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Pressure Ulcer Injury in Unstructured Clinical Notes: Detection and Interpretation

Mani Sotoodeh, Zelalem H Gero, Wenhui Zhang, Vicki Stover Hertzberg, Joyce C Ho
2021 AMIA Annual Symposium Proceedings  
Hospital-acquired pressure ulcer injury (PUI) is a primary nursing quality metric, reflecting the caliber of nursing care within a hospital.  ...  Prior studies have used the Braden scale and structured data from the electronic health records to detect/predict PUI while the informative unstructured clinical notes have not been used.  ...  Introduction Pressure injury, the current terminology replacing pressure ulcer in 2016, 1 is a key indicator for patient safety and healthcare quality. 2, 3 Pressure ulcer or injury (PUI) is defined  ... 
pmid:33936492 pmcid:PMC8075497 fatcat:hnp7xbywn5cplegudclk3rhkuu

Investigating the potential for machine learning prediction of patient outcomes: a retrospective study of hospital acquired pressure injuries [article]

Joshua Levy, Jorge F Lima, Megan W Miller, Gary L. Freed, James O'Malley
2020 medRxiv   pre-print
While recent research efforts to reduce pressure ulcers in the clinical context have focused on key retrospective characteristics, little work has focused on creating real-time predictive models to prevent  ...  Thus, we sought to compare the predictive performance of five machine learning and traditional statistical modeling techniques to predict the occurrence of Hospital Acquired Pressure Injuries (HAPI).  ...  No reuse allowed without permission. was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.  ... 
doi:10.1101/2020.03.29.20047084 fatcat:hin4rmjegbfcppwl5anc67miga

The potential of artificial intelligence to improve patient safety: a scoping review

David W. Bates, David Levine, Ania Syrowatka, Masha Kuznetsova, Kelly Jean Thomas Craig, Angela Rui, Gretchen Purcell Jackson, Kyu Rhee
2021 npj Digital Medicine  
Major adverse events in healthcare include: healthcare-associated infections, adverse drug events, venous thromboembolism, surgical complications, pressure ulcers, falls, decompensation, and diagnostic  ...  We expect AI to have the greatest impact in areas where current strategies are not effective, and integration and complex analysis of novel, unstructured data are necessary to make accurate predictions  ...  Paul Bain for assistance in developing the search strategy for this scoping review. Dr. Syrowatka is supported by a Fellowship Award from the Canadian Institutes of Health Research.  ... 
doi:10.1038/s41746-021-00423-6 pmid:33742085 fatcat:o2agh6pvwfcypl63gru65dh3fa

TagLine: Information Extraction for Semi-Structured Text in Medical Progress Notes

Dezon K Finch, James A McCart, Stephen L Luther
2014 AMIA Annual Symposium Proceedings  
However, neither technique is effective at extracting the information stored in semi-structure text elements.  ...  Features for the learning machine were suggested by prior work, and by examining text, and selecting attributes that help distinguish classes of text lines.  ...  Document Selection An initial collection of 5,048 medical progress notes have been identified and annotated by clinical staff to identify patients who have suffered a fall related injury.  ... 
pmid:25954358 pmcid:PMC4419992 fatcat:xkpi6o4gnjbp5k6a67rswjx5c4

Machine Learning Approaches for Hospital Acquired Pressure Injuries: A Retrospective Study of Electronic Medical Records

Joshua J. Levy, Jorge F. Lima, Megan W. Miller, Gary L. Freed, A. James O'Malley, Rebecca T. Emeny
2022 Frontiers in Medical Technology  
traditional statistical techniques to predict the occurrence of Hospital Acquired Pressure Injuries (HAPI).MethodsEMR information was collected from 57,227 hospitalizations acquired from Dartmouth Hitchcock  ...  These developments represent important steps forward in developing real-time predictive models that can be integrated into EMR systems to reduce unnecessary harm.  ...  ACKNOWLEDGMENTS We would like to acknowledge Meghan Pollard for research support and collaboration.  ... 
doi:10.3389/fmedt.2022.926667 pmid:35782577 pmcid:PMC9243224 fatcat:vu547kcjmvccxjn3d27tpvhrae

