Needs_embeddings.ipynb

{
 "cells": [
  {
   "cell_type": "code",
   "execution_count": 25,
   "metadata": {},
   "outputs": [],
   "source": [
    "# imports libs\n",
    "import openai\n",
    "from dotenv import dotenv_values\n",
    "# config .env and import api_key\n",
    "config = dotenv_values('.env')\n",
    "openai.api_key = config['OPENAI_API_KEY']"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 26,
   "metadata": {},
   "outputs": [],
   "source": [
    "# import more libs\n",
    "import pandas as pd\n",
    "import numpy as np\n",
    "from tenacity import retry, wait_random_exponential, stop_after_attempt, retry_if_not_exception_type\n",
    "import pickle\n",
    "import tiktoken\n"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 27,
   "metadata": {},
   "outputs": [],
   "source": [
    "# locate filepath, import test data\n",
    "dataset_path_test = \"./source_data/Problem_Intake_CurrentVers_TEST.csv\"\n",
    "# dataset_path = \"./source_data/clinicalNeedsDB_data_main.xlsx\"\n",
    "dataset_path = \"./source_data/clinicalNeedsDB_data_main.csv\"\n",
    "\n",
    "df = pd.read_csv(dataset_path_test)\n",
    "\n",
    "# Potential issues with encoding excel import\n",
    "# df_main = pd.read_excel(dataset_path)\n",
    "\n",
    "df_main = pd.read_csv(dataset_path, nrows=397)\n"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 28,
   "metadata": {},
   "outputs": [
    {
     "data": {
      "text/html": [
       "<div>\n",
       "<style scoped>\n",
       "    .dataframe tbody tr th:only-of-type {\n",
       "        vertical-align: middle;\n",
       "    }\n",
       "\n",
       "    .dataframe tbody tr th {\n",
       "        vertical-align: top;\n",
       "    }\n",
       "\n",
       "    .dataframe thead th {\n",
       "        text-align: right;\n",
       "    }\n",
       "</style>\n",
       "<table border=\"1\" class=\"dataframe\">\n",
       "  <thead>\n",
       "    <tr style=\"text-align: right;\">\n",
       "      <th></th>\n",
       "      <th>Problem ID</th>\n",
       "      <th>Parent ID</th>\n",
       "      <th>Child ID</th>\n",
       "      <th>Date Recorded</th>\n",
       "      <th>Recorded By</th>\n",
       "      <th>Problem Tag</th>\n",
       "      <th>Contact</th>\n",
       "      <th>Date Originated</th>\n",
       "      <th>Department/Division</th>\n",
       "      <th>Intake Source</th>\n",
       "      <th>Unstructured Problem Statement</th>\n",
       "      <th>Problem To Address</th>\n",
       "      <th>Patient Population</th>\n",
       "      <th>Care Setting</th>\n",
       "      <th>Outcome</th>\n",
       "      <th>Problem Summary</th>\n",
       "      <th>Archived</th>\n",
       "      <th>Tracked</th>\n",
       "    </tr>\n",
       "  </thead>\n",
       "  <tbody>\n",
       "    <tr>\n",
       "      <th>0</th>\n",
       "      <td>1</td>\n",
       "      <td>0</td>\n",
       "      <td>0</td>\n",
       "      <td>6/3/2020</td>\n",
       "      <td>nlwiley@ad.unc.edu</td>\n",
       "      <td>MedGen-0001-0000</td>\n",
       "      <td>Gomez, Shawn</td>\n",
       "      <td>2018/10/01</td>\n",
       "      <td>Medicine - General</td>\n",
       "      <td>FastTraCS unprompted ideation</td>\n",
       "      <td>\"Tinder\" for clinical trials &amp; research networ...</td>\n",
       "      <td>NaN</td>\n",
       "      <td>NaN</td>\n",
       "      <td>NaN</td>\n",
       "      <td>NaN</td>\n",
       "      <td>\"Tinder\" for clinical trials &amp; research networ...</td>\n",
       "      <td>True</td>\n",
