Machine Learning Methods for Identifying Critical Data Elements in Nursing Documentation

Nursing Research
Eliezer BoseKaren A Monsen

Abstract

Public health nurses (PHNs) engage in home visiting services and documentation of care services for at-risk clients. To increase efficiency and decrease documentation burden, it would be useful for PHNs to identify critical data elements most associated with patient care priorities and outcomes. Machine learning techniques can aid in retrospective identification of critical data elements. We used two different machine learning feature selection techniques of minimum redundancy-maximum relevance (mRMR) and LASSO (least absolute shrinkage and selection operator) and elastic net regularized generalized linear model (glmnet in R). We demonstrated application of these techniques on the Omaha System database of 205 data elements (features) with a cohort of 756 family home visiting clients who received at least one visit from PHNs in a local Midwest public health agency. A dichotomous maternal risk index served as the outcome for feature selection. Using mRMR as a feature selection technique, out of 206 features, 50 features were selected with scores greater than zero, and generalized linear model applied on the 50 features achieved highest accuracy of 86.2% on a held-out test set. Using glmnet as a feature selection technique and obt...Continue Reading

References

Apr 27, 2005·Journal of Bioinformatics and Computational Biology·Chris Ding, Hanchuan Peng
May 19, 2006·Computers, Informatics, Nursing : CIN·Karen A MonsenKaren S Martin
Nov 3, 2010·FEMS Microbiology Reviews·Dan KnightsRob Knight
Nov 26, 2010·Computers, Informatics, Nursing : CIN·Karen S MartinKathryn H Bowles
Nov 15, 2011·Applied Clinical Informatics·K A MonsenKay Savik
Jul 5, 2013·Bioinformatics·Nicolas De JayBenjamin Haibe-Kains
Jul 15, 2015·Advances in Bioinformatics·Zena M Hira, Duncan F Gillies
Dec 22, 2016·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Karen A MonsenDiane R Thorson
Jan 1, 2017·Western Journal of Nursing Research·Karen A MonsenDavid S Pieczkiewicz

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Citations

Oct 19, 2019·Oncology Nursing Forum·Diane Von AhMary E Cooley
Dec 18, 2020·Journal of Personalized Medicine·Honoria OcagliDario Gregori
Feb 19, 2021·Applied Clinical Informatics·Paulina S SockolowEllen J Bass
Mar 19, 2021·The American Journal of Nursing·Roxanne L O'Brien, Matt W O'Brien
Apr 4, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Karen A MonsenMilton Eder
Jun 20, 2021·Computers, Informatics, Nursing : CIN·Toni Phillips, Karen Baur

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