Workshop on natural language processing: State of the art, future directions and applications for enhancing clinical decision making

2012 ◽  
Author(s):  
Carol Friedman
Keyword(s):  
Decision Making ◽  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Clinical Decision Making ◽  
State Of The Art ◽  
Clinical Decision ◽  
Future Directions

scholarly journals Development and Validation of a Natural Language Processing Tool to Identify Patients Treated for Pneumonia across VA Emergency Departments

2018 ◽  
Vol 09 (01) ◽  
pp. 122-128 ◽  
Author(s):  
B. Jones ◽  
B. South ◽  
Y. Shao ◽  
C.C. Lu ◽  
J. Leng ◽  
...  
Keyword(s):  
Decision Making ◽  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Support Vector ◽  
Search Terms ◽  
Diagnosis Codes ◽  
Diagnostic Coding

Background Identifying pneumonia using diagnosis codes alone may be insufficient for research on clinical decision making. Natural language processing (NLP) may enable the inclusion of cases missed by diagnosis codes. Objectives This article (1) develops a NLP tool that identifies the clinical assertion of pneumonia from physician emergency department (ED) notes, and (2) compares classification methods using diagnosis codes versus NLP against a gold standard of manual chart review to identify patients initially treated for pneumonia. Methods Among a national population of ED visits occurring between 2006 and 2012 across the Veterans Affairs health system, we extracted 811 physician documents containing search terms for pneumonia for training, and 100 random documents for validation. Two reviewers annotated span- and document-level classifications of the clinical assertion of pneumonia. An NLP tool using a support vector machine was trained on the enriched documents. We extracted diagnosis codes assigned in the ED and upon hospital discharge and calculated performance characteristics for diagnosis codes, NLP, and NLP plus diagnosis codes against manual review in training and validation sets. Results Among the training documents, 51% contained clinical assertions of pneumonia; in the validation set, 9% were classified with pneumonia, of which 100% contained pneumonia search terms. After enriching with search terms, the NLP system alone demonstrated a recall/sensitivity of 0.72 (training) and 0.55 (validation), and a precision/positive predictive value (PPV) of 0.89 (training) and 0.71 (validation). ED-assigned diagnostic codes demonstrated lower recall/sensitivity (0.48 and 0.44) but higher precision/PPV (0.95 in training, 1.0 in validation); the NLP system identified more “possible-treated” cases than diagnostic coding. An approach combining NLP and ED-assigned diagnostic coding classification achieved the best performance (sensitivity 0.89 and PPV 0.80). Conclusion System-wide application of NLP to clinical text can increase capture of initial diagnostic hypotheses, an important inclusion when studying diagnosis and clinical decision-making under uncertainty.

scholarly journals CHRONOSIG: Digital Triage for Secondary Mental Healthcare using Natural Language Processing - rationale and protocol

2021 ◽  
Author(s):  
Dan W Joyce ◽  
Andrey Kormilitzin ◽  
Julia Hamer-Hunt ◽  
Anthony James ◽  
Alejo Nevado-Holgado ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Decision Making ◽  
Natural Language Processing ◽  
Natural Language ◽  
Mental Health Care ◽  
Language Processing ◽  
Clinical Decision ◽  
Free Text ◽  
Data Set

ABSTRACTBackgroundAccessing specialist secondary mental health care in the NHS in England requires a referral, usually from primary or acute care. Community mental health teams triage these referrals deciding on the most appropriate team to meet patients’ needs. Referrals require resource-intensive review by clinicians and often, collation and review of the patient’s history with services captured in their electronic health records (EHR). Triage processes are, however, opaque and often result in patients not receiving appropriate and timely access to care that is a particular concern for some minority and under-represented groups. Our project, funded by the National Institute of Health Research (NIHR) will develop a clinical decision support tool (CDST) to deliver accurate, explainable and justified triage recommendations to assist clinicians and expedite access to secondary mental health care.MethodsOur proposed CDST will be trained on narrative free-text data combining referral documentation and historical EHR records for patients in the UK-CRIS database. This high-volume data set will enable training of end-to-end neural network natural language processing (NLP) to extract ‘signatures’ of patients who were (historically) triaged to different treatment teams. The resulting algorithm will be externally validated using data from different NHS trusts (Nottinghamshire Healthcare, Southern Health, West London and Oxford Health). We will use an explicit algorithmic fairness framework to mitigate risk of unintended harm evident in some artificial intelligence (AI) healthcare applications. Consequently, the performance of the CDST will be explicitly evaluated in simulated triage team scenarios where the tool augments clinician’s decision making, in contrast to traditional “human versus AI” performance metrics.DiscussionThe proposed CDST represents an important test-case for AI applied to real-world process improvement in mental health. The project leverages recent advances in NLP while emphasizing the risks and benefits for patients of AI-augmented clinical decision making. The project’s ambition is to deliver a CDST that is scalable and can be deployed to any mental health trust in England to assist with digital triage.

Report on the 4th Joint Workshop on Bibliometric-Enhanced Information Retrieval and Natural Language Processing for Digital Libraries at SIGIR 2019

2019 ◽  
Vol 53 (2) ◽  
pp. 3-10
Author(s):  
Muthu Kumar Chandrasekaran ◽  
Philipp Mayr
Keyword(s):  
Information Retrieval ◽  
Natural Language Processing ◽  
Natural Language ◽  
Research And Development ◽  
Language Processing ◽  
Digital Libraries ◽  
State Of The Art ◽  
Shared Task ◽  
Processing Information ◽  
Joint Workshop

The 4 th joint BIRNDL workshop was held at the 42nd ACM SIGIR Conference on Research and Development in Information Retrieval (SIGIR 2019) in Paris, France. BIRNDL 2019 intended to stimulate IR researchers and digital library professionals to elaborate on new approaches in natural language processing, information retrieval, scientometrics, and recommendation techniques that can advance the state-of-the-art in scholarly document understanding, analysis, and retrieval at scale. The workshop incorporated different paper sessions and the 5 th edition of the CL-SciSumm Shared Task.

Textual entailment graphs

2015 ◽  
Vol 21 (5) ◽  
pp. 699-724 ◽  
Author(s):  
LILI KOTLERMAN ◽  
IDO DAGAN ◽  
BERNARDO MAGNINI ◽  
LUISA BENTIVOGLI
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Gold Standard ◽  
State Of The Art ◽  
Text Analytics ◽  
Joint Work ◽  
Gold Standard Dataset ◽  
Textual Entailment ◽  
Interesting Task

AbstractIn this work, we present a novel type of graphs for natural language processing (NLP), namely textual entailment graphs (TEGs). We describe the complete methodology we developed for the construction of such graphs and provide some baselines for this task by evaluating relevant state-of-the-art technology. We situate our research in the context of text exploration, since it was motivated by joint work with industrial partners in the text analytics area. Accordingly, we present our motivating scenario and the first gold-standard dataset of TEGs. However, while our own motivation and the dataset focus on the text exploration setting, we suggest that TEGs can have different usages and suggest that automatic creation of such graphs is an interesting task for the community.

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