AIMC Topic: United States Department of Veterans Affairs

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Comparison of Prediction Model Performance Updating Protocols: Using a Data-Driven Testing Procedure to Guide Updating.

AMIA ... Annual Symposium proceedings. AMIA Symposium
In evolving clinical environments, the accuracy of prediction models deteriorates over time. Guidance on the design of model updating policies is limited, and there is limited exploration of the impact of different policies on future model performanc...

Regional Variations in Documentation of Sexual Trauma Concepts in Electronic Medical Records in the United States Veterans Health Administration.

AMIA ... Annual Symposium proceedings. AMIA Symposium
Experiences of sexual trauma are associated with adverse patient and health system outcomes, but are not systematically documented in electronic health records (EHR). To describe variations in how sexual trauma is documented in the Veterans Health ...

Applying Machine Learning to Linked Administrative and Clinical Data to Enhance the Detection of Homelessness among Vulnerable Veterans.

AMIA ... Annual Symposium proceedings. AMIA Symposium
U.S. military veterans who were discharged from service for misconduct are at high risk for homelessness. Stratifying homelessness risk based on both military service factors and clinical characteristics could facilitate targeted provision of prevent...

Identifying Latent Subgroups of High-Risk Patients Using Risk Score Trajectories.

Journal of general internal medicine
OBJECTIVE: Many healthcare systems employ population-based risk scores to prospectively identify patients at high risk of poor outcomes, but it is unclear whether single point-in-time scores adequately represent future risk. We sought to identify and...

Determining post-test risk in a national sample of stress nuclear myocardial perfusion imaging reports: Implications for natural language processing tools.

Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
BACKGROUND: Reporting standards promote clarity and consistency of stress myocardial perfusion imaging (MPI) reports, but do not require an assessment of post-test risk. Natural Language Processing (NLP) tools could potentially help estimate this ris...

Calibration Drift Among Regression and Machine Learning Models for Hospital Mortality.

AMIA ... Annual Symposium proceedings. AMIA Symposium
Advanced regression and machine learning models can provide personalized risk predictions to support clinical decision-making. We aimed to understand whether modeling methods impact the tendency of calibration to deteriorate as patient populations sh...

Development and Validation of a Natural Language Processing Tool to Identify Patients Treated for Pneumonia across VA Emergency Departments.

Applied clinical informatics
BACKGROUND: Identifying pneumonia using diagnosis codes alone may be insufficient for research on clinical decision making. Natural language processing (NLP) may enable the inclusion of cases missed by diagnosis codes.

An Evolving Ecosystem for Natural Language Processing in Department of Veterans Affairs.

Journal of medical systems
In an ideal clinical Natural Language Processing (NLP) ecosystem, researchers and developers would be able to collaborate with others, undertake validation of NLP systems, components, and related resources, and disseminate them. We captured requireme...

The use of natural language processing on narrative medication schedules to compute average weekly dose.

Pharmacoepidemiology and drug safety
PURPOSE: Medications with non-standard dosing and unstandardized units of measurement make the estimation of prescribed dose difficult from pharmacy dispensing data. A natural language processing tool named the SIG extractor was developed to identify...