Evidence map›Paper›PMID 31676461›Full record

ArticleJournal of biomedical informatics2019

Using machine learning to selectively highlight patient information.

Andrew J King, Gregory F Cooper, Gilles Clermont, Harry Hochheiser, Milos Hauskrecht, Dean F Sittig, Shyam Visweswaran

Open access · greenAbstract read
In one paragraph

Article in Journal of biomedical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.1field-weighted citation impact, top 4% of its field
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

16 citing papers in PubMed, 28 citations in OpenAlex.

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  11. An atomic approach to the design and implementation of a research data warehouse.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
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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

7 authors at 2 institutions in 1 country.

Andrew J KingDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA; Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Gregory F CooperDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA; Intelligent Systems Program, University of Pittsburgh, Pittsburgh, PA, USA.
Gilles ClermontDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Harry HochheiserDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA; Intelligent Systems Program, University of Pittsburgh, Pittsburgh, PA, USA.
Milos HauskrechtIntelligent Systems Program, University of Pittsburgh, Pittsburgh, PA, USA; Department of Computer Science, University of Pittsburgh, Pittsburgh, PA, USA.
Dean F SittigDepartment of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Shyam VisweswaranDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA; Intelligent Systems Program, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: shv3@pitt.edu.
University of Pittsburgh · USThe University of Texas Health Science Center at Houston · US

Funding

The internship in Biomedical Research, Informatics, and Computer Science (iBRIC): Biomedical Informatics and Data Science research experiences for students from Minority Serving InstitutionsT15LM007059 · NLM · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRY S HOCHHEISER · 1987 to 2026
$23.9M
Real-time detection of deviations in clinical care in ICU data streamsR01GM088224 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CLERMONT, GILLES, COOPER, GREGORY F. · 2009 to 2017
$3.7M
Development and Evaluation of a Learning Electronic Medical Record SystemR01LM012095 · NLM · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VISWESWARAN, SHYAM · 2015 to 2018
$1.8M
NIGMS NIH HHS R01 GM088224NLM NIH HHS R01 LM012095NLM NIH HHS T15 LM007059
6 · The paper itself

Abstract

backgroundElectronic medical record (EMR) systems need functionality that decreases cognitive overload by drawing the clinician's attention to the right data, at the right time. We developed a Learning EMR (LEMR) system that learns statistical models of clinician information-seeking behavior and applies those models to direct the display of data in future patients. We evaluated the performance of the system in identifying relevant patient data in intensive care unit (ICU) patient cases.

methodsTo capture information-seeking behavior, we enlisted critical care medicine physicians who reviewed a set of patient cases and selected data items relevant to the task of presenting at morning rounds. Using patient EMR data as predictors, we built machine learning models to predict their relevancy. We prospectively evaluated the predictions of a set of high performing models.

resultsOn an independent evaluation data set, 25 models achieved precision of 0.52, 95% CI [0.49, 0.54] and recall of 0.77, 95% CI [0.75, 0.80] in identifying relevant patient data items. For data items missed by the system, the reviewers rated the effect of not seeing those data from no impact to minor impact on patient care in about 82% of the cases.

conclusionData-driven approaches for adaptively displaying data in EMR systems, like the LEMR system, show promise in using information-seeking behavior of clinicians to identify and highlight relevant patient data.

Indexed as

Electronic Health RecordsMachine LearningHumansInformation Seeking BehaviorPhysiciansCritical careElectronic medical recordsInformation-seeking behaviorMachine learning

Identifiers

PMID31676461
PMCPMC6932869
OpenAlexW2982366920

What OpenQuestion holds

Textmetadata
LicenceTDM
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.