Exploring prevalence of wound infections and related patient characteristics in homecare using natural language processing

Kyungmi Woo, Jiyoun Song, Victoria Adams, Lorraine J Block, Leanne M Currie, Jingjing Shang, Maxim Topaz
2021 International Wound Journal  
By linking findings from clinical nursing notes with additional structured data, we can analyse related patients' characteristics and use them to develop a tailored intervention that may potentially lead  ...  Diabetes, peripheral vascular disease, and skin ulcer were significantly associated with wound infection among homecare patients.  ...  identified in each category of wound infection Category Example words and expressions Wound type Open blister Venous ulcer Surgical wound wd Pressure ulcer Wound infection Inflamed ulcer Local  ... 
doi:10.1111/iwj.13623 pmid:34105873 pmcid:PMC8684883 fatcat:q7y2ip5oljdy5gm4cpsvkgewcm

A Review of Automatic Phenotyping Approaches using Electronic Health Records

Hadeel Alzoubi, Raid Alzubi, Naeem Ramzan, Daune West, Tawfik Al-Hadhrami, Mamoun Alazab
2019 Electronics  
Electronic Health Records (EHR) are a rich repository of valuable clinical information that exist in primary and secondary care databases.  ...  This review describes phenotyping systems and techniques based on structured and unstructured EHR data.  ...  Acknowledgments: We would like to thank the jointly with the NICS group at School of Science and Technology, Nottingham Trent University, United Kingdom and College of Engineering, IT and Environment,  ... 
doi:10.3390/electronics8111235 fatcat:6wygemixhvgoxkhjqrmmjs3ynq

Organisation of health services for preventing and treating pressure ulcers

Pauline Joyce, Zena EH Moore, Janice Christie, Cochrane Wounds Group
2018 The Cochrane library  
Pressure ulcers, which are a localised injury to the skin, or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences.  ...  Pressure ulcers are often difficult to heal, painful, expensive to manage and have a negative impact on quality of life.  ...  either a structured or unstructured risk assessment, or by clinical judgement alone), or who have an existing pressure ulcer (of any stage).  ... 
doi:10.1002/14651858.cd012132.pub2 pmid:30536917 pmcid:PMC6516850 fatcat:2hgewcqcrjbe3jgnkl3x6zuym4

Specialized Early Treatment for Persons With Disorders of Consciousness: Program Components and Outcomes

Ronald T. Seel, Jennifer Douglas, Andrew C. Dennison, Sarah Heaner, Kathryn Farris, Catherine Rogers
2013 Archives of Physical Medicine and Rehabilitation  
ulcers (14%), and marked hypertonia (30% in each limb).  ...  Patients showed improved consciousness and respiratory function and reduced presence or severity of pressure ulcers and upper extremity hypertonia.  ...  pressure ulcers.  ... 
doi:10.1016/j.apmr.2012.11.052 pmid:23732166 fatcat:fy2husx55fejtewz7kevqv47fy

Should we be anxious when assessing anxiety using the Beck Anxiety Inventory in clinical insomnia patients?

Colleen E. Carney, Taryn G. Moss, Andrea L. Harris, Jack D. Edinger, Andrew D. Krystal
2011 Journal of Psychiatric Research  
Because of this overlap, we need studies that examine the assessment of anxiety in clinical insomnia groups.  ...  As a validity check, a receiver operating characteristic (ROC) curve analysis was conducted to determine if the BAI suggested clinical cutoff was valid for identifying clinical levels of anxiety in this  ...  rather than detecting, an AD in an insomnia population.  ... 
doi:10.1016/j.jpsychires.2011.03.011 pmid:21482427 pmcid:PMC3157494 fatcat:2hczoecvsnehdgx265rypmtrk4

