Datasets:

ARI-HIPA-AI-Team
/

Dataset

Modalities:

Text

Formats:

Size:

Libraries:

Dataset card Data Studio Files Files and versions

xet

Community

Dataset Viewer

Auto-converted to Parquet Duplicate

Split (3)

train · 80 rows

Features stringlengths 20 2.16k	Label stringclasses 2 values
From a practical medical standpoint, I agree it's probably not all that important. Particularly if the patient is hypoglycemic. But from a CYA standpoint, it's considered standard of care and could create legal issues.	yes
Someone still trying to point the finger my way, I'm sure. "Blood loss would have been less extreme if anesthesia kept BP lower." I wish I was being facetious. A spine surgeon documented this and told something to that effect to the family after he put a screw through the common iliac and killed a patient.	yes
Reminiscent of Covid, when nurses had no incentive to work with Covid patients or during the peak of Covid. Hospital leadership rarely give a shit to their foot soldiers. It's always about the money.	yes
I've worked in healthcare for 15 years (CNA/tech partner/mental health tech) and MOST bodily fluids don't bother me, except for lung butter. Had a patient with a trach shoot lung butter on my forearm while coughing and I almost horfed right there. Mad props to folks that work in respiratory because I absolutely can not...	yes
Multiple things can be true at the same time. You can have legitimately never seen anything similar happen in your career or personal life. Likewise, out of the billions of patients in the world, there can exist an amount who have had their symptoms completely disregarded and their pain not treated. Respectfull...	no
I'm an NP and live in Canada where I'm tied to a physician for consultative purposes ONLY if I need help with a diagnosis or treatment plan, which the requirement will be changing very soon because we have enough NPs to take over that role for new graduates. Also, we have the ability to curbside consult specialists jus...	yes
The pay is not just for the work, but for the knowledge and experience, which NPs certainly can't remotely compare to physicians.	no
I had a patient who got transferred to us from another hospital because they had no idea why they were in cardiogenic shock. Young, healthy, no family or personal medical history. Barrage of viral and bacterial workups, numerous vials of blood to test the most rare diseases that could lead to it. Must have drawn hundre...	yes
This was my thought. It absolutely happens in rural medicine. I literally field these patients almost every day I work. Sometimes it's legit no one worked them up, sometimes the patients are legit dramatic and have their story wrong. Trying to decipher which is which can be, interesting at times. not sure if city, me...	no
Unfortunately I could not stay any longer. I understand your point. I did however stay over two hours to help code this patient and handle the coroner call and organ donation paperwork. There was also a call team that could have stayed but I also don't think they should have had to do that.	yes
We had a patient that got Wernike encephalopaty after a cancer gastrectomy...so it checks all the boxes of restrictive diet + thiamine deplection in a malnourished patient	yes
Ableism absolutely is a problem. And it is a shame, because there are a lot of people who would make excellent, intelligent, and empathic healthcare providers if training programs were accessible and just more humane. I think privilege is an issue as well, and that's something that isn't necessarily discussed an...	no
I've worked in colorectal surgery for 10 years and have supported 5 surgeons to varying degrees over the years. 2 of them have been absolute delights and I could bet money on how they would manage their patients. 2 of them were a-holes, but again you'd be done with clinic by 3 pm and practiced reliably the same. 1 su...	yes
no one knows everything about everything. If I have family in the room, I always bring my computer with me so I have access to the patient chart as well as up to date. If I look something up and I can't find it, I'll tell them let me get some more information about that and I'll let you know. Another of my favorite phr...	no
I had a patient scream at the top of their lungs when I die, bury me upside down so the whole world can kiss my ass!	yes
Plenty of NPs equally smart as MDs yep. I don't blame you for looking for work life balance as an NP and I'm not questioning that you're probably a good clinician. But in no way in hell should a NP be paid the same as a Physician.	no
