论文标题

在临床报告中排名很大

Ranking Significant Discrepancies in Clinical Reports

论文作者

MacAvaney, Sean, Cohan, Arman, Goharian, Nazli, Filice, Ross

论文摘要

医疗错误是全球的主要公共卫生问题,也是死亡的主要原因。许多医疗保健中心和医院都使用报告系统,医学从业人员撰写初步医疗报告,并随后由经验丰富的医师对该报告进行了审查,修订和敲定。修订范围从风格到对案件的关键错误或误解的更正。由于每天写的大量报告,通常很难手动,彻底查看所有最终报告以查找此类错误并向它们学习。为了应对这一挑战,我们提出了一种新颖的排名方法,该方法包括初步版本和最终版本之间的文本和本体论重叠。该方法学会根据版本之间的差异程度对报告进行排名。这使医生可以轻松地识别并从报告中最大的解释与主体医生(最终确定报告)有根本不同的报告中学习和学习。这是朝着揭示潜在错误并帮助医生从此类错误中学习的至关重要的一步,从长远来看,可以改善患者护理。我们在放射学报告的数据集上评估了我们的模型,并表明我们的方法的表现优于先前提出的方法,而最新的语言模型则远高于4.5%至15.4%。

Medical errors are a major public health concern and a leading cause of death worldwide. Many healthcare centers and hospitals use reporting systems where medical practitioners write a preliminary medical report and the report is later reviewed, revised, and finalized by a more experienced physician. The revisions range from stylistic to corrections of critical errors or misinterpretations of the case. Due to the large quantity of reports written daily, it is often difficult to manually and thoroughly review all the finalized reports to find such errors and learn from them. To address this challenge, we propose a novel ranking approach, consisting of textual and ontological overlaps between the preliminary and final versions of reports. The approach learns to rank the reports based on the degree of discrepancy between the versions. This allows medical practitioners to easily identify and learn from the reports in which their interpretation most substantially differed from that of the attending physician (who finalized the report). This is a crucial step towards uncovering potential errors and helping medical practitioners to learn from such errors, thus improving patient-care in the long run. We evaluate our model on a dataset of radiology reports and show that our approach outperforms both previously-proposed approaches and more recent language models by 4.5% to 15.4%.

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