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Visualizing Semantic Structure of a Clinical Text Document

Jonah Kenei, Elisha Opiyo, Robert Oboko
2020 European Journal of Electrical Engineering and Computer Science  
These reviews are currently manual where a doctor reads a patient's chart while looking for specific clinical information.  ...  In this paper we propose a unique approach for graphically representing and visualizing the semantic structure of a clinical text document to aid doctors in reviewing electronic clinical notes.  ...  Many studies such as [29] have pointed out the need to improve EHR note design and presentation to support or improve clinicians' note review experience.  ... 
doi:10.24018/ejece.2020.4.6.256 fatcat:zqogu4pxdjfztdwwbip4m735jq

CREATE: Cohort Retrieval Enhanced by Analysis of Text from Electronic Health Records using OMOP Common Data Model [article]

Sijia Liu, Yanshan Wang, Andrew Wen, Liwei Wang, Na Hong, Feichen Shen, Steven Bedrick, William Hersh, Hongfang Liu
2019 arXiv   pre-print
both structured and unstructured EHR data.  ...  Widespread adoption of electronic health records (EHRs) has enabled secondary use of EHR data for clinical research and healthcare delivery.  ...  CREATE aims to improve the efficiency of judging patient relevance in the EHR, by shifting from human-query judgment (pull) to system-feed judgment (push).  ... 
arXiv:1901.07601v1 fatcat:vacjcl23inamlapjlmwizb2clu

Electronic health data quality maturity model for medical device evaluations

James E Tcheng, Rachael Fleurence, Art Sedrakyan
2020 BMJ Surgery, Interventions, & Health Technologies  
analysis; able to support a CDM but not done routinely and automatically; data transmission to registries still largely accomplished by manual chart review and abstraction.  ...  ; health systems data routinely and systematically represent data externally via various CDMs, including efficient queries, support for large number of research projects; leadership provides centralized  ...  The paper by Drozda et al showcases development of an innovative data source based on EHRs.  ... 
doi:10.1136/bmjsit-2020-000043 pmid:35047793 pmcid:PMC8647598 fatcat:aoklgkvq3fbmxjd2txoe5ynxdm

Clinical research informatics: a conceptual perspective

M. G. Kahn, C. Weng
2012 JAMIA Journal of the American Medical Informatics Association  
Informatics tools that can eliminate or reduce manual chart abstraction would make these data more accessible for clinical research. Many studies use manual chart reviews to classify patients.  ...  This paper presents a new methodology for assessing the quality of value set terms using a clever mapping between CDEs and the UMLS semantic network's 15 semantic groups and 133 semantic types. 143 Elements  ...  Provenance and peer review Commissioned; internally peer reviewed.  ... 
doi:10.1136/amiajnl-2012-000968 pmid:22523344 pmcid:PMC3392857 fatcat:5zg7tavwubh4bpowo563pcn5ja

Rebuilding the Standing Prescription Renewal Orders

Hayley Rector, Daniel Brashear, Janos Mathe, Haomin Wen, Stacey English, William Hedges, Christoph Lehmann, Asli Ozdas-Weitkamp, Shane Stenner, Scott Nelson
2019 Applied Clinical Informatics  
After approval by the P&T committee, we built subgroups in a structured and consistent format in the new EHR, where they facilitated chart review and standing order adherence by nurses.  ...  health record (EHR).  ...  Dispensable medications require a medication name, dose form, and strength, similar to the RxNorm semantic clinical drugs, and semantic branded drugs term types.  ... 
doi:10.1055/s-0038-1675813 pmid:30699459 pmcid:PMC6353649 fatcat:37zb2j4w3ncabixo3gppdsqaju

Evaluating the Efficiency and Safety of Speech Recognition within a Commercial Electronic Health Record System: A Replication Study

