NLU Medical Report Analysis for Error Detection

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Solution Overview

Problem

Medical professionals face challenges in accurately documenting patient information due to the potential for human errors such as laterality errors, gender errors, and critical findings being overlooked or buried deep within reports, leading to inefficiencies and safety issues in healthcare delivery.

Innovation Solution

A system utilizing natural language understanding (NLU) techniques to analyze medical reports for errors and critical results, providing alerts to professionals in real-time, and allowing for the correction of errors before report finalization, while minimizing false positives through contextual information analysis.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If manual review of medical reports is performed by medical professionals, then accuracy in identifying errors and critical findings can be maintained, but time consumption and workload increase significantly

Engineering Contradiction:
Improveaccuracy in identifying errors and critical findingsVSAvoidtime consumption and workload
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent introduces an intermediary system comprising natural language processing algorithms and machine learning models that act as a mediator between the medical report and the reviewing professional. This automated analysis system pre-processes reports to identify potential errors, laterality issues, and critical findings, presenting only relevant cases to medical professionals for verification. This intermediary layer maintains high accuracy while significantly reducing the time and workload required for manual review.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The system performs preliminary automated analysis of medical reports before they reach medical professionals for final review. By pre-identifying potential errors, critical findings, and anomalies through algorithmic analysis, the system prepares reports in advance with highlighted areas requiring attention. This preliminary action filters out routine cases and presents only ambiguous or critical cases to professionals, reducing their workload while maintaining accuracy.

Inventive Principle:
Principle #10Preliminary action

2Productivity

If automated systems are used to analyze medical reports, then time efficiency and productivity improve, but risk of false positives and reduced accuracy increases

Engineering Contradiction:
Improvetime efficiency and productivityVSAvoidrisk of false positives and reduced accuracy
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The patent implements a feedback mechanism where the automated system's initial analysis results are presented to medical professionals who verify and correct the findings. Their corrections and validations feed back into the system to refine and improve the algorithms over time. This closed-loop feedback system allows the automated tool to maintain high productivity while continuously improving accuracy and reducing false positives through learning from professional expertise.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system merges automated algorithmic analysis with human expert review in a hybrid approach. The automated component handles routine pattern recognition and initial filtering at high speed, while human experts provide contextual understanding and final validation. This combination leverages the speed and consistency of machines with the judgment and adaptability of human professionals, achieving both high productivity and reliable accuracy.

Inventive Principle:
Principle #5Merging (Combining)

3Measurement precision

If comprehensive analysis of all medical reports is performed, then detection of errors and critical findings is maximized, but system complexity and computational resources increase

Engineering Contradiction:
Improvedetection of errors and critical findingsVSAvoidsystem complexity and computational resources
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent applies local quality by focusing computational resources on specific high-risk areas within medical reports rather than uniformly analyzing all content. The system identifies and prioritizes analysis of sections most likely to contain errors or critical findings, such as laterality descriptors, critical result sections, and abnormal findings. This targeted approach maximizes detection capability while reducing overall system complexity and resource requirements by applying intensive analysis only where needed.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The system segments the medical report analysis into distinct modular components, each handling specific types of information (e.g., patient demographics, clinical findings, imaging results, laboratory values). This segmentation allows the complex analysis task to be divided into manageable modules that can be processed independently and in parallel, reducing overall system complexity while maintaining comprehensive detection capabilities across all report sections.

Inventive Principle:
Principle #1Segmentation

4Object-affected harmful factors

If frequent alerts are generated to notify professionals of potential errors, then patient safety is enhanced, but user experience deteriorates due to alert fatigue

Engineering Contradiction:
Improvepatient safetyVSAvoiduser experience and alert fatigue
Core Design Contradiction:
Object-affected harmful factorsVSEase of operation

Solution Approach 1:

The system applies partial action by generating alerts selectively rather than for every potential issue. It prioritizes and alerts only on high-confidence findings, critical results, and high-risk errors based on risk stratification and confidence scoring. By being selective about which issues trigger alerts, the system maintains patient safety through comprehensive monitoring while avoiding alert fatigue by not notifying users about every minor or low-confidence finding.

Inventive Principle:
Principle #16Partial or excessive action

Solution Approach 2:

The alert system applies different notification strategies based on the severity and type of finding. Critical findings generate immediate high-priority alerts, while less urgent issues are flagged for routine review or grouped with other findings. This differentiated approach ensures that important safety issues are promptly communicated while reducing the volume of routine notifications, thereby maintaining patient safety without overwhelming users with excessive alerts.

Inventive Principle:
Principle #3Local quality

Data Source

PatentUS11024406B2Systems and methods for identifying errors and/or critical results in medical reports
Publication Date: 2021.06.01 MICROSOFT TECHNOLOGY LICENSING LLC
  • US11024406B2 patent drawing
  • US11024406B2 patent drawing
  • US11024406B2 patent drawing

AI summary

Systems and methods for analyzing a medical report to determine whether the medical report includes at least one instance of at least one category selected from a group consisting of: gender error, laterality error, and critical finding. In some embodiments, one or more portions of text are identified from the medical report. Contextual information associated with the medical report is used to determine whether the identified one or more portions of text comprise at least one instance of at least one category selected from the group.