Identifying nurses' concern concepts about patient deterioration using a standard nursing terminology.
Expression of concern
Information storage and retrieval
Standardized nursing terminology
Journal
International journal of medical informatics
ISSN: 1872-8243
Titre abrégé: Int J Med Inform
Pays: Ireland
ID NLM: 9711057
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
received:
17
04
2019
revised:
08
09
2019
accepted:
17
10
2019
pubmed:
11
11
2019
medline:
5
3
2020
entrez:
11
11
2019
Statut:
ppublish
Résumé
Nurse concerns documented in nursing notes are important predictors of patient risk of deterioration. Using a standard nursing terminology and inputs from subject-matter experts (SMEs), we aimed to identify and define nurse concern concepts and terms about patient deterioration, which can be used to support subsequent automated tasks, such as natural language processing and risk predication. Group consensus meetings with nurse SMEs were held to identify nursing concerns by grading Clinical Care Classification (CCC) system concepts based on clinical knowledge. Next, a fundamental lexicon was built placing selected CCC concepts into a framework of entities and seed terms to extend CCC granularity. A total of 29 CCC concepts were selected as reflecting nurse concerns. From these, 111 entities and 586 seed terms were generated into a fundamental lexicon. Nursing concern concepts differed across settings (intensive care units versus non-intensive care units) and unit types (medicine versus surgery units). The CCC concepts were useful for representing nursing concern as they encompass a nursing-centric conceptual framework and are practical in lexicon construction. It enabled the codification of nursing concerns for deteriorating patients at a standardized conceptual level. The boundary of selected CCC concepts and lexicons were determined by the SMEs. The fundamental lexicon offers more granular terms that can be identified and processed in an automated fashion.
Identifiants
pubmed: 31707264
pii: S1386-5056(19)30421-6
doi: 10.1016/j.ijmedinf.2019.104016
pmc: PMC6957124
mid: NIHMS1542497
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
104016Subventions
Organisme : NINR NIH HHS
ID : R01 NR016941
Pays : United States
Organisme : NINR NIH HHS
ID : T32 NR007969
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.
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