       "      <td>False</td>\n",
       "    </tr>\n",
       "  </tbody>\n",
       "</table>\n",
       "</div>"
      ],
      "text/plain": [
       "   Problem ID  Parent ID Child ID Date Recorded         Recorded By  \\\n",
       "0           1          0        0      6/3/2020  nlwiley@ad.unc.edu   \n",
       "\n",
       "       Problem Tag        Contact Date Originated Department/Division  \\\n",
       "0  MedGen-0001-0000  Gomez, Shawn      2018/10/01  Medicine - General   \n",
       "\n",
       "                   Intake Source  \\\n",
       "0  FastTraCS unprompted ideation   \n",
       "\n",
       "                      Unstructured Problem Statement Problem To Address  \\\n",
       "0  \"Tinder\" for clinical trials & research networ...                NaN   \n",
       "\n",
       "  Patient Population Care Setting Outcome  \\\n",
       "0                NaN          NaN     NaN   \n",
       "\n",
       "                                     Problem Summary  Archived  Tracked  \n",
       "0  \"Tinder\" for clinical trials & research networ...      True    False  "
      ]
     },
     "execution_count": 28,
     "metadata": {},
     "output_type": "execute_result"
    }
   ],
   "source": [
    "# look at imported df\n",
    "df_main.head(1)"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 29,
   "metadata": {},
   "outputs": [],
   "source": [
    "# sort df by most recent\n",
    "# needs = df.sort_values(\"date\", ascending=False)\n",
    "\n",
    "# sort df by most recent and drop NaNs\n",
    "needs = df_main.sort_values(\"Date Originated\", ascending=False).dropna(subset=[\"Problem Summary\", \"Date Originated\", \"Department/Division\"])"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 30,
   "metadata": {},
   "outputs": [],
   "source": [
    "# set enc var for OpenAI\n",
    "enc = tiktoken.encoding_for_model(\"text-embedding-ada-002\")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 31,
   "metadata": {},
   "outputs": [],
   "source": [
    "# pull need statements into array\n",
    "need_statements = needs[\"Problem Summary\"].values"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 32,
   "metadata": {},
   "outputs": [],
   "source": [
    "# calc ttotal okens from needs statements array\n",
    "total_tokens = sum([len(enc.encode(\"Problem Summary\")) for needs in need_statements])\n",
    "\n",
    "# def num_tokens_from_string(string: str, encoding_name: str) -> int:\n",
    "#     \"\"\"Returns the number of tokens in a text string.\"\"\"\n",
    "#     encoding = tiktoken.get_encoding(encoding_name)\n",
    "#     num_tokens = len(encoding.encode(string))\n",
    "#     return num_tokens\n",
    "\n"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 33,
   "metadata": {},
   "outputs": [
    {
     "name": "stdout",
     "output_type": "stream",
     "text": [
      "Estimated cost $0.000314\n"
     ]
    }
   ],
   "source": [
    "total_tokens\n",
    "# reference OpenAI docs for model price / 1k tokens\n",
    "cost = total_tokens * (.0004 / 1000)\n",
    "print(f\"Estimated cost ${cost:.6f}\")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 34,
   "metadata": {},
   "outputs": [],
   "source": [
    "# decorator function to query more responsibly, from tenacity\n",
    "@retry(wait=wait_random_exponential(min=1, max=20), stop=stop_after_attempt(6), retry=retry_if_not_exception_type(openai.InvalidRequestError))\n",
    "def get_embedding(text, model=\"text-embedding-ada-002\"):\n",
    "\n",
    "    # replace newlines, which can negatively affect performance\n",
