Optimization of patient throughput and wait time in emergency departments (ED) is an important task for hospital systems. For that reason, Emergency Severity Index (ESI) system for patient triage was introduced to help guide manual estimation of acuity levels, which is used by nurses to rank the patients and organize hospital resources. However, despite improvements that it brought to managing medical resources, such triage system greatly depends on nurse's subjective judgment and is thus prone to human errors. Here, we propose a novel deep model based on the word attention mechanism designed for predicting a number of resources an ED patient would need. Our approach incorporates routinely available continuous and nominal (structured) data with medical text (unstructured) data, including patient's chief complaint, past medical history, medication list, and nurse assessment collected for 338,500 ED visits over three years in a large urban hospital. Using both structured and unstructured data, the proposed approach achieves the AUC of @math for the task of identifying resource intensive patients (binary classification), and the accuracy of @math for predicting exact category of number of resources (multi-class classification task), giving an estimated lift over nurses' performance by 16 in accuracy. Furthermore, the attention mechanism of the proposed model provides interpretability by assigning attention scores for nurses' notes which is crucial for decision making and implementation of such approaches in the real systems working on human health.
Many advances in modeling sequence data were made in the field of natural language processing, where models for mathematical characterization of language were proposed. Namely, models for distributed low-dimensional representations of words or tokens were initially proposed in @cite_4 and were successfully applied more recently in @cite_5 . Distributed embedding approaches take advantage of word order, and follow the assumption of @math -gram language models that neighboring words are statistically more dependent.
@cite_5 @cite_4
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Distributed representations of words (aka word embedding) have proven helpful in solving natural language processing (NLP) tasks. Training distributed representations of words with neural networks has lately been a major focus of researchers in the field. Recent work on word embedding, the Continuous Bag-of-Words (CBOW) model and the Continuous Skip-gram (Skip-gram) model, have produced particularly impressive results, significantly speeding up the training process to enable word representation learning from largescale data. However, both CBOW and Skip-gram do not pay enough attention to word proximity in terms of model or word ambiguity in terms of linguistics. In this paper, we propose Proximity-Ambiguity Sensitive (PAS) models (i.e. PAS CBOW and PAS Skip-gram) to produce high quality distributed representations of words considering both word proximity and ambiguity. From the model perspective, we introduce proximity weights as parameters to be learned in PAS CBOWand used in PAS Skip-gram. By better modeling word proximity, we reveal the strength of pooling-structured neural networks in word representation learning. The proximitysensitive pooling layer can also be applied to other neural network applications that employ pooling layers. From the linguistics perspective, we train multiple representation vectors per word. Each representation vector corresponds to a particular group of POS tags of the word. By using PAS models, we achieved a 16.9 increase in accuracy over state-of-theart models. The supremacy of n-gram models in statistical language modelling has recently been challenged by parametric models that use distributed representations to counteract the difficulties caused by data sparsity. We propose three new probabilistic language models that define the distribution of the next word in a sequence given several preceding words by using distributed representations of those words. We show how real-valued distributed representations for words can be learned at the same time as learning a large set of stochastic binary hidden features that are used to predict the distributed representation of the next word from previous distributed representations. Adding connections from the previous states of the binary hidden features improves performance as does adding direct connections between the real-valued distributed representations. One of our models significantly outperforms the very best n-gram models. A goal of statistical language modeling is to learn the joint probability function of sequences of words in a language. This is intrinsically difficult because of the curse of dimensionality: a word sequence on which the model will be tested is likely to be different from all the word sequences seen during training. Traditional but very successful approaches based on n-grams obtain generalization by concatenating very short overlapping sequences seen in the training set. We propose to fight the curse of dimensionality by learning a distributed representation for words which allows each training sentence to inform the model about an exponential number of semantically neighboring sentences. The model learns simultaneously (1) a distributed representation for each word along with (2) the probability function for word sequences, expressed in terms of these representations. Generalization is obtained because a sequence of words that has never been seen before gets high probability if it is made of words that are similar (in the sense of having a nearby representation) to words forming an already seen sentence. Training such large models (with millions of parameters) within a reasonable time is itself a significant challenge. We report on experiments using neural networks for the probability function, showing on two text corpora that the proposed approach significantly improves on state-of-the-art n-gram models, and that the proposed approach allows to take advantage of longer contexts. A central goal of statistical language modeling is to learn the joint probability function of sequences of words in a language. This is intrinsically difficult because of the curse of dimensionality: a word sequence on which the model will be tested is likely to be different from all the word sequences seen during training. Traditional but very successful approaches based on n-grams obtain generalization by concatenating very short overlapping sequences seen in the training set. We propose to fight the curse of dimensionality by learning a distributed representation for words which allows each training sentence to inform the model about an exponential number of semantically neighboring sentences. Generalization is obtained because a sequence of words that has never been seen before gets high probability if it is made of words that are similar (in the sense of having a nearby representation) to words forming an already seen sentence. Training such large models (with millions of parameters) within a reasonable time is itself a significant challenge. We report on several methods to speed-up both training and probability computation, as well as comparative experiments to evaluate the improvements brought by these techniques. We finally describe the incorporation of this new language model into a state-of-the-art speech recognizer of conversational speech.