Literature DB >> 32308845

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

Audrey L Jones1,2, Warren B P Pettey1,2, Marjorie E Carter1,1, Emily Brignone1, Andrew Redd1,2, Ying Suo1,2, Guy Divita1, Rebecca K Blais2,3, Jamison D Fargo2,3, Adi V Gundlapalli1,2.   

Abstract

Background: Experiences of sexual trauma are associated with adverse patient and health system outcomes, but are not systematically documented in electronic health records (EHR). Objective: To describe variations in how sexual trauma is documented in the Veterans Health Adminstration's EHR.
Methods: Sexual trauma concepts were extracted from from 362,559 clinical notes using a natural language processing pipeline.
Results: We observed variations in the presence of sexual trauma in notes across five United States regions: Pacific, Continental, Midwest, North Atlantic, Southeast. We also observed variations in the types of notes used to document sexual trauma (e.g., mental health, primary care) and sources of sexual trauma (e.g., adult, childhood, military) mentioned in the EHR. Our findings illustrate potential differences in cultural norms related to patient disclosure of sensitive information, and provider documentation. Standardized protocol for eliciting and documenting sexual trauma histories are needed to ensure Veteran access to high quality, trauma-informed care. ©2019 AMIA - All rights reserved.

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Year:  2020        PMID： 32308845      PMCID： PMC7153121     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN： 1559-4076


  18 in total

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Review 5.  Military sexual trauma in men: a review of reported rates.

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6.  Combining Natural Language Processing of Electronic Medical Notes With Administrative Data to Determine Racial/Ethnic Differences in the Disclosure and Documentation of Military Sexual Trauma in Veterans.

Authors:  Adi V Gundlapalli; Audrey L Jones; Andrew Redd; Guy Divita; Emily Brignone; Warren B P Pettey; Marjorie E Carter; Matthew H Samore; Rebecca K Blais; Jamison D Fargo
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7.  Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders among Returning Afghanistan and Iraq Veterans.

Authors:  Amanda K Gilmore; Emily Brignone; Janelle M Painter; Keren Lehavot; Jamison Fargo; Ying Suo; Tracy Simpson; Marjorie E Carter; Rebecca K Blais; Adi V Gundlapalli
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9.  Military sexual trauma among homeless veterans.

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