Literature DB >> 30336262

Using neural attention networks to detect adverse medical events from electronic health records.

Jiebin Chu1, Wei Dong2, Kunlun He2, Huilong Duan1, Zhengxing Huang3.   

Abstract

The detection of Adverse Medical Events (AMEs) plays an important role in disease management in ensuring efficient treatment delivery and quality improvement of health services. Recently, with the rapid development of hospital information systems, a large volume of Electronic Health Records (EHRs) have been produced, in which AMEs are regularly documented in a free-text manner. In this study, we are concerned with the problem of AME detection by utilizing a large volume of unstructured EHR data. To address this challenge, we propose a neural attention network-based model to incorporate the contextual information of words into AME detection. Specifically, we develop a context-aware attention mechanism to locate salient words with respect to the target AMEs in patient medical records. And then we combine the proposed context attention mechanism with the deep learning tactic to boost the performance of AME detection. We validate our proposed model on a real clinical dataset that consists of 8845 medical records of patients with cardiovascular diseases. The experimental results show that our proposed model advances state-of-the-art models and achieves competitive performance in terms of AME detection.
Copyright © 2018 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Adverse medical event; Cardiovascular disease; Deep learning; Electronic health record; Neural attention network

Mesh:

Year:  2018        PMID: 30336262     DOI: 10.1016/j.jbi.2018.10.002

Source DB:  PubMed          Journal:  J Biomed Inform        ISSN: 1532-0464            Impact factor:   6.317


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