Information flow in intensive care narratives

Hanna Suominen, Heljä Lundgrén-Laine, Sanna Salanterä, Helena Karsten, Tapio I. Salakoski

Research output: A Conference proceeding or a Chapter in BookConference contribution

2 Citations (Scopus)

Abstract

Fluent patient information flow is a prerequisite for clinical decision making. Our purpose is to identify unmet information needs in the flow of Finnish intensive care narratives in order to focus the development of natural language processing methods for this domain. Our data set consists of 516 authentic electronic patient records. First, we assess statistically the amount of narratives. We find that the amount is substantial: elective admission type and high nursing intensity contribute this. Second, we perform a content analysis. We observe that notes relevant for a given topic are scattered over the narratives, headings are inconsistent, and the flow from earlier narratives is fragmented. consequentfr support for gaining topical overviews is needed. Meeting this clinical need holds the promise of making narratives better accessible throughout a patient's stay and thereby improving clinical decision making and outcomes of care.

Original languageEnglish
Title of host publicationProceedings - 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009
EditorsJake Chen, Xin Chen, John Ely, Dilek Hakkani-Tr, Jing He, Hui-Huang Hsu, Li Liao, Chunmei Liu, Mihai Pop, Shoba Ranganathan, Chandan K. Reddy, Jianhua Ruan, Yinglei Song, Vincent S. Tseng, Lyle Ungar, Di Wu, Zhijun Wu, Kai Xu, Hong Yu, Alexander Zelikovsky
Place of PublicationWashington DC
PublisherIEEE, Institute of Electrical and Electronics Engineers
Pages325-330
Number of pages6
ISBN (Print)9781424451210
DOIs
Publication statusPublished - 2009
Externally publishedYes
Event2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009 - Washington, Washington, United States
Duration: 1 Nov 20094 Nov 2009

Workshop

Workshop2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009
Abbreviated titleBIBMW 2009
CountryUnited States
CityWashington
Period1/11/094/11/09

Fingerprint

Critical Care
Decision making
Nursing
Natural Language Processing
Processing
Clinical Decision-Making

Cite this

Suominen, H., Lundgrén-Laine, H., Salanterä, S., Karsten, H., & Salakoski, T. I. (2009). Information flow in intensive care narratives. In J. Chen, X. Chen, J. Ely, D. Hakkani-Tr, J. He, H-H. Hsu, L. Liao, C. Liu, M. Pop, S. Ranganathan, C. K. Reddy, J. Ruan, Y. Song, V. S. Tseng, L. Ungar, D. Wu, Z. Wu, K. Xu, H. Yu, ... A. Zelikovsky (Eds.), Proceedings - 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009 (pp. 325-330). [5332083] Washington DC: IEEE, Institute of Electrical and Electronics Engineers. https://doi.org/10.1109/BIBMW.2009.5332083
Suominen, Hanna ; Lundgrén-Laine, Heljä ; Salanterä, Sanna ; Karsten, Helena ; Salakoski, Tapio I. / Information flow in intensive care narratives. Proceedings - 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009. editor / Jake Chen ; Xin Chen ; John Ely ; Dilek Hakkani-Tr ; Jing He ; Hui-Huang Hsu ; Li Liao ; Chunmei Liu ; Mihai Pop ; Shoba Ranganathan ; Chandan K. Reddy ; Jianhua Ruan ; Yinglei Song ; Vincent S. Tseng ; Lyle Ungar ; Di Wu ; Zhijun Wu ; Kai Xu ; Hong Yu ; Alexander Zelikovsky. Washington DC : IEEE, Institute of Electrical and Electronics Engineers, 2009. pp. 325-330
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Suominen, H, Lundgrén-Laine, H, Salanterä, S, Karsten, H & Salakoski, TI 2009, Information flow in intensive care narratives. in J Chen, X Chen, J Ely, D Hakkani-Tr, J He, H-H Hsu, L Liao, C Liu, M Pop, S Ranganathan, CK Reddy, J Ruan, Y Song, VS Tseng, L Ungar, D Wu, Z Wu, K Xu, H Yu & A Zelikovsky (eds), Proceedings - 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009., 5332083, IEEE, Institute of Electrical and Electronics Engineers, Washington DC, pp. 325-330, 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009, Washington, United States, 1/11/09. https://doi.org/10.1109/BIBMW.2009.5332083

Information flow in intensive care narratives. / Suominen, Hanna; Lundgrén-Laine, Heljä; Salanterä, Sanna; Karsten, Helena; Salakoski, Tapio I.

