Evidence map›Paper›PMID 40829884›Full record

ArticleBMJ health & care informatics2025

Assessing the transferability of BERT to patient safety: classifying multiple types of incident reports.

Ying Wang, Farah Magrabi

Abstract read
In one paragraph

Article in BMJ health & care informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Ying WangCentre for Health Informatics, Australia Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8537-3954
Farah MagrabiCentre for Health Informatics, Australia Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia farah.magrabi@mq.edu.au.ORCID http://orcid.org/0000-0002-8426-5588

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the transferability of BERT (Bidirectional Encoder Representations from Transformers) to patient safety, we use it to classify incident reports characterised by limited data and encompassing multiple imbalanced classes.

methodsBERT was applied to classify 10 incident types and 4 severity levels by (1) fine-tuning and (2) extracting word embeddings for feature representation. Training datasets were collected from a state-wide incident reporting system in Australia (

resultsFine-tuned BERT outperformed small CNNs trained with BERT embedding and static word embeddings developed from scratch. The default parameters of BERT were found to be the most optimal configuration. For incident type, fine-tuned BERT achieved high F-scores above 89% across all test datasets ( DISCUSSION: Fine-tuned BERT led to improved performance, particularly in identifying rare classes and generalising effectively to unseen data, compared with small CNNs.

conclusionFine-tuned BERT may be useful for classification tasks in patient safety where data privacy, scarcity and imbalance are common challenges.

Indexed as

Medical ErrorsNeural Networks, ComputerPatient SafetyRisk ManagementAustraliaHumansConvolutional Neural NetworksDeep LearningLarge Language ModelsNatural Language ProcessingSafety Management

Identifiers

PMID40829884
PMCPMC12366584

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.