A report published in 2000 from the Institute of Medicine revealed that medical errors were a leading cause of patient deaths, and urged the development of error detection and reporting systems. The field of radiation oncology is particularly vulnerable to these errors due to its highly complex process workflow, the large number of interactions among various systems, devices, and medical personnel, as well as the extensive preparation and treatment delivery steps. Natural language processing (NLP)-aided statistical algorithms have the potential to significantly improve the discovery and reporting of these medical errors by relieving human reporters of the burden of event type categorization and creating an automated, streamlined system for error incidents. In this paper, we demonstrate text-classification models developed with clinical data from a full service radiation oncology center (test center) that can predict the broad level and first level category of an error given a free-text description of the error. All but one of the resulting models had an excellent performance as quantified by several metrics. The results also suggest that more development and more extensive training data would further improve future results.
In order to evaluate the impact of a policy intervention on a group of units over time, it is important to correctly estimate the average treatment effect (ATE) measure. Due to lack of robustness of the existing procedures of estimating ATE from panel data, in this paper, we introduce a robust estimator of the ATE and the subsequent inference procedures using the popular approach of minimum density power divergence inference. Asymptotic properties of the proposed ATE estimator are derived and used to construct robust test statistics for testing parametric hypotheses related to the ATE. Besides asymptotic analyses of efficiency and powers, extensive simulation studies are conducted to study the finite-sample performances of our proposed estimation and testing procedures under both pure and contaminated data. The robustness of the ATE estimator is further investigated theoretically through the influence functions analyses. Finally our proposal is applied to study the long-term economic effects of the 2004 Indian Ocean earthquake and tsunami on the (per-capita) gross domestic products (GDP) of five mostly affected countries, namely Indonesia,
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