Give clear discharge instructions. Include what the patient needs to do and what they should come back to the ER for. I like knowing what your plan is for a the patient. If this doesn't get clearly communicated ideally in the discharge paperwork the nurse either has to clarify with you or figure out the DC instructions...	no
no time for a phone call when you're 50 meters away lol. But that does remind me of my EMT days in Oakland back in the mid 2000s where we would call the ER from our nokias and give them a heads up that we were coming in with a disaster-splash and they would be like, "mm-hmm, mm-hmm, okay, *click/*" And then we'd sh...	yes
Someone I know is an "herbalist". She diagnosed "acid wave" in a patient who complained of vague abdominal cramping and early satiety. By the time this patient presented to the ED she had painless jaundice and extreme ascites. Hepatocellular carcinoma. 10L paracentesis removed. How is this legal?	yes
Ask the more senior PAs what their salary trajectory has been like. If they have gotten good raises over time, then doing one year of lower income with good training would be an investment if time. If training is great, then consider it similar to a post grad training program with you having more responsibility to bein...	no
This sounds like a big mess long before the liver came out. Can someone tell me what the real idea was for the surgery? Why didn't anyone anticipate the mega colon? The colon would be pretty obvious on pre-op X-rays. The abdomen would be distended. The picture I get, you slice open the abdomen and colon comes spillin...	no
He swore he'd never been told that. Had never taken water pills of any kind before. He had no diagnosis of CHF with our office previously -I'm attached to a larger pcp office so I had his PCPs chart also. I was kinda dumbfounded but from everything he told me, (always take that with a grain of salt) he stated my cardio...	yes
Depends on the job. There are Psych positions with 0 physical demands. On the other end of the spectrum there is Ortho, but likely still not as high as paramedic. In the OR, you'll have to stand for several hours a day, help transfer patients, pull hard on retractors, etc. I'm in Ortho and I could probably do it until ...	no
Did you get a training period? If not I'd ask to be properly trained because you not knowing what you're doing (due to lack of support) is going to affect your patients. Either they train you or find a new job.	no
Anyone who says they never made a mistake, they r either lying or dumb! An example of critical thinking is when u go back and review an event, see what went wrong and what can be improved upon. Most of the time you'll find out it's a combination of human error System error etc. The healthcare system has had these iss...	no
Male np here, this is asinine. If you want physician pay go to med school.	no
Well the general thought over this is, that the NP(s) in question haven't really thought through this, surprise. Let them give equal payment. now which profession are hospitals/ clinics more likely to hire, physicians or midlevels, who can do less and who need more supervision?	no
Don't write stupid shit like provide a sandwich on your ED orders - it's demeaning af. Find out where the pantry is and provide it yourself, call it building a patient-physician relationship. Don't put down an order sheet and then come back every 5 mins to add more. Collect your thoughts. We have 4+ other patients, ...	yes
Everyone brings up drug prices, and while I think that's a fair focus, ridiculous drug prices tend to only affect certain new drugs/ older drugs which get a new indication and thus the companies opportunistically price gouge. We need to focus more on the fact Americans are being lied to that they can readily get care ...	yes
I'm so sorry... no excuse for that treatment, none. I have a feeling you are an exceptional patient advocate and empathetic nurse. Please take care of yourself.	no
Oh this is my biggest peeve. I have spent many years flight nursing and I can't tell you how many times my partner and I have arrived to find a tachycardic and tearful intubated patient because the nurse "gave rocuronium because they wouldn't tolerate the tube". Like what. A physician ordered a paralytic and a nurse wa...	yes
What're the medical tropes you see that make you laugh or just get your goat? I've been binge-watching "The Mentalist" -- in one episode, he knows someone's not a doctor because their handwriting is legible, and, in another, IDs a victim as a doc by their crappy handwriting. And i felt called out.	no
