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Objective: To detect and classify features of stigmatizing and biased language in intensive care electronic health records (EHRs) using natural language processing techniques. Materials and Methods: We first created a lexicon and regular…

计算与语言 · 计算机科学 2025-07-15 Drew Walker , Annie Thorne , Sudeshna Das , Jennifer Love , Hannah LF Cooper , Melvin Livingston , Abeed Sarker

Electronic health records (EHRs) serve as an essential data source for the envisioned artificial intelligence (AI)-driven transformation in healthcare. However, clinician biases reflected in EHR notes can lead to AI models inheriting and…

人工智能 · 计算机科学 2023-06-13 Yizhi Liu , Weiguang Wang , Guodong Gordon Gao , Ritu Agarwal

Stigmatizing language results in healthcare inequities, yet there is no universally accepted or standardized lexicon defining which words, terms, or phrases constitute stigmatizing language in healthcare. We conducted a systematic search of…

计算与语言 · 计算机科学 2025-09-10 Yiliang Zhou , Di Hu , Tianchu Lyu , Jasmine Dhillon , Alexandra L. Beck , Gelareh Sadigh , Kai Zheng

In this work, we examine the extent to which embeddings may encode marginalized populations differently, and how this may lead to a perpetuation of biases and worsened performance on clinical tasks. We pretrain deep embedding models (BERT)…

计算与语言 · 计算机科学 2020-03-26 Haoran Zhang , Amy X. Lu , Mohamed Abdalla , Matthew McDermott , Marzyeh Ghassemi

The emergency department (ED) is a high stress environment with increased risk of clinician bias exposure. In the United States, Black patients are more likely than other racial/ethnic groups to obtain their first schizophrenia (SCZ)…

其他定量生物学 · 定量生物学 2026-04-14 Alissa A. Valentine , Lauren A. Lepow , Donald Apakama , Lili Chan , Alexander W. Charney , Isotta Landi

The utilization of Electronic Health Records (EHRs) for clinical risk prediction is on the rise. However, strict privacy regulations limit access to comprehensive health records, making it challenging to apply standard machine learning…

Large Language Models (LLMs) are increasingly deployed in high-stakes domains such as clinical decision support and medical documentation. However, the robustness of these models against subtle linguistic variations, specifically…

计算与语言 · 计算机科学 2026-05-19 Jen-tse Huang , Didi Zhou , Faith Kamau , Amy Oh , Anne R. Links , Mark Dredze , Mary Catherine Beach , Somnath Saha

Disparities in access to healthcare have been well-documented in the United States, but their effects on electronic health record (EHR) data reliability and resulting clinical models are poorly understood. Using an All of Us dataset of…

计算机与社会 · 计算机科学 2024-12-17 Anna Zink , Hongzhou Luan , Irene Y. Chen

Clinical notes in electronic health records contain highly heterogeneous writing styles, including non-standard terminology or abbreviations. Using these notes in predictive modeling has traditionally required preprocessing (e.g. taking…

机器学习 · 计算机科学 2019-11-18 Jonas Kemp , Alvin Rajkomar , Andrew M. Dai

The advent of large language models (LLMs) has opened new avenues for analyzing complex, unstructured data, particularly within the medical domain. Electronic Health Records (EHRs) contain a wealth of information in various formats,…

信息检索 · 计算机科学 2025-06-10 Wu Hao Ran , Xi Xi , Furong Li , Jingyi Lu , Jian Jiang , Hui Huang , Yuzhuan Zhang , Shi Li

Clinicians spend a significant amount of time inputting free-form textual notes into Electronic Health Records (EHR) systems. Much of this documentation work is seen as a burden, reducing time spent with patients and contributing to…

计算与语言 · 计算机科学 2018-08-09 Peter J. Liu

Biases in automated clinical decision-making using Electronic Healthcare Records (EHR) impose significant disparities in patient care and treatment outcomes. Conventional approaches have primarily focused on bias mitigation strategies…

人工智能 · 计算机科学 2024-12-03 Resmi Ramachandranpillai , Kishore Sampath , Ayaazuddin Mohammad , Malihe Alikhani

There are established racial disparities in healthcare, including during end-of-life care, when poor communication and trust can lead to suboptimal outcomes for patients and their families. In this work, we find that racial disparities…

应用统计 · 统计学 2018-08-17 Willie Boag , Harini Suresh , Leo Anthony Celi , Peter Szolovits , Marzyeh Ghassemi

Violence risk assessment in psychiatric institutions enables interventions to avoid violence incidents. Clinical notes written by practitioners and available in electronic health records (EHR) are valuable resources that are seldom used to…

机器学习 · 计算机科学 2022-05-02 Pablo Mosteiro , Emil Rijcken , Kalliopi Zervanou , Uzay Kaymak , Floortje Scheepers , Marco Spruit

Due to the substantial number of clinicians, patients, and data collection environments involved in clinical trials, gathering data of superior quality poses a significant challenge. In clinical trials, patients are assessed based on their…

机器学习 · 计算机科学 2024-04-09 Ali Akram , Marija Stanojevic , Malikeh Ehghaghi , Jekaterina Novikova

The lack of standardized evaluation benchmarks in the medical domain for text inputs can be a barrier to widely adopting and leveraging the potential of natural language models for health-related downstream tasks. This paper revisited an…

计算与语言 · 计算机科学 2025-04-30 Jesus Lovon , Thouria Ben-Haddi , Jules Di Scala , Jose G. Moreno , Lynda Tamine

Healthcare providers usually record detailed notes of the clinical care delivered to each patient for clinical, research, and billing purposes. Due to the unstructured nature of these narratives, providers employ dedicated staff to assign…

计算与语言 · 计算机科学 2022-08-03 Chufan Gao , Mononito Goswami , Jieshi Chen , Artur Dubrawski

The mental disorder of online users is determined using social media posts. The major challenge in this domain is to avail the ethical clearance for using the user generated text on social media platforms. Academic re searchers identified…

计算与语言 · 计算机科学 2022-11-09 Gunjan Ansari , Muskan Garg , Chandni Saxena

In the context of the Electronic Health Record, automated diagnosis coding of patient notes is a useful task, but a challenging one due to the large number of codes and the length of patient notes. We investigate four models for assigning…

计算与语言 · 计算机科学 2017-11-22 Tal Baumel , Jumana Nassour-Kassis , Raphael Cohen , Michael Elhadad , No`emie Elhadad

Objective: To characterize stigma dimensions, social, and related behavioral circumstances in people living with HIV(PLWHs) seeking care, using NLP methods applied to a large collection of EHR clinical notes from a large integrated health…

机器学习 · 计算机科学 2025-09-15 Ziyi Chen , Yiyang Liu , Mattia Prosperi , Krishna Vaddiparti , Robert L Cook , Jiang Bian , Yi Guo , Yonghui Wu
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