Farah Magrabi, Enrico Coiera, Tobias Hodgson
2018 Applied Clinical Informatics  
The use of SR for clinical documentation within an EHR system appears to be consistently associated with decreased time efficiencies and increased errors.  ...  Modifications implemented to optimize SR integration in the EHR seem to have resulted in minor improvements that did not fundamentally change overall results.  ...  Evaluating the Efficiency and Safety of Speech Recognition within a Commercial EHR System Hodgson et al. The safety of documentation performance was assessed by the number of errors observed.  ... 
doi:10.1055/s-0038-1649509 pmid:29768633 pmcid:PMC5955718 fatcat:dwqkpfesxzfmxloo56eg4rhy2m

Increasing the efficiency of trial-patient matching: automated clinical trial eligibility Pre-screening for pediatric oncology patients

Yizhao Ni, Jordan Wright, John Perentesis, Todd Lingren, Louise Deleger, Megan Kaiser, Isaac Kohane, Imre Solti
2015 BMC Medical Informatics and Decision Making  
Leveraging state-of-the-art natural language processing (NLP) and information extraction (IE) technologies, we sought to improve the efficiency of physician decision-making in clinical trial enrollment  ...  In parallel, our ES algorithm extracted clinical and demographic information from the Electronic Health Record (EHR) data fields to represent profiles of all 215 oncology patients admitted to cancer treatment  ...  Table 2 shows the findings of the physician chart review.  ... 
doi:10.1186/s12911-015-0149-3 pmid:25881112 pmcid:PMC4407835 fatcat:cqye3re4fvbvhlebnwhhfx745u

Clinical Data Reuse or Secondary Use: Current Status and Potential Future Progress

S. M. Meystre, C. Lovis, T. Bürkle, G. Tognola, A. Budrionis, C. U. Lehmann
2017 IMIA Yearbook of Medical Informatics  
Conclusion: Reuse of clinical data is a fast-growing field recognized as essential to realize the potentials for high quality healthcare, improved healthcare management, reduced healthcare costs, population  ...  Objective: To perform a review of recent research in clinical data reuse or secondary use, and envision future advances in this field.  ...  Acknowledgments We would like to thank Hans-Ulrich Prokosch and Johan Gustav Bellika for their initial contributions to this review.  ... 
doi:10.1055/s-0037-1606528 fatcat:w4tlhei2nngeviqjza43rcmuom

Multi-Method Study of Electronic Health Records Workflows

Adela Grando, Areti Manataki, Stephanie K Furniss, Benjamin Duncan, Andrew Solomon, David Kaufman, Sarah Hirn, Robert Sunday, Joanne Bouchereau, Brad Doebbeling, Matthew M Burton, Karl A Poterack (+2 others)
2018 AMIA Annual Symposium Proceedings  
and time efficiency.  ...  When comparing workflows between two similar pre-operative settings at different hospitals, we found significant differences in physical organization, patient workflow, roles, use of EHR, social networks  ...  The RN verifies the information from the preoperative evaluation clinic H&P (including meds), and gathers additional information needed from the patient for chart review and assessments. (6) Complete orders  ... 
pmid:30815090 pmcid:PMC6371265 fatcat:lhlrmbvckbd6hkzmwuspvyrpha

Clinical Data Reuse or Secondary Use: Current Status and Potential Future Progress

S. M. Meystre, C. Lovis, T. Bürkle, G. Tognola, A. Budrionis, C. U. Lehmann
2017 IMIA Yearbook of Medical Informatics  
Conclusion: Reuse of clinical data is a fast-growing field recognized as essential to realize the potentials for high quality healthcare, improved healthcare management, reduced healthcare costs, population  ...  Objective: To perform a review of recent research in clinical data reuse or secondary use, and envision future advances in this field.  ...  Acknowledgments We would like to thank Hans-Ulrich Prokosch and Johan Gustav Bellika for their initial contributions to this review.  ... 
doi:10.15265/iy-2017-007 pmid:28480475 pmcid:PMC6239225 fatcat:7yr5gt7uvzg5zcchiv5e4zmdcm