Male (former) ICU nurse with a large beard here. I think making assumptions about other people bodies, and what they want it to look like, is definitely a bad idea. Shaving largely a US/western practice. Many people see hair as a religious or cultural belief. Also, what families and other nurses like is irrelevant. Wha...	yes
This hospital system is huge. It has many, many hospital campuses throughout the state, none of which are actually affected by the storm, just the community around this specific one. They are not hurting for money. They asked for volunteers to go 3 hours away to help work nights at this hospital. Lodging at the hospita...	yes
Hard to say but it's 6-12 months to start feeling some confidence in EM. That said the missing ingredient here is time spent in the main ER which is why I am always a little skeptical of UC or fast track jobs when starting out. You should be able to identify a sick patient hopefully after graduation, but identifying...	no
My first job was inpatient cardiology out of school. I didn't know anything when i started. now being one year into the job, I am much more confident than I was. I think that's how you feel for any job out of school, regardless of specialty. You're talking about going to outpatient, I've now transitioned into an inpati...	no
The pacu and floor nurses afterwards marking the patient off the list "yup, knew he wasn't come back to us by cancellation or otherwise" I didn't see nothing this bad in the OR during covid, but we saw some wild things and I totally can visualize in my head how this entire circus went down.	yes
I worked with this one psych nurse who's known for working 6 12s (night shift), like back to back, She's very pleasant. I was trying to get to know her, She then hit me out of nowhere with the first dark humor i've heard in this field, She said it better, but it went along the lines of, *I used to work in med-surg, but...	yes
Ok. As a medical doctor, if I ever had to go through alcohol withdrawal, I would not want it to be managed by a psychiatrist. It warrants medical supervision. Of course there is some mild withdrawal that can be managed in an outpatient setting, but if it makes you sick enough to be in a hospital, you should be in a med...	no
If he was an organ donor then why was he even sent to the morgue? We keep ours, as we are supposed to, on the vent until they get into surgery to remove the organs otherwise you risk rapid cell death in those organs. Especially, too, if holding the patient for family. They should've been able to walk to the surgical su...	yes
Alcohol-consumption favors thiamine defficiency. Alcohol withdrawal often happens in psychiatric hospitals, where patients are closely monitored. So, its probably a statistical overrepresentation of alcoholics in withdrawal state, as they are monitored more closely.	no
I like to know things like patient can be a raging cunt for no reason instead of being blindsided by it. If there are any family members that cause issues. Otherwise, why they're here, how they move/toilet and any issues you had on your shift that can affect me. The rest I can look up as I need to know.	no
I'm not a nurse but nearly all of my friends are. Every single one of them have told me a med error story. It happens to everyone. You did the right thing by reporting it and checking for allergies. This is going to stick in your mind the rest of your career and you'll be a better nurse because of it. From a chronical...	no
Yeah, like now where am I going to find a doctor who's willing to go "eeny, meeny, miny, moe" with my organs to determine which one he wants to remove?	yes
I didn't realize that these procedures were done without sedation until reading about it on Reddit (didnt do any outpatient gyn as a med student) and was shocked that anyone would consider doing such invasive procedures without sedation or at least IV dialysis. Same thing with cystoscopy. Just out of control, frankly.	no
Also, there are formal medicolegal definitions of what comprises a patient-physician relationship, and telling your spouse to take an OTC NSAID, regardless of your licensure status, does not qualify. This is some juvenile tehehe I could get a speeding ticket because I flew on an airplane going 250mph going over a stret...	yes
I was in a similar situation when I first started in 2022, albeit in family med. However, even with a doc not necessarily on site full time, there were still a handful of them a phone call away. The other thing to remember is, you're working in a low acuity outpatient setting. If anything ever seems off, no one will ev...	no
