scholarly journals Prediction of emergency department resource requirements during triage: An application of current natural language processing techniques

2020 ◽  
Vol 1 (6) ◽  
pp. 1676-1683
Author(s):  
Nicholas W. Sterling ◽  
Felix Brann ◽  
Rachel E. Patzer ◽  
Mengyu Di ◽  
Megan Koebbe ◽  
...  
AERA Open ◽  
2021 ◽  
Vol 7 ◽  
pp. 233285842110286
Author(s):  
Kylie L. Anglin ◽  
Vivian C. Wong ◽  
Arielle Boguslav

Though there is widespread recognition of the importance of implementation research, evaluators often face intense logistical, budgetary, and methodological challenges in their efforts to assess intervention implementation in the field. This article proposes a set of natural language processing techniques called semantic similarity as an innovative and scalable method of measuring implementation constructs. Semantic similarity methods are an automated approach to quantifying the similarity between texts. By applying semantic similarity to transcripts of intervention sessions, researchers can use the method to determine whether an intervention was delivered with adherence to a structured protocol, and the extent to which an intervention was replicated with consistency across sessions, sites, and studies. This article provides an overview of semantic similarity methods, describes their application within the context of educational evaluations, and provides a proof of concept using an experimental study of the impact of a standardized teacher coaching intervention.


2021 ◽  
Author(s):  
Monique B. Sager ◽  
Aditya M. Kashyap ◽  
Mila Tamminga ◽  
Sadhana Ravoori ◽  
Christopher Callison-Burch ◽  
...  

BACKGROUND Reddit, the fifth most popular website in the United States, boasts a large and engaged user base on its dermatology forums where users crowdsource free medical opinions. Unfortunately, much of the advice provided is unvalidated and could lead to inappropriate care. Initial testing has shown that artificially intelligent bots can detect misinformation on Reddit forums and may be able to produce responses to posts containing misinformation. OBJECTIVE To analyze the ability of bots to find and respond to health misinformation on Reddit’s dermatology forums in a controlled test environment. METHODS Using natural language processing techniques, we trained bots to target misinformation using relevant keywords and to post pre-fabricated responses. By evaluating different model architectures across a held-out test set, we compared performances. RESULTS Our models yielded data test accuracies ranging from 95%-100%, with a BERT fine-tuned model resulting in the highest level of test accuracy. Bots were then able to post corrective pre-fabricated responses to misinformation. CONCLUSIONS Using a limited data set, bots had near-perfect ability to detect these examples of health misinformation within Reddit dermatology forums. Given that these bots can then post pre-fabricated responses, this technique may allow for interception of misinformation. Providing correct information, even instantly, however, does not mean users will be receptive or find such interventions persuasive. Further work should investigate this strategy’s effectiveness to inform future deployment of bots as a technique in combating health misinformation. CLINICALTRIAL N/A


AI Magazine ◽  
2013 ◽  
Vol 34 (3) ◽  
pp. 42-54 ◽  
Author(s):  
Vasile Rus ◽  
Sidney D’Mello ◽  
Xiangen Hu ◽  
Arthur Graesser

We report recent advances in intelligent tutoring systems with conversational dialogue. We highlight progress in terms of macro and microadaptivity. Macroadaptivity refers to a system’s capability to select appropriate instructional tasks for the learner to work on. Microadaptivity refers to a system’s capability to adapt its scaffolding while the learner is working on a particular task. The advances in macro and microadaptivity that are presented here were made possible by the use of learning progressions, deeper dialogue and natural language processing techniques, and by the use of affect-enabled components. Learning progressions and deeper dialogue and natural language processing techniques are key features of DeepTutor, the first intelligent tutoring system based on learning progressions. These improvements extend the bandwidth of possibilities for tailoring instruction to each individual student which is needed for maximizing engagement and ultimately learning.


Author(s):  
César González-Mora ◽  
Cristina Barros ◽  
Irene Garrigós ◽  
Jose Zubcoff ◽  
Elena Lloret ◽  
...  

2017 ◽  
Vol 56 (05) ◽  
pp. 377-389 ◽  
Author(s):  
Xingyu Zhang ◽  
Joyce Kim ◽  
Rachel E. Patzer ◽  
Stephen R. Pitts ◽  
Aaron Patzer ◽  
...  

SummaryObjective: To describe and compare logistic regression and neural network modeling strategies to predict hospital admission or transfer following initial presentation to Emergency Department (ED) triage with and without the addition of natural language processing elements.Methods: Using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS), a cross-sectional probability sample of United States EDs from 2012 and 2013 survey years, we developed several predictive models with the outcome being admission to the hospital or transfer vs. discharge home. We included patient characteristics immediately available after the patient has presented to the ED and undergone a triage process. We used this information to construct logistic regression (LR) and multilayer neural network models (MLNN) which included natural language processing (NLP) and principal component analysis from the patient’s reason for visit. Ten-fold cross validation was used to test the predictive capacity of each model and receiver operating curves (AUC) were then calculated for each model.Results: Of the 47,200 ED visits from 642 hospitals, 6,335 (13.42%) resulted in hospital admission (or transfer). A total of 48 principal components were extracted by NLP from the reason for visit fields, which explained 75% of the overall variance for hospitalization. In the model including only structured variables, the AUC was 0.824 (95% CI 0.818-0.830) for logistic regression and 0.823 (95% CI 0.817-0.829) for MLNN. Models including only free-text information generated AUC of 0.742 (95% CI 0.7310.753) for logistic regression and 0.753 (95% CI 0.742-0.764) for MLNN. When both structured variables and free text variables were included, the AUC reached 0.846 (95% CI 0.839-0.853) for logistic regression and 0.844 (95% CI 0.836-0.852) for MLNN.Conclusions: The predictive accuracy of hospital admission or transfer for patients who presented to ED triage overall was good, and was improved with the inclusion of free text data from a patient’s reason for visit regardless of modeling approach. Natural language processing and neural networks that incorporate patient-reported outcome free text may increase predictive accuracy for hospital admission.


1990 ◽  
Vol 17 (1) ◽  
pp. 21-29
Author(s):  
C. Korycinski ◽  
Alan F. Newell

The task of producing satisfactory indexes by automatic means has been tackled on two fronts: by statistical analysis of text and by attempting content analysis of the text in much the same way as a human indexcr does. Though statistical techniques have a lot to offer for free-text database systems, neither method has had much success with back-of-the-bopk indexing. This review examines some problems associated with the application of natural-language processing techniques to book texts.


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