Natural language processing application to identify covert administration of medicines: development and pilot audit.

Ninoslav Majkic, Jyoti Sanyal, Robert Stewart, Nicola Funnell, Delia Bishara

Abstract read

In one paragraph

Article in BJPsych bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ninoslav MajkicSouth London and Maudsley NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-2459-2971

Jyoti SanyalCentre for Translational Informatics, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Robert StewartMental Health for Older Adults and Dementia Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-4435-6397

Nicola FunnellMental Health for Older Adults and Dementia Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.

Delia BisharaMental Health for Older Adults and Dementia Clinical Academic Group, South London and Maudsley NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-6254-2054

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

methodThe covert administration of medicines is associated with multiple legal and ethical issues. We aimed to develop a natural language processing (NLP) methodology to identify instances of covert administration from electronic mental health records. We used this NLP method to pilot an audit of the use of covert administration.

resultsWe developed a method that was able to identify covert administration through free-text searching with a precision of 72%. Pilot audit results showed that 95% of patients receiving covert administration ( CLINICAL IMPLICATIONS: We demonstrate a simple, readily deployable NLP method that has potential wider applicability to other areas. This method also has potential to be applied via real-time health record processing to prompt and facilitate active monitoring of covert administration of medicines.

Indexed as

Consent and capacitydementias/neurodegenerative diseaseshealth informaticsnatural language processingold age psychiatry

Identifiers

PMID40405548

DOI10.1192/bjb.2025.28

PMCPMC13150494

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