I really feel for that OR staff. How traumatizing to have watched all of that happen. This case is insane. He also accidently removed part of a pancreas from another patient instead of the right adrenal gland. Wild.	yes
Welcome to the ED and thanks for asking this. I love learning. I was always vocal about that and being so meant a lot of docs would grab me to help with interesting things. Be open to letting those that are curious have opportunities to grow. It's a great opportunity to mentor if you're into that at all. Do your b...	no
I start working on the floor next week and im kinda nervous to start. I keep hearing about how my floor is kinda like the wild west of the hospital and if i can make it there, i can make it anywhere.. it's making me nervous about my performance as it's possible i can be let go if by end of orientation im not up to thei...	yes
I don't work in the OR, but reading the order of suspension makes it sound like they couldn't actually see what he was doing (especially considering the surgeon himself was apparently operating blind too),until he handed them a whole ass liver at the end. At that point the patient had been dead for 15 minutes already...	yes
>Legit question, why? Because it's disingenuous and irresponsible to pretend that lexapro and dilaudid have identical risk profiles, whether for typical use or severity of withdrawal symptoms. >SSRI's cause withdrawal too but you are ok with that? yes? Why wouldn't I be? SSRI withdrawal is far easier to prevent/tape...	no
Some insurance company has my hospitalist group listed as infectious disease. We get calls everyday looking to set up care and have to tell them we're an inpatient medical group. Our coordinator has spent about 6 years attempting to fix this to no avail.	yes
Part of the problem is that patients learn, and some of them have been trained that only a pain score of 7+ is taken seriously. Some hospital systems have rather rigid prescribing guidelines based on pain scores, where a score below 6 is not treated, and a 7 or 8 will get APAP. Then those patients go to a different ho...	yes
> wheels to imaging, sits in the control room while the study is performed, reads the study, does some procedure I have actually done that, when a patient is very unstable, and it's a weekend or holiday, and there's not much staff. I have never ever drawn labs on the floor (only in the trauma bay with a femoral stick)...	no
NP never made it to med school, she did not go through the grueling and long weeding out process of undergrad, med school and residency for quality control and public safety. She did not pass the difficult tests. She did not do the 10 12 hr shifts for years straight in residency. She did not see enough cases under prop...	yes
Hypoglycemia is an immediate neurologic injury risk so not treating it to wait 30min to 1hr for thiamine is indeed an obviously bad idea. But having banana bags in the pyxis and starting it right away can nearly eliminate that malpractice risk too. Problem is shortages are constant on thiamine IV solutions... Bigger...	no
I understand that and respect that, but if I know I'm getting report from long-winded nurses, I will try to avoid them first, too. I also have years of experience where I will tell long-winded that I want the cut and dry basics, which helps speed things along. But that comes with experience to have the cajones to tell ...	no
This is a feature, not a bug. When insurers do not want more patients with a particular type of ailment they simply refuse to credential more providers in the hope that those patients will change plans.	no
Yeah, it was awful. I'm pretty sure my patient thought I was going crazy. It is like my vision becomes tunneled. I can't think or say proper sentences. I'm in the process of finding a new prescriber right now. I'm just on the 20 mg. I'd love to bump it up.	no
no, the bill rate is wildly inflated because if you overbill insurance pays you the max amount and you can bill the patient the rest. If you underbill, insurance pays you that amount and you lose x-extra amount. So to get the "max" money you always have to overbill. BEcause hospitals don't have these neat nice insuran...	no
I think people wrongly believe that their "pain" needs to be exaggerated to get some attention or prioritization. not making a statement about the system here - just speculating. I do not personally do this. I've had some pretty bad pain as of late but wouldn't classify it north of a 5 even though it is impacting sl...	no
Or assess a patient	no
