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在建立数据标签时实现高互评分可靠性:一个回顾性图表审查研究研究
Guosong Wu1, Cathy Eastwood1, Natalie Sapiro1
1Centre for Health Informatics, Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
BMJ open quality
|April 17, 2024
概括
在对机器学习数据的医疗病历审查中,实现了高的评级者间可靠性 (IRR). 这确保了对并发症和不良事件 (AE) 的准确标记,这对于开发可靠的AI模型至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 机器学习数据质量数据质量
背景情况:
- 医学研究中的机器学习 (ML) 模型准确性依赖于精确的标记数据.
- 这项研究在回顾性电子病历审查期间评估了评审者间可靠性 (IRR).
- 目标是生成高质量的标记数据,用于并发症和不良事件 (AE).
研究的目的:
- 在回顾性电子病历审查中评估评估者之间的可靠性 (IRR).
- 为机器学习应用程序创建高质量的标记数据建立方法.
- 确保在识别并发症和不良事件 (AE) 中的一致性和准确性.
主要方法:
- 六名注册护士审查了70份患者病历,提取了20种并发症和18种AE的数据.
- 进行了四轮代培训,以提高审稿人的准确性和共识.
- 计算了加权的卡帕系数来衡量评价者之间的可靠性 (IRR).
主要成果:
- 通过Conger's Kappa测量的总体一致性为0.80 (95% CI:0.78-0.82).
- 在整个审查过程中,评价者间可靠性 (IRR) 得分保持在高位,从0.70到0.87.
- 一致的高达成一致表明了培训和审查协议的有效性.
结论:
- 一个详细的图表审查手册和结构化的培训计划导致了审查者之间的高度一致.
- 这种方法为生成高质量的标记医疗数据提供了可靠的基础.
- 准确的标记数据对于开发医疗保健中强大有效的机器学习算法至关重要.
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