TY - GEN
T1 - How is the Doctor Feeling? ICU Provider Sentiment is Associated with Diagnostic Imaging Utilization
AU - Ghassemi, Mohammad M.
AU - Al-Hanai, Tuka
AU - Raffa, Jesse D.
AU - Mark, Roger G.
AU - Nemati, Shamim
AU - Chokshi, Falgun H.
N1 - Publisher Copyright:
© 2018 IEEE.
PY - 2018/10/26
Y1 - 2018/10/26
N2 - The judgment of intensive care unit (ICU) providers is difficult to measure using conventional structured electronic medical record (EMR) data. However, provider sentiment may be a proxy for such judgment. Utilizing 10 years of EMR data, this study evaluates the association between provider sentiment and diagnostic imaging utilization. We extracted daily positive / negative sentiment scores of written provider notes, and used a Poisson regression to estimate sentiment association with the total number of daily imaging reports. After adjusting for confounding factors, we found that (1) negative sentiment was associated with increased imaging utilization (p < 0.01), (2) sentiment's association was most pronounced at the beginning of the ICU stay (p < 0.01), and (3) the presence of any form of sentiment increased diagnostic imaging utilization up to a critical threshold (p < 0.01). Our results indicate that provider sentiment may clarify currently unexplained variance in resource utilization and clinical practice.
AB - The judgment of intensive care unit (ICU) providers is difficult to measure using conventional structured electronic medical record (EMR) data. However, provider sentiment may be a proxy for such judgment. Utilizing 10 years of EMR data, this study evaluates the association between provider sentiment and diagnostic imaging utilization. We extracted daily positive / negative sentiment scores of written provider notes, and used a Poisson regression to estimate sentiment association with the total number of daily imaging reports. After adjusting for confounding factors, we found that (1) negative sentiment was associated with increased imaging utilization (p < 0.01), (2) sentiment's association was most pronounced at the beginning of the ICU stay (p < 0.01), and (3) the presence of any form of sentiment increased diagnostic imaging utilization up to a critical threshold (p < 0.01). Our results indicate that provider sentiment may clarify currently unexplained variance in resource utilization and clinical practice.
KW - Diagnostic Imaging
KW - Electronic Health Records
KW - Emotions
KW - Humans
KW - Intensive Care Units
KW - Physicians
UR - http://www.scopus.com/inward/record.url?scp=85056630829&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056630829&partnerID=8YFLogxK
U2 - 10.1109/EMBC.2018.8513325
DO - 10.1109/EMBC.2018.8513325
M3 - Conference contribution
C2 - 30441248
AN - SCOPUS:85056630829
VL - 2018
T3 - Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
SP - 4058
EP - 4064
BT - 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
PB - Institute of Electrical and Electronics Engineers Inc.
T2 - 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
Y2 - 18 July 2018 through 21 July 2018
ER -