Uncovering Judgment Biases in Emergency Triage: A Public Health Approach Based on Large Language Models - Bordeaux Population Health
Article Dans Une Revue Proceedings for Machine Learning Research (PMLR) Année : 2024

Uncovering Judgment Biases in Emergency Triage: A Public Health Approach Based on Large Language Models

Résumé

Judgment biases in emergency triage can adversely affect patient outcomes. This study examines sex/gender biases using four advanced language models fine-tuned on real-world emergency department data. We introduce a novel approach based on the testing method, commonly used in hiring bias detection, by automatically altering triage notes to change patient sex references. Results indicate a significant bias: female patients are assigned lower severity ratings than male patients with identical clinical conditions. This bias is more pronounced with female nurses or when patients report higher pain levels but diminishes with increased nurse experience. Identifying these biases can inform interventions such as enhanced training, protocol updates, and machine learning tools to support clinical decision-making.

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Dates et versions

hal-04846735 , version 1 (18-12-2024)

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  • HAL Id : hal-04846735 , version 1

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Ariel Guerra-Adames, Marta Avalos, Océane Dorémus, Cédric Gil-Jardiné, Emmanuel Lagarde. Uncovering Judgment Biases in Emergency Triage: A Public Health Approach Based on Large Language Models. Proceedings for Machine Learning Research (PMLR), inPress. ⟨hal-04846735⟩

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