Admitting a transfer patient with an irate borderline belligerent mother, granted it was 2AM but the icu was out of beds and this patient was the most stable to transfer out so they could take a trauma. The mom complaining this is bullshit the doctor himself won't even come see me I'm reporting everybody there's no rea...	yes
I had a dayshift bully me into helping transfer a stable patient down to another unit. They have more staff than we had. They only wanted someone since the bed is difficult to steer. I was almost an hour late leaving the hospital and had an hour drive home. Like look if it was an emergency or the patient was unstable I...	yes
I actually begged to be transferred to the pediatric side of the hospital because I'd had several hospital stays on that side and was never treated that way. Unfortunately my injuries and being so close to 18 made me an adult case, so I was just made to lay in my own bloody mess until that nurse came along. She actuall...	no
It never goes away. Nurses claim to save patients from doctors. But most nurses don't even know basic physiology.	yes
This sounds very inappropriate for a new grad. Also stop being afraid to ask for help. That doc is there, ask every time. Sit down today with your superior and discuss this. You need more close training and mentorship. If this post is even real (sorry OP, when there's no post or comment history I question if this is...	no
assuming you only work inpatient? outpatient pain management has higher risk of consequences, i think.	no
Minimum wage doesn't lend itself well to doctor shopping. The reason your disheveled patient may be agitated can easily be attributed to: literal pain, loss of time of work, having to arrange for travel. They are more likely to "wait it out". The office visit = gas, the medication = groceries. So to be to withstand so...	no
I don't get why it's confusing? One has less education and one has more? Like an NP Vs a physician.	no
We had a guy a few years ago that was a no code but not officially hospice/CMO. He deteriorated very quickly and we were trying to call his sister (for decision making on short notice as she adamantly refused opioid analgesia and he was suffering at this point and badly needed it) and for hours she didn't answer. The g...	yes
I don't have advice but solidarity. I don't have near the experience you do, but know that your time is invaluable. I agree, nurses coming out of school don't understand the time it takes to fully understand the patient population. They expect sick patients right out of the gate. There is no patience anymore. I left th...	no
This is why I really believe all nurses should start at the bottom and work their way up. I was a CNA first and I really think this opened my eyes to how skin ulcers and hygiene are very important. We can do better. Our patients deserve better. I can't imagine being in a bed helpless. I can't.	no
Consider your sample bias. I'm sure there are folks in your institution like this, but likely far fewer. I practice in a rural area where the provider to patient ratio is 1:2,300 and so even the clinicians who do care simply don't have the time or ability to handle the zebras well or to afford the bedside manner that b...	yes
Agreed. My office is nicely nestled inside of our hospital and gives us access to almost immediate labs and imaging. We have one urgent care slot an hour for same day appointments so I feel like I've cross trained in both urgent care and family med. I'm sure once my patient panel grows to unreasonable limits that the ...	no
I was told if the family stands at the bedside praying enough and yelling at the staff this is the likely outcome. Coma--> procedure or 1 dose of ten RIGHT med--> sleep --> happy, healthy patient. But it all depends on the amount of yelling the family does on their advocacy work.	yes
I worked on a med/surg floor for about 5 yrs. Saw a lot of admissions from nursing homes. It was never necessary to know which one they came from, from a medical point of view, but there were definitely a few facilities that became infamous for the condition the patient would be in. These patients were always the si...	yes
Eh, toileting patients can be really time-consuming, and I don't expect docs to do that. It's also why I'll delegate it if able - I can start a couple of IVs and medicate someone in the time it takes grandma to pee.	no
I stopped asking numbers as well. It's so hard to base pain on a numeric scale. I ask does it hurt really bad, if meds are ordered, which do you prefer, the lower or higher dose. A lot of my patients I've found don't want to over medicate so they will take that lower dose. It's probably unconventional but whatever.	no