Suspected Primary Spontaneous Asymptomatic Pneumothorax in a Cat

Michael Sliman, Adam J. Rudinsky, Sarah Lumbrezer, Jenessa A. Winston, Valerie J. Parker, Sarah Lorbach, James Howard, Nektarios D. Giadinis
2022 Case Reports in Veterinary Medicine  
Thoracic radiographs revealed gas in the caudodorsal pleural space and concurrent pulmonary atelectasis. No respiratory clinical signs were present.  ...  All reported SPT in the feline literature are evaluated for respiratory clinical signs. Primary SPT without underlying pathology or without clinical signs is not reported in cats.  ...  The lack of clinical signs and bullae diagnosis is especially important to note in this case regarding general anesthesia.  ... 
doi:10.1155/2022/2827118 pmid:35198260 pmcid:PMC8860558 fatcat:zpgi3yaihfcvzb7agajkb2iyni

A Visual Feedback Tool for Quantitative Pressure Monitoring in Lower-Limb Prosthetic Sockets

Shruti Turner, Shivali Jain, Akhil Patel, Matthew O. Hopkins, Alison H. McGregor
2021 Prosthesis  
Pressure sensors embedded in a prosthetic socket were used to collect data at the socket–residuum interface.  ...  The application allowed for connection to the sensors via Bluetooth, with the pressure data updating on the 3D model in real time.  ...  They noted that the 3D model was easy to interpret and purely represented the level of pressure present.  ... 
doi:10.3390/prosthesis3040035 fatcat:gpeurlqkorgctlyq4m3aln4d7y

Image-based modeling for better understanding and assessment of atherosclerotic plaque progression and vulnerability: Data, modeling, validation, uncertainty and predictions

Dalin Tang, Roger D. Kamm, Chun Yang, Jie Zheng, Gador Canton, Richard Bach, Xueying Huang, Thomas S. Hatsukami, Jian Zhu, Genshan Ma, Akiko Maehara, Gary S. Mintz (+1 others)
2014 Journal of Biomechanics  
Lack of in vivo data and clinical events to serve as gold standard to validate model predictions is a severe limitation.  ...  Medical imaging and image-based modeling have made considerable progress in recent years in identifying atherosclerotic plaque morphological and mechanical risk factors which may be used in developing  ...  injury-initiated blood changes), exercise, emotional stress, and genomic activities.  ... 
doi:10.1016/j.jbiomech.2014.01.012 pmid:24480706 pmcid:PMC4017348 fatcat:udplpjwlprhdjca3w6zosqvsma

Geriatric fracture centre vs usual care after proximal femur fracture in older patients: what are the benefits? Results of a large international prospective multicentre study

Michael Blauth, Alexander Joeris, Elke Rometsch, Kathrin Espinoza-Rebmann, Pannida Wattanapanom, Rahat Jarayabhand, Martijn Poeze, Merng K Wong, Ernest B. K. Kwek, Johannes H Hegeman, Carlos Perez-Uribarri, Enrique Guerado (+4 others)
2021 BMJ Open  
Most likely, this was based on improved detection rather than a truly elevated incidence, which we interpret as positive effect of geriatric comanagement.Trial registration NCT02297581  ...  (SD, 6.6) years versus 83.9 (SD 6.9) years in patients (n=139) treated in UCCs (p=0.013) and a higher mean Charlson Comorbidity Index of 2.0 (SD, 2.1) versus 1.2 (SD, 1.5) in UCCs (p=0.001).  ...  the data and collaborated in further data interpretation, which was done by MB, AJ, ER and MG.  ... 
doi:10.1136/bmjopen-2020-039960 pmid:33972329 pmcid:PMC8112430 fatcat:ckvi2f2whbg6zk6xicaw64s6he


2014 Journal of Rehabilitation Medicine  
eliminate the requirement for an ECG as part of the referral, and ensuring referral forms were available in clinic.  ...  Setting and Participants: Three stroke physiatrists working within an outpatient stroke clinic at a university-affiliated teaching hospital.  ...  a means for preventing pressure ulcers in persons with spinal cord injury.  ... 
doi:10.2340/16501977-1904 fatcat:c3fgv6ss6ndddarmy7ddwwnihq
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