Publications by authors named "Courtney R Lee"

Article Synopsis
  • Stigmatizing language in electronic health records (EHRs) can perpetuate negative stereotypes and undermine trust for patients from minoritized groups, especially related to their clinical histories.* -
  • This study aimed to analyze the prevalence of doubt-casting language in admission notes, specifically looking at how it varies based on patient race and ethnicity.* -
  • Utilizing natural language processing on over 54,000 admission notes from a diverse patient population, the researchers focused on the use of certain linguistic terms that reflect the degree of certainty about patients' reports of their health experiences.*
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Importance: Communication with caregivers is often not established or standardized during hospitalization. The Caregiver Advise, Record, Enable (CARE) Act is a state-level policy designed to facilitate communication among patients, caregivers, and clinical care teams during hospitalization to improve patient experience; 42 states have passed this policy since 2014, but whether it was associated with achieving these goals remains unknown.

Objective: To determine whether passage of the CARE Act was associated with improvements in patient experience.

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Background: The medical case vignette has long been used in medical student education and frequently includes demographic variables such as race, ethnicity and gender. However, inclusion of demographic variables without context may reinforce assumptions and biases. Yet, the absence of race, sexual orientation, and social determinants of health may reinforce a hidden curriculum that reflects cultural blindness.

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