Evidence map›Paper›PMID 25954438›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2014

Using language models to identify relevant new information in inpatient clinical notes.

Rui Zhang, Serguei V Pakhomov, Janet T Lee, Genevieve B Melton

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. The Utility of Language Models in Cardiology: A Narrative Review of the Benefits and Concerns of ChatGPT-4.International journal of environmental research and public health · 2023
    Review
  4. Article
  5. Building the evidence-base to reduce electronic health record-related clinician burden.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rui ZhangInstitute for Health Informatics, University of Minnesota, Minneapolis, MN, USA ; Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
Serguei V PakhomovInstitute for Health Informatics, University of Minnesota, Minneapolis, MN, USA ; College of Pharmacy, University of Minnesota, Minneapolis, MN, USA.
Janet T LeeDepartment of Surgery, University of Minnesota, Minneapolis, MN, USA.
Genevieve B MeltonInstitute for Health Informatics, University of Minnesota, Minneapolis, MN, USA ; Department of Surgery, University of Minnesota, Minneapolis, MN, USA.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Discovery and Visualization of New Information from Clinical Reports in the EHRR01HS022085 · AHRQ · UNIVERSITY OF MINNESOTA · PI MELTON-MEAUX, GENEVIEVE B · 2013 to 2016
$1.9M
AHRQ HHS 1R01HS022085-01AHRQ HHS R01 HS022085NCATS NIH HHS 8UL1TR000114-02NCATS NIH HHS UL1 TR000114
6 · The paper itself

Abstract

Redundant information in clinical notes within electronic health record (EHR) systems is ubiquitous and may negatively impact the use of these notes by clinicians, and, potentially, the efficiency of patient care delivery. Automated methods to identify redundant versus relevant new information may provide a valuable tool for clinicians to better synthesize patient information and navigate to clinically important details. In this study, we investigated the use of language models for identification of new information in inpatient notes, and evaluated our methods using expert-derived reference standards. The best method achieved precision of 0.743, recall of 0.832 and F1-measure of 0.784. The average proportion of redundant information was similar between inpatient and outpatient progress notes (76.6% (SD=17.3%) and 76.7% (SD=14.0%), respectively). Advanced practice providers tended to have higher rates of redundancy in their notes compared to physicians. Future investigation includes the addition of semantic components and visualization of new information.

Indexed as

Electronic Health RecordsLanguageModels, StatisticalHumansInpatientsNatural Language Processing

Identifiers

PMID25954438
PMCPMC4419897

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.