Evidence map›Paper›PMID 34360065›Full record

ArticleInternational journal of environmental research and public health2021

A Weakly-Supervised Named Entity Recognition Machine Learning Approach for Emergency Medical Services Clinical Audit.

Han Wang, Wesley Lok Kin Yeung, Qin Xiang Ng, Angeline Tung, Joey Ai Meng Tay, Davin Ryanputra, Marcus Eng Hock Ong, Mengling Feng, Shalini Arulanandam

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. AI applications in disaster governance with health approach: A scoping review.Archives of public health = Archives belges de sante publique · 2025
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

9 authors.

Han WangSaw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore.ORCID 0000-0003-2427-9459
Wesley Lok Kin YeungSingapore Civil Defence Force, Singapore 408827, Singapore.
Qin Xiang NgSingapore Civil Defence Force, Singapore 408827, Singapore.ORCID 0000-0001-8561-2513
Angeline TungSingapore Civil Defence Force, Singapore 408827, Singapore.
Joey Ai Meng TaySingapore Civil Defence Force, Singapore 408827, Singapore.
Davin RyanputraSingapore Civil Defence Force, Singapore 408827, Singapore.
Marcus Eng Hock OngHealth Services Research Centre, Singapore Health Services, Singapore 169856, Singapore.ORCID 0000-0001-7874-7612
Mengling FengSaw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore.
Shalini ArulanandamSingapore Civil Defence Force, Singapore 408827, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical performance audits are routinely performed in Emergency Medical Services (EMS) to ensure adherence to treatment protocols, to identify individual areas of weakness for remediation, and to discover systemic deficiencies to guide the development of the training syllabus. At present, these audits are performed by manual chart review, which is time-consuming and laborious. In this paper, we report a weakly-supervised machine learning approach to train a named entity recognition model that can be used for automatic EMS clinical audits. The dataset used in this study contained 58,898 unlabeled ambulance incidents encountered by the Singapore Civil Defence Force from 1st April 2019 to 30th June 2019. With only 5% labeled data, we successfully trained three different models to perform the NER task, achieving F1 scores of around 0.981 under entity type matching evaluation and around 0.976 under strict evaluation. The BiLSTM-CRF model was 1~2 orders of magnitude lighter and faster than our BERT-based models. Our proposed proof-of-concept approach may improve the efficiency of clinical audits and can also help with EMS database research. Further external validation of this approach is needed.

Indexed as

Emergency Medical ServicesLanguageClinical AuditHumansRecognition, PsychologySupervised Machine Learningclinical auditemergency medical servicesnamed entity recognitionnatural language processingweakly-supervised learning

Identifiers

PMID34360065
PMCPMC8345494

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.