Application of Natural Language Processing to Learn Insights on the Clinician's Lived Experience of Electronic Health Records.

Journal: Studies in health technology and informatics
PMID:

Abstract

We interviewed six clinicians to learn about their lived experience using electronic health records (EHR, Allscripts users) using a semi-structured interview guide in an academic medical center in New York City from October to November 2016. Each participant interview lasted approximately one to two hours. We applied a clustering algorithm to the interview transcript to detect topics, applying natural language processing (NLP). We visualized eight themes using network diagrams (Louvain modularity 0.70). Novel findings include the need for a concise and organized display and data entry page, the user controlling functions for orders, medications, radiology reports, and missing signals of indentation or filtering functions in the order page and lab results. Application of topic modeling to qualitative interview data provides far-reaching research insights into the clinicians' lived experience of EHR and future optimal EHR design to address human-computer interaction issues in an acute care setting.

Authors

  • Yalini Senathirajah
    Biomedical Informatics, School of Medicine, University of Pittsburgh, USA.
  • Hwayoung Cho
    College of Nursing, University of Florida, USA.
  • Jaime Fawcett
    Biomedical Informatics, School of Medicine, University of Pittsburgh, USA.
  • Karla M Mondejar
    Department of Infectious Disease, Mount Sinai Health System, USA.
  • Kenrick Cato
    School of Nursing, Columbia University, New York City, NY, USA.
  • Peter Broadwell
    Center for Interdisciplinary Digital Research, Stanford University, USA.
  • Sunmoo Yoon
    School of Nursing, Columbia University Medical Center, New York, NY, USA.