Publications by authors named "Jennifer Welcher"

Background And Objectives: Patient and family violent outbursts toward staff, caregivers, or through self-harm, have increased during the ongoing behavioral health crisis. These health care-associated violence (HAV) episodes are likely under-reported. We sought to assess the feasibility of using nursing notes to identify under-reported HAV episodes.

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Article Synopsis
  • - The study aimed to evaluate how effective nursing handoff notes are in identifying underreported cases of hospital-acquired pressure injuries (HAPI) in a pediatric hospital setting.
  • - Researchers developed a workflow, using natural language processing and machine learning models, to analyze over 70,000 nursing notes, achieving high sensitivity and providing accurate identification of HAPI events.
  • - Their findings indicate that this method of surveillance for HAPI is not only feasible but also effective, identifying a notable incidence of injuries that may otherwise go unreported.
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Objective: We describe our approach to surveillance of reportable safety events captured in hospital data including free-text clinical notes. We hypothesize that a) some patient safety events are documented only in the clinical notes and not in any other accessible source; and b) large-scale abstraction of event data from clinical notes is feasible.

Materials And Methods: We use regular expressions to generate a training data set for a machine learning model and apply this model to the full set of clinical notes and conduct further review to identify safety events of interest.

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We hypothesized that children with low socioeconomic status (SES) had disproportionately fewer eye care visits during the early COVID-19 pandemic and that these children would be less likely to use synchronous provider-to-patient telemedicine eye care visits. This study investigated changes in patient demographics at a large, academic pediatric eye center before and after the pandemic. A retrospective review of all visits from March 18, 2019, to May 31, 2019 (pre-COVID period) and of the same date range in 2020 (COVID period) was performed.

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Purpose: To evaluate the timing of ocular hypertension (OHT) after pediatric closed-globe injury (CGI) and traumatic hyphema. We hypothesize that OHT will occur at different times based on injury characteristics.

Design: Retrospective, cohort study.

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