Evidence map›Paper›PMID 31258984›Full record

ArticleAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science2019

Neural Networks for Clinical Order Decision Support.

Jonathan X Wang, Delaney K Sullivan, Adam J Wells, Alex C Wells, Jonathan H Chen

Abstract read
In one paragraph

Article in AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

5 authors.

Jonathan X WangBiomedical Informatics, Stanford University School of Medicine, Stanford, CA, USA.
Delaney K SullivanDepartment of Computer Science, Stanford University, Stanford, CA, USA.
Adam J WellsDepartment of Statistics, Stanford University, Stanford, CA, USA.
Alex C WellsBiomedical Informatics, Stanford University School of Medicine, Stanford, CA, USA.
Jonathan H ChenBiomedical Informatics, Stanford University School of Medicine, Stanford, CA, USA.

Funding

Data-Mining Clinical Decision Support from Electronic Health RecordsK01ES026837 · NIEHS · STANFORD UNIVERSITY · PI CHEN, JONATHAN H. · 2015 to 2019
$893k
NIEHS NIH HHS K01 ES026837
6 · The paper itself

Abstract

Consistent and high quality medical decisions are difficult as the amount of literature, data, and treatment options grow. We developed a model to provide automated physician order decision support suggestions for inpatient care through a feed-forward neural network. Given a patient's current status based on information data-mined and extracted from the Electronic Health Record (EHR), our model predicts clinical orders a physician enters for a patient within 24 hours. As a reference benchmark of real-world standard-of-care clinical decision support, existing manually-curated order sets implemented in the hospital demonstrate precision: 0.21, recall: 0.48, AUROC: 0.75 relative to what clinicians actually order within 24 hours. Our feed-forward model provides an automated, scalable, and robust system that achieves precision: 0.41, recall: 0.61, AUROC: 0.80.

Identifiers

PMID31258984
PMCPMC6568109

What OpenQuestion holds

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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.