Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse.

Journal: Academic pediatrics
PMID: 34780997

Abstract

OBJECTIVES: Medically minor but clinically important findings associated with physical child abuse, such as bruises in pre-mobile infants, may be identified by frontline clinicians yet the association of these injuries with child abuse is often not recognized, potentially allowing the abuse to continue and even to escalate. An accurate natural language processing (NLP) algorithm to identify high-risk injuries in electronic health record notes could improve detection and awareness of abuse. The objectives were to: 1) develop an NLP algorithm that accurately identifies injuries in infants associated with abuse and 2) determine the accuracy of this algorithm.

Authors

  • Gunjan Tiyyagura
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT. Electronic address: gunjan.tiyyagura@yale.edu.
  • Andrea G Asnes
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT.
  • John M Leventhal
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT.
  • Eugene D Shapiro
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT.
  • Marc Auerbach
  • Wei Teng
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT.
  • Emily Powers
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT.
  • Amy Thomas
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT.
  • Daniel M Lindberg
    Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA; Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado School of Medicine, Aurora, CO, USA.
  • Justin McClelland
    3M | M*Modal Health Information Systems (J McClelland, C Kutryb, T Polzin, K Daughtridge, V Sevin), Pittsburg, Pa.
  • Carol Kutryb
    3M | M*Modal Health Information Systems (J McClelland, C Kutryb, T Polzin, K Daughtridge, V Sevin), Pittsburg, Pa.
  • Thomas Polzin
    3M | M*Modal Health Information Systems (J McClelland, C Kutryb, T Polzin, K Daughtridge, V Sevin), Pittsburg, Pa.
  • Karen Daughtridge
    3M | M*Modal Health Information Systems (J McClelland, C Kutryb, T Polzin, K Daughtridge, V Sevin), Pittsburg, Pa.
  • Virginia Sevin
    3M | M*Modal Health Information Systems (J McClelland, C Kutryb, T Polzin, K Daughtridge, V Sevin), Pittsburg, Pa.
  • Allen L Hsiao
    Yale University School of Medicine (G Tiyyagura, AG Asnes, JM Leventhal, ED Shapiro, M Auerbach, W Teng, E Powers, A Thomas, AL Hsiao), New Haven, CT.

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