    "    if \"\\n\" in text:\n",
    "        text = text.replace(\"\\n\", \" \")\n",
    "\n",
    "    # call OpenAI embeddings API\n",
    "    return openai.Embedding.create(input=text, model=model)[\"data\"][0][\"embedding\"]"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 35,
   "metadata": {},
   "outputs": [],
   "source": [
    "# establish a cache of embeddings to avoid recomputing\n",
    "# cache is a dict of tuples (text, model) -> embedding saved as a pickle file\n",
    "\n",
    "# set path to embedding cache, test needs.pkl\n",
    "embedding_cache_path = \"needs_main.pkl\"\n",
    "\n",
    "# load the cache if it exists, and save a copy to disk\n",
    "try:\n",
    "    embedding_cache = pd.read_pickle(embedding_cache_path)\n",
    "except FileNotFoundError:\n",
    "    embedding_cache = {}\n",
    "with open(embedding_cache_path ,\"wb\") as embedding_cache_file:\n",
    "    pickle.dump(embedding_cache, embedding_cache_file)\n",
    "\n",
    "# define a function to retrieve embeddings from the cache if present, and otherwise request via the API\n",
    "def embeddings_from_string(\n",
    "        string,\n",
    "        model=\"text-embedding-ada-002\",\n",
    "        embedding_cache=embedding_cache\n",
    "):\n",
    "    \"\"\"Return embedding of a given a string, using a cache to avoid recomputing.\"\"\"\n",
    "    if (string, model) not in embedding_cache.keys():\n",
    "        embedding_cache[(string, model)] = get_embedding(string, model)\n",
    "        print(f\"GOT EMBEDDING FROM OPEN AI FOR {string[:20]}\")\n",
    "        with open(embedding_cache_path, \"wb\") as embedding_cache_file:\n",
    "            pickle.dump(embedding_cache, embedding_cache_file)\n",
    "    return embedding_cache[(string, model)]\n"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 36,
   "metadata": {},
   "outputs": [
    {
     "name": "stdout",
     "output_type": "stream",
     "text": [
      "GOT EMBEDDING FROM OPEN AI FOR Esophageal spasms (p\n",
      "GOT EMBEDDING FROM OPEN AI FOR Risk of perforation \n",
      "GOT EMBEDDING FROM OPEN AI FOR GI auxillary tools (\n",
      "GOT EMBEDDING FROM OPEN AI FOR Foreign object got s\n",
      "GOT EMBEDDING FROM OPEN AI FOR Foreign object could\n",
      "GOT EMBEDDING FROM OPEN AI FOR Drug packets cannot \n",
      "GOT EMBEDDING FROM OPEN AI FOR Unable to identify m\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Orignal Solution Pit\n",
      "GOT EMBEDDING FROM OPEN AI FOR Orignal Solution Pit\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Auto label for any I\n",
      "GOT EMBEDDING FROM OPEN AI FOR Central line – if st\n",
      "GOT EMBEDDING FROM OPEN AI FOR Central line inserti\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Thin layer of gel-li\n",
      "GOT EMBEDDING FROM OPEN AI FOR Alarm to know that a\n",
      "GOT EMBEDDING FROM OPEN AI FOR Culture bottles and \n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Original Solution Pi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Some hemostasis agen\n",
      "GOT EMBEDDING FROM OPEN AI FOR Surgeons cannot dire\n",
      "GOT EMBEDDING FROM OPEN AI FOR During ovarian cyst \n",
      "GOT EMBEDDING FROM OPEN AI FOR During ovarian cyst \n",
      "GOT EMBEDDING FROM OPEN AI FOR For patients undergo\n",
      "GOT EMBEDDING FROM OPEN AI FOR A way to identify an\n",
      "GOT EMBEDDING FROM OPEN AI FOR The extent of adhesi\n",
      "GOT EMBEDDING FROM OPEN AI FOR The cost of caring f\n",
      "GOT EMBEDDING FROM OPEN AI FOR Diagnosing endometri\n",
