J, Monte AA. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Preventing Adverse Drug Events in the Emergency Department. Ann Emerg Med. 2016 Feb;67(2):240-248.e3. PubMed PMID: 26553282
• Plasek JM, Goss FR, Lai KH, Lau JJ, Seger DL, Blumenthal KG, Wickner PG, Slight SP, Chang FY, Topaz M, Bates DW, Zhou L. Food entries in a large allergy data repository. J Am Med Inform Assoc. 2016 Apr;23(e1):e79-87. PubMed PMID: 26384406
• Normandin PA, Sullivan MM, Goss FR. A 34-year-old woman with heavy vaginal bleeding. J Emerg Nurs. 2015 Jan;41(1):69-70. PubMed PMID: 25459338
• Plasek JM, Goss FR, Lai KH, Lau JJ, Seger DL, Blumenthal KG, Wickner PG, Slight SP, Chang FY, Topaz M, Bates DW, Zhou L. Food entries in a large allergy data repository. J Am Med Inform Assoc. 2015 Sep 17. [Epub ahead of print] PubMed PMID: 26384406
• Topaz M, Seger DL, Lai K, Wickner PG, Goss F, Dhopeshwarkar N, Chang F, Bates DW, Zhou L. High Override Rate for Opioid Drug-allergy Interaction Alerts: Current Trends and Recommendations for Future. Stud Health Technol Inform. 2015;216:242-6. PubMed PMID: 26262047
• Lai KH, Topaz M, Goss FR, Zhou L. Automated misspelling detection and correction in clinical free-text records. J Biomed Inform. 2015 Jun;55:188-95. PubMed PMID: 25917057
• Topaz M, Lai K, Dhopeshwarkar N, Seger DL, Sa'adon R, Goss F, Rozenblum R, Zhou L. Clinicians' Reports in Electronic Health Records Versus Patients' Concerns in Social Media: A Pilot Study of Adverse Drug Reactions of Aspirin and Atorvastatin. Drug Saf. 2015 Dec 29. [Epub ahead of print] PubMed PMID: 26715498
• Shu T, Liu H, Goss FR, Yang W, Zhou L, Bates DW, Liang M. EHR adoption across China's tertiary hospitals: a cross-sectional observational study. Int J Med Inform. 2014 Feb;83(2):113-21. PubMed PMID: 24262068
• Goss FR, Zhou L, Plasek JM, Broverman C, Robinson G, Middleton B, Rocha RA. Evaluating standard terminologies for encoding allergy information. J Am Med Inform Assoc. 2013 Sep-Oct;20(5):969-79. PubMed PMID: 23396542
• Zhou L, Mahoney LM, Shakurova A, Goss F, Chang FY, Bates DW, Rocha RA. How many medication orders are entered through free-text in EHRs?--a study on hypoglycemic agents. AMIA Annu Symp Proc. 2012;2012:1079-88. PubMed PMID: 23304384
• Horng S, Goss FR, Chen RS, Nathanson LA. Prospective pilot study of a tablet computer in an Emergency Department. Int J Med Inform. 2012 May;81(5):314-9. PubMed PMID: 22226927
• Pauker SG, Goss FR. Using models to predict the future: what to do when the data run out?. Clin Pharmacol Ther. 2012 May;91(5):769-71. PubMed PMID: 22513311
• Carlos Ortega, Ying-Chih Lo, MD, PhD, Suzanne V. Blackley, MA, Sachin Vallamkonda1, Frank Chang, Oliver D. James, Sharmitha Yerneni, Liqin Wang, PhD, Diane Seger, RPh, Kimberly G. Blumenthal, MD, MSc, Foster R. Goss, DO, MMSc, Paige G. Wickner, MD, MPH,, Li Zhou, MD, PhD. Methods for Identifying and Reconciling Allergy Information in the Electronic Health Record. American Academy of Allergy, Asthma & Immunology Conference (accepted 2021).