YAML Metadata Warning:empty or missing yaml metadata in repo card

Check out the documentation for more information.

Dataset Card for HIPA-AI Dataset

The dataset includes 100 Reddit posts scraped from healthcare-related subreddits split into 80 labeled training posts, 10 labeled validation posts, and 10 unlabeled test posts. They are classified either as HIPAA violations (yes) or not HIPAA violations (no).

Dataset Details

Dataset Description

A full unlabeled dataset was scraped from nursing, medicine, doctor, physician assistant, CounselingPsychology, and nursepractictioner subreddits. Posts were filtered by the keywords "patient", "physician", "doctor", and "case". Only text-only posts were collected. Both the original post and a limited number of comments were collected. These posts were randomized. From this set of 2083 randomized posts/comments, 100 were kept for annotation. These posts were annotated and Zoiya Morell acted as the tiebreaker to decide on disputed labels. This dataset is version 2, which has extra characters and paragraph spacing removed for ease of use.

Curated by: Brayden Cloutier, Zoiya Morell; University of Michigan-Flint
Language(s) (NLP): English
License: Apache 2.0 -Codalab Results Website: https://codalab.lisn.upsaclay.fr/competitions/20568#results -Codalab Results csv: https://1drv.ms/x/s!AjKvun2Ij8a8jcV9ehd2kN1M5bCxdw?e=oYMqRO

Dataset Sources

Repository: https://github.com/BraydenAC/510-HIPA-AI
Demo: Baseline models included in above repository.

Uses

The HIPA-AI dataset may be used to train a machine learning model to predict whether text features a HIPAA violation. It is also suitable for other healthcare and text-related model training. This dataset is for research purposes only.

Direct Use

The HIPA-AI dataset may be used for further research in healthcare or technology fields with proper citation and responsible conduct surrounding sensitive topics or possible patient data insecurity.

Out-of-Scope Use

The HIPA-AI dataset may not be used to denounce or divulge protected information regarding healthcare systems, patients, or medical practitioners. All posts are anonymous and may not be used to bring legal action against posters. These posts are best for text-only binary classifiers.

Dataset Structure

The HIPA-AI dataset is sorted into two columns. The "Features" column contains the entire text of the post, while the "Label" column contains its label (yes for HIPAA violation, no for not a violation). Each row is one data point. The data features a random 80-10-10 split of the hundred posts with no extra balancing measures. The dataset is fairly balanced, with 51 "no" labels and 49 "yes" labels. Comment posts may contain fewer words or relevant information, while original posts are likely to be lengthier.

Dataset Creation

Curation Rationale

This dataset was created in the interest of protecting patient privacy by identifying possible patient data leaks online. It is our goal to help posters understand the dangers of posting healthcare information and prevent HIPAA violations before they occur.

Source Data

The data was collected from Reddit's open-source public subreddits, including nursing, medicine, doctor, physician assistant, CounselingPsychology, and nursepractictioner subreddits.

Data Collection and Processing

Posts and comments were collected by date and shuffled after collection. They were filtered by text-only posts and the keywords "patient", "physician", "doctor", and "case". IntelliJ Idea was originally used to create the scraper script, which uses praw and Reddit account authorization. Other imported libraries include re (regular expressions), csv, os, and random.

Who are the source data producers?

The source of this data is intentionally anonymous as it includes publicly posted Reddit posts from users. Their usernames have not been provided to protect their identities, and their age and demographic information are also unknown. It can be assumed users should fit a demographic within Reddit's user policies.

Annotations

Annotation process

100 posts were annotated by two annotators, and then Zoiya Morell acted as the tiebreaker for disagreements. Annotations were completed through potato using the annotation guidelines provided in the above repository. Annotator disagreement was calculated through Cohen's Kappa, resulting in k = 0.4592.

Who are the annotators?

Annotators include Asma Arrak, Souha Ben Hassine, and Zoiya Morell.

Personal and Sensitive Information

The HIPA-AI dataset contains some strong language, sensitive health data, biases, private information, and may contain information regarding healthcare systems and policies. All timestamps and usernames have been removed, but posts may still contain some identifying information.

Bias, Risks, and Limitations

Reddit posters may be a unique demographic, and their views and writing style should not be considered to be a majority. Additionally, these healthcare subreddits reflect certain biases and perspectives.

Recommendations

Introducing this dataset to a machine learning model may cause it to adopt these biases--using this dataset for purposes other than the original goal should be done with caution. Additionally, comment posts may not contain all the information necessary to decide whether the post is a HIPAA violation. As a small dataset, supplemental posts will likely be needed, along with a means of converting text-based data into usable features.