      "GOT EMBEDDING FROM OPEN AI FOR Uterine balloon sten\n",
      "GOT EMBEDDING FROM OPEN AI FOR Minimizing pain from\n",
      "GOT EMBEDDING FROM OPEN AI FOR A way to determine h\n",
      "GOT EMBEDDING FROM OPEN AI FOR A way to assess the \n",
      "GOT EMBEDDING FROM OPEN AI FOR Obese patients devel\n",
      "GOT EMBEDDING FROM OPEN AI FOR Pediatricians do not\n",
      "GOT EMBEDDING FROM OPEN AI FOR Improving tactle sen\n",
      "GOT EMBEDDING FROM OPEN AI FOR The chicken bone see\n",
      "GOT EMBEDDING FROM OPEN AI FOR Irrigation while pin\n",
      "GOT EMBEDDING FROM OPEN AI FOR There is no single t\n",
      "GOT EMBEDDING FROM OPEN AI FOR The lighted scope ha\n",
      "GOT EMBEDDING FROM OPEN AI FOR Absorbent towels do \n",
      "GOT EMBEDDING FROM OPEN AI FOR Long hair gets in th\n",
      "GOT EMBEDDING FROM OPEN AI FOR Mayo table (instrume\n",
      "GOT EMBEDDING FROM OPEN AI FOR Changing the suction\n",
      "GOT EMBEDDING FROM OPEN AI FOR Instrument tray had \n",
      "GOT EMBEDDING FROM OPEN AI FOR Patient's shoulders \n",
      "GOT EMBEDDING FROM OPEN AI FOR The biter jaws would\n",
      "GOT EMBEDDING FROM OPEN AI FOR Pre-Sinus surgery: f\n",
      "GOT EMBEDDING FROM OPEN AI FOR The Olympus Diego El\n",
      "GOT EMBEDDING FROM OPEN AI FOR Long nasal hair obst\n",
      "GOT EMBEDDING FROM OPEN AI FOR The BrainLab wasn't \n",
      "GOT EMBEDDING FROM OPEN AI FOR The current suction \n",
      "GOT EMBEDDING FROM OPEN AI FOR septal stapler is to\n",
      "GOT EMBEDDING FROM OPEN AI FOR Turbinates were stab\n",
      "GOT EMBEDDING FROM OPEN AI FOR Equipment failures\n",
      "GOT EMBEDDING FROM OPEN AI FOR Surgeons have a diff\n",
      "GOT EMBEDDING FROM OPEN AI FOR Difficult to determi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Ablating turbinates \n",
      "GOT EMBEDDING FROM OPEN AI FOR Irrigation waste is \n",
      "GOT EMBEDDING FROM OPEN AI FOR Hand washing complia\n",
      "GOT EMBEDDING FROM OPEN AI FOR Suction sleeves (End\n",
      "GOT EMBEDDING FROM OPEN AI FOR The cost of steriliz\n",
      "GOT EMBEDDING FROM OPEN AI FOR Risk of visitors and\n",
      "GOT EMBEDDING FROM OPEN AI FOR Doctors are not alwa\n",
      "GOT EMBEDDING FROM OPEN AI FOR The tools that docto\n",
      "GOT EMBEDDING FROM OPEN AI FOR GI aspiration needle\n",
      "GOT EMBEDDING FROM OPEN AI FOR Products used by cli\n",
      "GOT EMBEDDING FROM OPEN AI FOR Feeding tubes were u\n",
      "GOT EMBEDDING FROM OPEN AI FOR Request for monopola\n",
      "GOT EMBEDDING FROM OPEN AI FOR Surgeons do not reme\n",
      "GOT EMBEDDING FROM OPEN AI FOR Products used by cli\n",
      "GOT EMBEDDING FROM OPEN AI FOR Large lesions cannot\n",
      "GOT EMBEDDING FROM OPEN AI FOR Current endoscopic t\n",
      "GOT EMBEDDING FROM OPEN AI FOR Savi scout clips for\n",
      "GOT EMBEDDING FROM OPEN AI FOR Savi scout clip cann\n",
      "GOT EMBEDDING FROM OPEN AI FOR It is impossible to \n",
      "GOT EMBEDDING FROM OPEN AI FOR The cost of using th\n",
      "GOT EMBEDDING FROM OPEN AI FOR Surgeries are delaye\n",
      "GOT EMBEDDING FROM OPEN AI FOR The \"red tape\" invol\n",
      "GOT EMBEDDING FROM OPEN AI FOR Removal of breast le\n",
      "GOT EMBEDDING FROM OPEN AI FOR Patients that have r\n",
      "GOT EMBEDDING FROM OPEN AI FOR The Savi Scout locat\n",
      "GOT EMBEDDING FROM OPEN AI FOR Unable to predict wh\n",
      "GOT EMBEDDING FROM OPEN AI FOR The disinfecting pro\n",
      "GOT EMBEDDING FROM OPEN AI FOR IV tubing tugging at\n",
      "GOT EMBEDDING FROM OPEN AI FOR Insertion of a centr\n",