Electronic Health Record Interactions through Voice: A Review

Claude Pirtle, Harrison Whyte, Edward Goode, Shilo Anders, Christoph Lehmann, Yaa Kumah-Crystal
2018 Applied Clinical Informatics  
Usability problems in the electronic health record (EHR) lead to workflow inefficiencies when navigating charts and entering or retrieving data using standard keyboard and mouse interfaces.  ...  Objective This article reviews the literature and evidence on voice input technology used to facilitate work in the EHR.  ...  Neural networks have been known to predict HMM states for decades, but recent improvements in hardware and algorithms have made them significantly more efficient and applicable. 97, 98 The use of semantic  ... 
doi:10.1055/s-0038-1666844 pmid:30040113 pmcid:PMC6051768 fatcat:2j52xwp7jjcabngoi6ubxaxmxa

Utilising a simulated clinical rotation elective to prepare pharmacy students for experiential education

Riley Bowers, Katie Dircksen, Carrie Baker
2021 Pharmacy Education  
Upon completion of the course, a survey was sent to assess student preparedness for rotational activities.  ...  Students rated their preparedness highly, with 80% responding as moderately prepared or higher in navigating a patient chart, identifying patients' problems, presenting a patient, and identifying treatments  ...  Acknowledgements The authors would like to thank Dr Scott Perkins and Dr Kim Kelly of the Campbell University College of Pharmacy & Health Sciences for their assistance with the implementation of the simulated EHR  ... 
doi:10.46542/pe.2021.211.591596 fatcat:supgye4xmfginjgrebmobiezje

Using Natural Language Processing to Improve Efficiency of Manual Chart Abstraction in Research: The Case of Breast Cancer Recurrence

David S. Carrell, Scott Halgrim, Diem-Thy Tran, Diana S. M. Buist, Jessica Chubak, Wendy W. Chapman, Guergana Savova
2014 American Journal of Epidemiology  
If used in similar cohorts, NLP could reduce by 90% the number of EHR charts abstracted to identify confirmed breast cancer recurrence cases at a rate comparable to traditional abstraction. breast cancer  ...  EHR, electronic health record; NLP, natural language processing.  ...  positive errors are less concerning because their only "cost" is reducing efficiency by increasing the number of charts reviewed.  ... 
doi:10.1093/aje/kwt441 pmid:24488511 pmcid:PMC3939853 fatcat:htgjg3nqp5bohehnrjjofuqase

Clinical Documentation in Electronic Health Record Systems: Analysis of Similarity in Progress Notes from Consecutive Outpatient Ophthalmology Encounters

Abigail E Huang, Michelle R Hribar, Isaac H Goldstein, Brad Henriksen, Wei-Chun Lin, Michael F Chiang
2018 AMIA Annual Symposium Proceedings  
We performed a retrospective chart review of consecutive note pairs and found that the average encounter note was 1182 ± 374 words long and less than a quarter of words changed between visits.  ...  Content importing technology enables duplication of large amounts of clinical text in electronic health record (EHR) progress notes.  ...  Analysis of Note Pairs Sequential pairs of full encounter notes were copied from the Epic EHR Chart Review, Ophthalmology Encounter tab and pasted into Microsoft Word (Redmond, WA).  ... 
pmid:30815175 pmcid:PMC6371381 fatcat:pwtrlo72q5hnrfau4jezwbihlm

An exploratory study using an openEHR 2-level modeling approach to represent common data elements

Ching-Heng Lin, Yang-Cheng Fann, Der-Ming Liou
2016 JAMIA Journal of the American Medical Informatics Association  
More advanced natural language processing techniques, such as the similarity detection approach based on semantic nets and corpus statistics at the semantic level, 59 might be expected to improve performance  ...  Well-defined relationships between related concepts are also able to help improve semantic interoperability.  ... 
doi:10.1093/jamia/ocv137 pmid:26911823 fatcat:aapo5w4yhvdjhly5ngof26cd4u
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