Regional Variations in Documentation of Sexual Trauma Concepts in Electronic Medical Records in the United States Veterans Health Administration.

Jones, AL ; Pettey, WBP ; et al.

In: AMIA ... Annual Symposium proceedings. AMIA Symposium, Jg. 2019 (2020-03-04), S. 514-522

academicJournal

Background: Experiences of sexual trauma are associated with adverse patient and health system outcomes, but are not systematically documented in electronic health records (EHR). Objective: To describe variations in how sexual trauma is documented in the Veterans Health Adminstration's EHR. Methods: Sexual trauma concepts were extracted from from 362,559 clinical notes using a natural language processing pipeline. Results: We observed variations in the presence of sexual trauma in notes across five United States regions: Pacific, Continental, Midwest, North Atlantic, Southeast. We also observed variations in the types of notes used to document sexual trauma (e.g., mental health, primary care) and sources of sexual trauma (e.g., adult, childhood, military) mentioned in the EHR. Our findings illustrate potential differences in cultural norms related to patient disclosure of sensitive information, and provider documentation. Standardized protocol for eliciting and documenting sexual trauma histories are needed to ensure Veteran access to high quality, trauma-informed care.

Titel:	Regional Variations in Documentation of Sexual Trauma Concepts in Electronic Medical Records in the United States Veterans Health Administration.
Autor/in / Beteiligte Person:	Jones, AL ; Pettey, WBP ; Carter, ME ; Brignone, E ; Redd, A ; Suo, Y ; Divita, G ; Blais, RK ; Fargo, JD ; Gundlapalli, AV
Zeitschrift:	AMIA ... Annual Symposium proceedings. AMIA Symposium, Jg. 2019 (2020-03-04), S. 514-522
Veröffentlichung:	Bethesda, MD : American Medical Informatics Association, c2003-, 2020
Medientyp:	academicJournal
ISSN:	1942-597X (electronic)
Schlagwort:	Adult Child Disclosure Documentation Female Humans Male Mental Health Services Military Personnel Primary Health Care United States United States Department of Veterans Affairs Electronic Health Records Natural Language Processing Sex Offenses Veterans
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. Language: English [AMIA Annu Symp Proc] 2020 Mar 04; Vol. 2019, pp. 514-522. <i>Date of Electronic Publication: </i>2020 Mar 04 (<i>Print Publication: </i>2019). MeSH Terms: Electronic Health Records* ; Natural Language Processing* ; Sex Offenses* ; Veterans* ; Adult ; Child ; Disclosure ; Documentation ; Female ; Humans ; Male ; Mental Health Services ; Military Personnel ; Primary Health Care ; United States ; United States Department of Veterans Affairs References: J Trauma Dissociation. 2011;12(3):244-60. (PMID: 21534094) ; Med Care. 2019 Jun;57 Suppl 6 Suppl 2:S149-S156. (PMID: 31095054) ; Violence Vict. 2010;25(5):631-48. (PMID: 21061869) ; EGEMS (Wash DC). 2016 Aug 11;4(3):1228. (PMID: 27683667) ; J Rural Health. 2010 Fall;26(4):301-9. (PMID: 21029164) ; J Rural Health. 2017 Jan;33(1):32-40. (PMID: 26449177) ; Womens Health Issues. 2016 Sep-Oct;26(5):546-54. (PMID: 27528358) ; Int J Law Psychiatry. 2016 Nov - Dec;49(Pt B):205-213. (PMID: 27863701) ; J Gen Intern Med. 2013 Jul;28 Suppl 2:S536-41. (PMID: 23807062) ; Psychol Trauma. 2018 Jul;10(4):470-474. (PMID: 29016157) ; Child Maltreat. 2011 May;16(2):79-101. (PMID: 21511741) ; Issues Ment Health Nurs. 2015;36(9):698-709. (PMID: 26440873) ; JAMA Psychiatry. 2016 Jun 1;73(6):582-9. (PMID: 27096847) ; Am J Prev Med. 2016 Jun;50(6):684-691. (PMID: 26699249) ; Stud Health Technol Inform. 2017;245:351-355. (PMID: 29295114) ; Stud Health Technol Inform. 2017;245:1170-1174. (PMID: 29295287) ; Trauma Violence Abuse. 2008 Oct;9(4):250-69. (PMID: 18936282) ; Am J Public Health. 2014 Feb;104(2):345-9. (PMID: 24328617) Grant Information: KL2 TR002539 United States TR NCATS NIH HHS; UL1 TR002538 United States TR NCATS NIH HHS Entry Date(s): Date Created: 20200421 Date Completed: 20200803 Latest Revision: 20210110 Update Code: 20240513 PubMed Central ID: PMC7153121

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