Natural Language Processing Supporting Clinical Decision Support

2012 ◽  
Author(s):  
Stephane M. Meystre
Keyword(s):  
Natural Language Processing ◽  
Decision Support ◽  
Natural Language ◽  
Clinical Decision Support ◽  
Language Processing ◽  
Clinical Decision

scholarly journals Clinical decision support system, using expert consensus-derived logic and natural language processing, decreased sedation-type order errors for patients undergoing endoscopy

2020 ◽  
Author(s):  
Lin Shen ◽  
Adam Wright ◽  
Linda S Lee ◽  
Kunal Jajoo ◽  
Jennifer Nayor ◽  
...  
Keyword(s):  
Natural Language Processing ◽  
Decision Support ◽  
Natural Language ◽  
Clinical Decision Support ◽  
Language Processing ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Expert Consensus ◽  
Order Error

Abstract Objective Determination of appropriate endoscopy sedation strategy is an important preprocedural consideration. To address manual workflow gaps that lead to sedation-type order errors at our institution, we designed and implemented a clinical decision support system (CDSS) to review orders for patients undergoing outpatient endoscopy. Materials and Methods The CDSS was developed and implemented by an expert panel using an agile approach. The CDSS queried patient-specific historical endoscopy records and applied expert consensus-derived logic and natural language processing to identify possible sedation order errors for human review. A retrospective analysis was conducted to evaluate impact, comparing 4-month pre-pilot and 12-month pilot periods. Results 22 755 endoscopy cases were included (pre-pilot 6434 cases, pilot 16 321 cases). The CDSS decreased the sedation-type order error rate on day of endoscopy (pre-pilot 0.39%, pilot 0.037%, Odds Ratio = 0.094, P-value < 1e-8). There was no difference in background prevalence of erroneous orders (pre-pilot 0.39%, pilot 0.34%, P = .54). Discussion At our institution, low prevalence and high volume of cases prevented routine manual review to verify sedation order appropriateness. Using a cohort-enrichment strategy, a CDSS was able to reduce number of chart reviews needed per sedation-order error from 296.7 to 3.5, allowing for integration into the existing workflow to intercept rare but important ordering errors. Conclusion A workflow-integrated CDSS with expert consensus-derived logic rules and natural language processing significantly reduced endoscopy sedation-type order errors on day of endoscopy at our institution.

scholarly journals Correlating mammographic and pathologic findings in clinical decision support using natural language processing and data mining methods

Cancer ◽  
2016 ◽  
Vol 123 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Tejal A. Patel ◽  
Mamta Puppala ◽  
Richard O. Ogunti ◽  
Joe E. Ensor ◽  
Tiancheng He ◽  
...  
Keyword(s):  
Data Mining ◽  
Natural Language Processing ◽  
Decision Support ◽  
Natural Language ◽  
Clinical Decision Support ◽  
Language Processing ◽  
Clinical Decision ◽  
Pathologic Findings ◽  
Mining Methods
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