      "GOT EMBEDDING FROM OPEN AI FOR Repositioning larger\n",
      "GOT EMBEDDING FROM OPEN AI FOR It's time consuming \n",
      "GOT EMBEDDING FROM OPEN AI FOR Machines and monitor\n",
      "GOT EMBEDDING FROM OPEN AI FOR Tubing and cords in \n",
      "GOT EMBEDDING FROM OPEN AI FOR Not enough room surr\n",
      "GOT EMBEDDING FROM OPEN AI FOR Decrease the risk of\n",
      "GOT EMBEDDING FROM OPEN AI FOR Current pressure red\n",
      "GOT EMBEDDING FROM OPEN AI FOR MIGS (hysterectomy),\n",
      "GOT EMBEDDING FROM OPEN AI FOR MIGS (hysterectomy):\n",
      "GOT EMBEDDING FROM OPEN AI FOR MIGS (hysterectomy):\n",
      "GOT EMBEDDING FROM OPEN AI FOR MIGS (hysterectomy):\n",
      "GOT EMBEDDING FROM OPEN AI FOR Accidental injury to\n",
      "GOT EMBEDDING FROM OPEN AI FOR Uterine arteries are\n",
      "GOT EMBEDDING FROM OPEN AI FOR Ureters are difficul\n",
      "GOT EMBEDDING FROM OPEN AI FOR While inserting a se\n",
      "GOT EMBEDDING FROM OPEN AI FOR The first incision f\n",
      "GOT EMBEDDING FROM OPEN AI FOR The Hasson technique\n",
      "GOT EMBEDDING FROM OPEN AI FOR Overimaging of benig\n",
      "GOT EMBEDDING FROM OPEN AI FOR Surgeons had to swit\n",
      "GOT EMBEDDING FROM OPEN AI FOR Difficulty determini\n",
      "GOT EMBEDDING FROM OPEN AI FOR MIGS (hysterectomy):\n",
      "GOT EMBEDDING FROM OPEN AI FOR Covidien Endo Stitch\n",
      "GOT EMBEDDING FROM OPEN AI FOR Monopolar cautery to\n",
      "GOT EMBEDDING FROM OPEN AI FOR There's no indicatio\n",
      "GOT EMBEDDING FROM OPEN AI FOR Patients cannot alwa\n",
      "GOT EMBEDDING FROM OPEN AI FOR Clinicians do not wi\n",
      "GOT EMBEDDING FROM OPEN AI FOR Laparascopic scope l\n",
      "GOT EMBEDDING FROM OPEN AI FOR One-size LAVH drapes\n",
      "GOT EMBEDDING FROM OPEN AI FOR Pockets must be purc\n",
      "GOT EMBEDDING FROM OPEN AI FOR Surgical tools do no\n",
      "GOT EMBEDDING FROM OPEN AI FOR Robotic and DaVinci \n",
      "GOT EMBEDDING FROM OPEN AI FOR Laparoscopic scopes \n",
      "GOT EMBEDDING FROM OPEN AI FOR Multiple laparoscopi\n",
      "GOT EMBEDDING FROM OPEN AI FOR LAVH drapes attach t\n",
      "GOT EMBEDDING FROM OPEN AI FOR Laparoscopic surgica\n",
      "GOT EMBEDDING FROM OPEN AI FOR Laparoscopic surgica\n",
      "GOT EMBEDDING FROM OPEN AI FOR Power morcellators w\n",
      "GOT EMBEDDING FROM OPEN AI FOR Smoke accumulates in\n",
      "GOT EMBEDDING FROM OPEN AI FOR MIGS (Hysterectomies\n",
      "GOT EMBEDDING FROM OPEN AI FOR MIGS (Hysterectomies\n",
      "GOT EMBEDDING FROM OPEN AI FOR Some patients' heads\n",
      "GOT EMBEDDING FROM OPEN AI FOR During an adenoidect\n",
      "GOT EMBEDDING FROM OPEN AI FOR Towels used to eleva\n",
      "GOT EMBEDDING FROM OPEN AI FOR Fluids during tonsil\n",
      "GOT EMBEDDING FROM OPEN AI FOR Pedals with cords ar\n",
      "GOT EMBEDDING FROM OPEN AI FOR Pedals with cords be\n",
      "GOT EMBEDDING FROM OPEN AI FOR Instruments with cor\n",
      "GOT EMBEDDING FROM OPEN AI FOR During an adenoidect\n",
      "GOT EMBEDDING FROM OPEN AI FOR In sinus surgery, th\n",
      "GOT EMBEDDING FROM OPEN AI FOR During breaking of t\n",
      "GOT EMBEDDING FROM OPEN AI FOR Bovie tips that are \n",
      "GOT EMBEDDING FROM OPEN AI FOR ENT surgery: coagula\n",
      "GOT EMBEDDING FROM OPEN AI FOR Bleeding during tons\n",
      "GOT EMBEDDING FROM OPEN AI FOR Current instruments \n",
      "GOT EMBEDDING FROM OPEN AI FOR Bovie tips that cont\n",
      "GOT EMBEDDING FROM OPEN AI FOR Variability in gum p\n",
      "GOT EMBEDDING FROM OPEN AI FOR Probing gum pocket d\n",
