Using Machine Learning to Predict the Information Seeking Behavior of Clinicians Using an Electronic Medical Record System

AMIA Annu Symp Proc. 2018 Dec 5;2018:673-682. eCollection 2018.


Poor electronic medical record (EMR) usability is detrimental to both clinicians and patients. A better EMR would provide concise, context sensitive patient data, but doing so entails the difficult task of knowing which data are relevant. To determine the relevance of patient data in different contexts, we collect and model the information seeking behavior of clinicians using a learning EMR (LEMR) system. Sufficient data were collected to train predictive models for 80 different targets (e.g., glucose level, heparin administration) and 27 of them had AUROC values of greater than 0.7. These results are encouraging considering the high variation in information seeking behavior (intraclass correlation 0.40). We plan to apply these models to a new set of patient cases and adapt the LEMR interface to highlight relevant patient data, and thus provide concise, context sensitive data.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acute Kidney Injury
  • Diagnostic Tests, Routine
  • Electronic Health Records
  • Humans
  • Information Seeking Behavior*
  • Intensive Care Units
  • Machine Learning*
  • Medical Records Systems, Computerized*
  • Physicians
  • Respiratory Insufficiency
  • User-Computer Interface*