BACKGROUND: The use of patient-reported outcome measures (PROMs) is an expected component of high-quality, measurement-based chiropractic care. The largest health care system offering integrated chiropractic care is the Veterans Health Administration...
OBJECTIVE: Substance use disorder (SUD) is clinically under-detected and under-documented. We built and validated machine learning (ML) models to estimate SUD prevalence from electronic health record (EHR) data and to assess variation in facility-lev...
Journal of psychopathology and clinical science
Mar 20, 2025
Novel and automated means of opioid use and relapse risk detection are needed. Unstructured electronic medical record data, including written progress notes, can be mined for clinically relevant information, including the presence of substance use an...
OBJECTIVE: Suicide risk assessment has historically relied heavily on clinical evaluations and patient self-reports. Natural language processing (NLP) of electronic health records (EHRs) provides an alternative approach for extracting risk predictors...
The opioid crisis has disproportionately affected U.S. veterans, leading the Veterans Health Administration to implement opioid prescribing guidelines. Veterans who receive care from both VA and non-VA providers-known as dual-system users-have an inc...
Clinical orthopaedics and related research
Oct 2, 2024
BACKGROUND: Available codes in the ICD-10 do not accurately reflect soft tissue sarcoma diagnoses, and this can result in an underrepresentation of soft tissue sarcoma in databases. The National VA Database provides a unique opportunity for soft tiss...
Suicide is a leading cause of death. Suicide rates are particularly elevated among Department of Veterans Affairs (VA) patients. While VA has made impactful suicide prevention advances, efforts primarily target high-risk patients with documented suic...
Measuring suicide risk fluctuation remains difficult, especially for high-suicide risk patients. Our study addressed this issue by leveraging Dynamic Topic Modeling, a natural language processing method that evaluates topic changes over time, to anal...
AIMS: Heart failure (HF) is a clinical syndrome with no definitive diagnostic tests. HF registries are often based on manual reviews of medical records of hospitalized HF patients identified using International Classification of Diseases (ICD) codes....
Journal of evaluation in clinical practice
May 24, 2021
RATIONALE AIMS AND OBJECTIVES: As quality measurement becomes increasingly reliant on the availability of structured electronic medical record (EMR) data, clinicians are asked to perform documentation using tools that facilitate data capture. These t...
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