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Record W4415550922 · doi:10.1080/24732850.2025.2576503

Language and Bias in Clinical Documentation: A Scoping Review

2025· review· en· W4415550922 on OpenAlexaff
Stephanie R. Penney, Kim Mullens, Treena Wilkie

Bibliographic record

VenueJournal of Forensic Psychology Research and Practice · 2025
Typereview
Languageen
FieldHealth Professions
TopicMedical Malpractice and Liability Issues
Canadian institutionsUniversity of TorontoCentre for Addiction and Mental Health
Fundersnot available
KeywordsIdentification (biology)Perspective (graphical)Data collectionQuality (philosophy)

Abstract

fetched live from OpenAlex

This review provides a contemporary summary of research on the use of language and potential for bias in clinical documentation in healthcare settings, with a focus on racialized groups in forensic mental health (FMH) services. A scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-Scr). Qualitative thematic analysis was undertaken to identify predominant themes and findings. Nine-hundred forty-three articles were assessed for eligibility and 47 were included in the review. Five articles were specific to the FMH setting. Thematic analyses produced three overarching themes: (i) sources of bias in clinical documentation, (ii) the impact of bias on clinicians’ decisions and patient care, and (iii) methods to reduce/mitigate bias in documentation. Findings demonstrate the wide-ranging impact of language and bias on the attitudes, perceptions, and behaviors of healthcare providers, which in turn have downstream effects on patient care and clinical and legal decision-making.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.091
metaresearch head score (Gemma)0.309
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Reporting · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.909
Threshold uncertainty score0.480

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0910.309
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0070.007
Bibliometrics0.0290.028
Science and technology studies0.0030.004
Scholarly communication0.0090.009
Open science0.0030.006
Research integrity0.0040.003
Insufficient payload (model declined to judge)0.0030.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.614
GPT teacher head0.752
Teacher spread0.137 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designNot applicable
DomainReporting
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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