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Text Classification Model Explainability for Keyword Extraction - Towards Keyword-Based Summarization of Nursing Care
Akseli Reunamo1, Laura-Maria Peltonen2, Reetta Mustonen2
1Department of Biology, University of Turku, Turku, Finland.
Automated summarization of nursing notes in electronic health records (EHR) can help clinicians quickly grasp patient status. A new keyword extraction method, using machine learning explainability, effectively summarizes nursing entries, outperforming a baseline approach.
Area of Science:
- Health Informatics
- Natural Language Processing
- Machine Learning
Background:
- Healthcare professionals require efficient methods to review patient information.
- Nursing entries in electronic health records (EHRs) contain critical patient data.
- Automated summarization tools can improve clinical workflow efficiency.
Purpose of the Study:
- To develop and evaluate a keyword-based text summarization method for nursing entries in EHRs.
- To extract keywords and phrases that intuitively represent the content of multiple nursing notes.
- To assess the performance of the proposed method against a baseline approach.
Main Methods:
- A keyword-based text summarization method leveraging machine learning model explainability was developed.
- The method was applied to generate keyword summaries from 40 patients' EHR nursing entries.
- Performance was compared to a baseline method using word embeddings and PageRank.
Main Results:
- The proposed method successfully generated representative keyword summaries from nursing entries.
- Manual evaluation by domain experts indicated the new method outperformed the baseline approach.
- The keyword extraction method provides an intuitive overview of patient care episodes.
Conclusions:
- Keyword-based summarization is feasible for nursing entries in EHRs.
- The developed machine learning explainability-based method offers superior performance compared to traditional techniques.
- This approach has the potential to enhance clinical decision-making by providing rapid access to patient information.
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