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Assessing the Impact of the Quality of Textual Data on Feature Representation and Machine Learning Models:

Tabinda Sarwar1, Antonio José Jimeno Yepes1, Lawrence Cavedon1

  • 1Royal Melbourne Institute of Technology University, Melbourne, Australia.

Journal of Medical Internet Research
|December 30, 2025
PubMed
Summary
This summary is machine-generated.

Machine learning models perform well on health datasets with less than 10% errors, but performance significantly drops with higher error rates. Evaluating and correcting data quality is crucial for reliable machine learning in healthcare.

Keywords:
aged care homesclinical datadata qualityelectronic health recordserror ratehealthcarelarge language modelsmachine learningnatural language processingpredictive modelling

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Area of Science:

  • Health Informatics
  • Machine Learning
  • Natural Language Processing

Background:

  • Real-world data collection often compromises data quality, impacting machine learning (ML) model performance.
  • Textual data in healthcare, such as progress notes, requires high accuracy due to potential life-threatening consequences of incorrect ML predictions.
  • Assessing the impact of textual data quality is essential for reliable healthcare ML applications.

Purpose of the Study:

  • To quantify textual dataset quality and evaluate the impact of errors on ML models.
  • To determine the tolerance of feature representations and ML models to data errors.
  • To assess the justification for investing resources in improving data quality for healthcare ML.

Main Methods:

  • Developed a token-level error rate metric for textual dataset quality assessment.
  • Utilized the Mixtral large language model (LLM) to quantify and correct errors in datasets.
  • Analyzed the MIMIC-III (high-quality) and Australian Aged Care Homes (AACHs; lower-quality) datasets, introducing errors into MIMIC-III and correcting AACHs.
  • Evaluated feature representations and ML models using the area under the receiver operating curve (AUC).

Main Results:

  • Mixtral detected errors in 63% of progress notes, with 17% having single token misclassifications.
  • Feature representation performance tolerated error rates below 10% but declined significantly above this threshold.
  • The AACH dataset, with an 8% error rate, showed no major performance degradation.
  • Term frequency-inverted document frequency (TF-IDF) outperformed embedding features; ML model effectiveness varied by task.

Conclusions:

  • ML models are sensitive to data quality, with performance degrading significantly at error rates of 10% or higher.
  • Dataset quality evaluation is critical before ML implementation in healthcare.
  • Corrective measures are essential for datasets with high error rates to ensure ML model reliability and effectiveness.