Fall Detection in Clinical Notes using Language Models and Token Classifier

Abstract

Electronic health records (EHR) are a key source of information to identify adverse events in patients. The largest category of adverse events in hospitals is fall incidents. The identification of such incidents guide to a better comprehension of the event and enhance the quality of patient health care. In this initial work, we compare the performance of SentenceClassifier (StC) against the Token-Classifier (TkC) with state-ofthe-art recurrent neural networks (RNN) to detect fall incidents in progress notes. Our experiments show that the use of deeplearning algorithms as token-classifier outperforms text-classifier. It improves fall identification using StC from 65% to 92% with TkC (F-Measure). Additionally, the token classifier is able to explain which words are most important in positive detection.