Proceedings - 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009. ed. / Jake Chen; Xin Chen; John Ely; Dilek Hakkani-Tr; Jing He; Hui-Huang Hsu; Li Liao; Chunmei Liu; Mihai Pop; Shoba Ranganathan; Chandan K. Reddy; Jianhua Ruan; Yinglei Song; Vincent S. Tseng; Lyle Ungar; Di Wu; Zhijun Wu; Kai Xu; Hong Yu; Alexander Zelikovsky. Washington DC : IEEE, Institute of Electrical and Electronics Engineers, 2009. p. 325-330 5332083.

Research output: A Conference proceeding or a Chapter in BookConference contribution

TY - GEN

T1 - Information flow in intensive care narratives

AU - Suominen, Hanna

AU - Lundgrén-Laine, Heljä

AU - Salanterä, Sanna

AU - Karsten, Helena

AU - Salakoski, Tapio I.

PY - 2009

Y1 - 2009

N2 - Fluent patient information flow is a prerequisite for clinical decision making. Our purpose is to identify unmet information needs in the flow of Finnish intensive care narratives in order to focus the development of natural language processing methods for this domain. Our data set consists of 516 authentic electronic patient records. First, we assess statistically the amount of narratives. We find that the amount is substantial: elective admission type and high nursing intensity contribute this. Second, we perform a content analysis. We observe that notes relevant for a given topic are scattered over the narratives, headings are inconsistent, and the flow from earlier narratives is fragmented. consequentfr support for gaining topical overviews is needed. Meeting this clinical need holds the promise of making narratives better accessible throughout a patient's stay and thereby improving clinical decision making and outcomes of care.

AB - Fluent patient information flow is a prerequisite for clinical decision making. Our purpose is to identify unmet information needs in the flow of Finnish intensive care narratives in order to focus the development of natural language processing methods for this domain. Our data set consists of 516 authentic electronic patient records. First, we assess statistically the amount of narratives. We find that the amount is substantial: elective admission type and high nursing intensity contribute this. Second, we perform a content analysis. We observe that notes relevant for a given topic are scattered over the narratives, headings are inconsistent, and the flow from earlier narratives is fragmented. consequentfr support for gaining topical overviews is needed. Meeting this clinical need holds the promise of making narratives better accessible throughout a patient's stay and thereby improving clinical decision making and outcomes of care.

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KW - Intesive care narratives

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M3 - Conference contribution

SN - 9781424451210

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EP - 330

BT - Proceedings - 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009

A2 - Chen, Jake

A2 - Chen, Xin

A2 - Ely, John

A2 - Hakkani-Tr, Dilek

A2 - He, Jing

A2 - Hsu, Hui-Huang

A2 - Liao, Li

A2 - Liu, Chunmei

A2 - Pop, Mihai

A2 - Ranganathan, Shoba

A2 - Reddy, Chandan K.

A2 - Ruan, Jianhua

A2 - Song, Yinglei

A2 - Tseng, Vincent S.

A2 - Ungar, Lyle

A2 - Wu, Di

A2 - Wu, Zhijun

A2 - Xu, Kai

A2 - Yu, Hong

A2 - Zelikovsky, Alexander

PB - IEEE, Institute of Electrical and Electronics Engineers

CY - Washington DC

ER -

Suominen H, Lundgrén-Laine H, Salanterä S, Karsten H, Salakoski TI. Information flow in intensive care narratives. In Chen J, Chen X, Ely J, Hakkani-Tr D, He J, Hsu H-H, Liao L, Liu C, Pop M, Ranganathan S, Reddy CK, Ruan J, Song Y, Tseng VS, Ungar L, Wu D, Wu Z, Xu K, Yu H, Zelikovsky A, editors, Proceedings - 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshops, BIBMW 2009. Washington DC: IEEE, Institute of Electrical and Electronics Engineers. 2009. p. 325-330. 5332083 https://doi.org/10.1109/BIBMW.2009.5332083