Automatic generation of natural language nursing shift summaries in neonatal intensive care: BT-Nurse

James Hunter, Yvonne Freer, Albert Gatt, Ehud Reiter, Somayajulu Sripada, Cindy Sykes

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Introduction
Our objective was to determine whether and how a computer system could automatically generate helpful natural language nursing shift summaries solely from an electronic patient record system, in a neonatal intensive care unit (NICU).

Methods
A system was developed which automatically generates partial NICU shift summaries (for the respiratory and cardiovascular systems), using data-to-text technology. It was evaluated for 2 months in the NICU at the Royal Infirmary of Edinburgh, under supervision.

Results
In an on-ward evaluation, a substantial majority of the summaries was found by outgoing and incoming nurses to be understandable (90%), and a majority was found to be accurate (70%), and helpful (59%). The evaluation also served to identify some outstanding issues, especially with regard to extra content the nurses wanted to see in the computer-generated summaries.

Conclusions
It is technically possible automatically to generate limited natural language NICU shift summaries from an electronic patient record. However, it proved difficult to handle electronic data that was intended primarily for display to the medical staff, and considerable engineering effort would be required to create a deployable system from our proof-of-concept software.
Original languageEnglish
Pages (from-to)157-172
Number of pages16
JournalArtificial Intelligence in Medicine
Volume56
Issue number3
Early online date12 Oct 2012
DOIs
Publication statusPublished - Nov 2012

Fingerprint

Neonatal Intensive Care
Intensive care units
Nursing
Neonatal Intensive Care Units
Language
Nurses
Respiratory system
Cardiovascular system
Medical Staff
Computer Systems
Cardiovascular System
Respiratory System
Computer systems
Software
Display devices
Technology

Keywords

  • natural language generation
  • natural language processing
  • data to text
  • neonatal intensive care
  • health informatics

Cite this

Automatic generation of natural language nursing shift summaries in neonatal intensive care : BT-Nurse. / Hunter, James; Freer, Yvonne; Gatt, Albert; Reiter, Ehud; Sripada, Somayajulu; Sykes, Cindy.

In: Artificial Intelligence in Medicine, Vol. 56, No. 3, 11.2012, p. 157-172.

Research output: Contribution to journalArticle

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abstract = "IntroductionOur objective was to determine whether and how a computer system could automatically generate helpful natural language nursing shift summaries solely from an electronic patient record system, in a neonatal intensive care unit (NICU).MethodsA system was developed which automatically generates partial NICU shift summaries (for the respiratory and cardiovascular systems), using data-to-text technology. It was evaluated for 2 months in the NICU at the Royal Infirmary of Edinburgh, under supervision.ResultsIn an on-ward evaluation, a substantial majority of the summaries was found by outgoing and incoming nurses to be understandable (90{\%}), and a majority was found to be accurate (70{\%}), and helpful (59{\%}). The evaluation also served to identify some outstanding issues, especially with regard to extra content the nurses wanted to see in the computer-generated summaries.ConclusionsIt is technically possible automatically to generate limited natural language NICU shift summaries from an electronic patient record. However, it proved difficult to handle electronic data that was intended primarily for display to the medical staff, and considerable engineering effort would be required to create a deployable system from our proof-of-concept software.",
keywords = "natural language generation , natural language processing, data to text, neonatal intensive care, health informatics",
author = "James Hunter and Yvonne Freer and Albert Gatt and Ehud Reiter and Somayajulu Sripada and Cindy Sykes",
note = "Acknowledgements We are grateful to the UK Engineering and Physical Sciences Research Council (EPSRC) for funding the BabyTalk project with grants to the University of Aberdeen (EP/D049520/1) and the University of Edinburgh (EP/D05057X/1). We are also grateful to Peter Badger and Tom Lyon of Clevermed{\circledR} for always being on hand to answer our queries and to expedite integration of BT-Nurse with the Badger system. We thank our reviewers for considered and helpful comments.",
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AU - Sripada, Somayajulu

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N1 - Acknowledgements We are grateful to the UK Engineering and Physical Sciences Research Council (EPSRC) for funding the BabyTalk project with grants to the University of Aberdeen (EP/D049520/1) and the University of Edinburgh (EP/D05057X/1). We are also grateful to Peter Badger and Tom Lyon of Clevermed® for always being on hand to answer our queries and to expedite integration of BT-Nurse with the Badger system. We thank our reviewers for considered and helpful comments.

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N2 - IntroductionOur objective was to determine whether and how a computer system could automatically generate helpful natural language nursing shift summaries solely from an electronic patient record system, in a neonatal intensive care unit (NICU).MethodsA system was developed which automatically generates partial NICU shift summaries (for the respiratory and cardiovascular systems), using data-to-text technology. It was evaluated for 2 months in the NICU at the Royal Infirmary of Edinburgh, under supervision.ResultsIn an on-ward evaluation, a substantial majority of the summaries was found by outgoing and incoming nurses to be understandable (90%), and a majority was found to be accurate (70%), and helpful (59%). The evaluation also served to identify some outstanding issues, especially with regard to extra content the nurses wanted to see in the computer-generated summaries.ConclusionsIt is technically possible automatically to generate limited natural language NICU shift summaries from an electronic patient record. However, it proved difficult to handle electronic data that was intended primarily for display to the medical staff, and considerable engineering effort would be required to create a deployable system from our proof-of-concept software.

AB - IntroductionOur objective was to determine whether and how a computer system could automatically generate helpful natural language nursing shift summaries solely from an electronic patient record system, in a neonatal intensive care unit (NICU).MethodsA system was developed which automatically generates partial NICU shift summaries (for the respiratory and cardiovascular systems), using data-to-text technology. It was evaluated for 2 months in the NICU at the Royal Infirmary of Edinburgh, under supervision.ResultsIn an on-ward evaluation, a substantial majority of the summaries was found by outgoing and incoming nurses to be understandable (90%), and a majority was found to be accurate (70%), and helpful (59%). The evaluation also served to identify some outstanding issues, especially with regard to extra content the nurses wanted to see in the computer-generated summaries.ConclusionsIt is technically possible automatically to generate limited natural language NICU shift summaries from an electronic patient record. However, it proved difficult to handle electronic data that was intended primarily for display to the medical staff, and considerable engineering effort would be required to create a deployable system from our proof-of-concept software.

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