An end-to-end hybrid algorithm for automated medication discrepancy detection.

Journal: BMC medical informatics and decision making
Published Date:

Abstract

BACKGROUND: In this study we implemented and developed state-of-the-art machine learning (ML) and natural language processing (NLP) technologies and built a computerized algorithm for medication reconciliation. Our specific aims are: (1) to develop a computerized algorithm for medication discrepancy detection between patients' discharge prescriptions (structured data) and medications documented in free-text clinical notes (unstructured data); and (2) to assess the performance of the algorithm on real-world medication reconciliation data.

Authors

  • Qi Li
    The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
  • Stephen Andrew Spooner
    Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7024, Cincinnati, OH, 45229-3039, USA.
  • Megan Kaiser
    Cincinnati Children's Hospital Medical Center, Department of Biomedical Informatics, 3333 Burnet Avenue, MLC 7024, Cincinnati, OH, USA.
  • Nataline Lingren
    Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7024, Cincinnati, OH, 45229-3039, USA.
  • Jessica Robbins
    Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7024, Cincinnati, OH, 45229-3039, USA.
  • Todd Lingren
    Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Huaxiu Tang
    Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Imre Solti
    Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA James M Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Yizhao Ni
    Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.