Becker Mike, Hwang Sy, Schriver Emily, Douma Caryn, Duffy Caoimhe, Atkins Joshua, McShane Caitlyn, Lubken Jason, Hanish Asaf, McGreevey John D, Regli Susan Harkness, Mowery Danielle L
University of Pennsylvania Health System, Philadelphia, PA.
University of Pennsylvania, Philadelphia, PA.
AMIA Jt Summits Transl Sci Proc. 2025 Jun 10;2025:74-83. eCollection 2025.
Safety event reporting forms a cornerstone of identifying and mitigating risks to patient and staff safety. However, variabilities in reporting and limited resources to analyze and classify event reports delay healthcare organizations' ability to rapidly identify safety event trends and to improve workplace safety. We demonstrated how large language models can classify safety event report narratives as workplace violence (F1: 0.80 for physical violence; F1: 0.94 for verbal abuse) and communication failures (F1: 0.94) as a first step toward enabling automated labeling of safety event reports and ultimately improving workplace safety.
安全事件报告是识别和降低对患者及工作人员安全风险的基石。然而,报告的差异性以及用于分析和分类事件报告的资源有限,延缓了医疗保健机构快速识别安全事件趋势并改善工作场所安全的能力。我们展示了大语言模型如何将安全事件报告叙述分类为工作场所暴力(身体暴力的F1值:0.80;言语虐待的F1值:0.94)和沟通失误(F1值:0.94),作为朝着实现安全事件报告自动标注并最终改善工作场所安全迈出的第一步。