评估使用非结构化的电子健康记录数据来识别接触枪支暴力的情况
Nicole Cook1, Frances M Biel1, Natalie Cartwright2
1OCHIN Inc, Portland, OR 97228-5426, United States.
JAMIA open
|November 5, 2024
概括
电子健康记录 (EHR) 可以捕捉超越创伤的枪支暴力暴露. 分析临床记录揭示了对枪支暴力影响更全面的公共卫生理解的潜力.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 计算语言学 计算语言学
背景情况:
- 目前的枪支暴力研究主要集中在急性创伤和死亡率数据上.
- 像目睹暴力或失去亲人的微妙暴露往往没有被记录下来,低估了公共卫生负担.
- 电子健康记录 (EHR) 提供了一个潜在的数据来源,以捕捉这些未被报告的暴露.
研究的目的:
- 探索电子健康记录中的非结构化临床笔记对于识别枪支暴力暴露的有用性.
- 评估临床笔记中枪支相关术语的存在和上下文.
- 为发展用于枪支暴力监控的自然语言处理 (NLP) 模型提供信息.
主要方法:
- 利用来自多州初级和行为健康诊所网络 (2012-2022) 的EHR数据.
- 应用文本字符串搜索与枪支相关的术语给具有现有的关于枪支暴力暴露结构化数据的患者.
- 手动审查了90个临床笔记的样本,以验证术语相关性和上下文.
主要成果:
- 在90份经过审查的临床笔记中,13份 (14%) 记录了接触枪支暴力或伤害的情况.
- 在注释中确定了需要精细化以准确进行NLP分类的特定术语和上下文.
- 证明临床笔记包含有价值的,以前未被捕获的关于接触枪支暴力的信息.
结论:
- 在初级和行为健康环境中,非结构化的临床笔记是理解枪支暴力更广泛影响的宝贵资源.
- 进一步开发使用这些数据的NLP模型可以改善对枪支暴力的公共卫生监测.
- 将临床笔记分析整合到电子健康记录数据中,可以更全面地了解枪支暴力对公共卫生的负担.
更多相关视频
相关概念视频
Methods of Documentation VII: EMR
824
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
824
Statistical Methods for Analyzing Epidemiological Data
309
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
309
Data Reporting and Recording
4.6K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
4.6K
Biological Effects of Radiation
15.3K
All radioactive nuclides emit high-energy particles or electromagnetic waves. When this radiation encounters living cells, it can cause heating, break chemical bonds, or ionize molecules. The most serious biological damage results when these radioactive emissions fragment or ionize molecules. For example, α and β particles emitted from nuclear decay reactions possess much higher energies than ordinary chemical bond energies. When these particles strike and penetrate matter, they...
15.3K