      "GOT EMBEDDING FROM OPEN AI FOR People with smaller \n",
      "GOT EMBEDDING FROM OPEN AI FOR Left handed people h\n",
      "GOT EMBEDDING FROM OPEN AI FOR Doctors experience r\n",
      "GOT EMBEDDING FROM OPEN AI FOR Removing food stuck \n",
      "GOT EMBEDDING FROM OPEN AI FOR Smaller polyps are d\n",
      "GOT EMBEDDING FROM OPEN AI FOR Current endoscopes r\n",
      "GOT EMBEDDING FROM OPEN AI FOR Looping and buckling\n",
      "GOT EMBEDDING FROM OPEN AI FOR Patients with esopha\n",
      "GOT EMBEDDING FROM OPEN AI FOR A baby with shoulder\n",
      "GOT EMBEDDING FROM OPEN AI FOR Bandages applied to \n",
      "GOT EMBEDDING FROM OPEN AI FOR Ovarian and pelvic m\n",
      "GOT EMBEDDING FROM OPEN AI FOR Checking a patient's\n",
      "GOT EMBEDDING FROM OPEN AI FOR Any woman can develo\n",
      "GOT EMBEDDING FROM OPEN AI FOR Method to detect fet\n",
      "GOT EMBEDDING FROM OPEN AI FOR Low income countries\n",
      "GOT EMBEDDING FROM OPEN AI FOR CLABSIs are determin\n",
      "GOT EMBEDDING FROM OPEN AI FOR CLABSI microbes get \n",
      "GOT EMBEDDING FROM OPEN AI FOR Patients do not alwa\n",
      "GOT EMBEDDING FROM OPEN AI FOR Tympanostomy tubes (\n",
      "GOT EMBEDDING FROM OPEN AI FOR Patient's mouths can\n",
      "GOT EMBEDDING FROM OPEN AI FOR Accidental fires in \n",
      "GOT EMBEDDING FROM OPEN AI FOR Patients are diagnos\n",
      "GOT EMBEDDING FROM OPEN AI FOR Return visits to cla\n",
      "GOT EMBEDDING FROM OPEN AI FOR Blockages in the upp\n",
      "GOT EMBEDDING FROM OPEN AI FOR Delays in input/outp\n",
      "GOT EMBEDDING FROM OPEN AI FOR Distinguishing betwe\n",
      "GOT EMBEDDING FROM OPEN AI FOR Multiple breast loca\n",
      "GOT EMBEDDING FROM OPEN AI FOR Replacement parts/eq\n",
      "GOT EMBEDDING FROM OPEN AI FOR Interpreters for non\n",
      "GOT EMBEDDING FROM OPEN AI FOR Males that must sit \n",
      "GOT EMBEDDING FROM OPEN AI FOR \"Tinder\" for clinica\n"
     ]
    }
   ],
   "source": [
    "# Retreieve embeddings for data, if cache present, otherwise query OpenAI \n",
    "need_embeddings = [embeddings_from_string(need, model=\"text-embedding-ada-002\") for need in need_statements]"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 37,
   "metadata": {},
   "outputs": [],
   "source": [
    "# convert df to python dict\n",
    "# data = needs[[\"contact\", \"dept\", \"need\"]].to_dict(\"records\")\n",
    "data = needs[[\"Problem Summary\", \"Date Originated\", \"Department/Division\"]].to_dict(\"records\")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 38,
   "metadata": {},
   "outputs": [],
   "source": [
    "# import nomic lib\n",
    "from nomic import atlas"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 45,
   "metadata": {},
   "outputs": [
    {
     "name": "stderr",
     "output_type": "stream",
     "text": [
      "\u001b[32m2023-05-14 21:27:28.896\u001b[0m | \u001b[1mINFO    \u001b[0m | \u001b[36mnomic.project\u001b[0m:\u001b[36m_create_project\u001b[0m:\u001b[36m965\u001b[0m - \u001b[1mCreating project `Clinical Needs` in organization `akantunc`\u001b[0m\n",
      "\u001b[32m2023-05-14 21:27:30.296\u001b[0m | \u001b[1mINFO    \u001b[0m | \u001b[36mnomic.atlas\u001b[0m:\u001b[36mmap_embeddings\u001b[0m:\u001b[36m100\u001b[0m - \u001b[1mUploading embeddings to Atlas.\u001b[0m\n",
      "1it [00:01,  1.83s/it]\n",
      "\u001b[32m2023-05-14 21:27:32.140\u001b[0m | \u001b[1mINFO    \u001b[0m | \u001b[36mnomic.project\u001b[0m:\u001b[36m_add_data\u001b[0m:\u001b[36m1577\u001b[0m - \u001b[1mUpload succeeded.\u001b[0m\n",
      "\u001b[32m2023-05-14 21:27:32.141\u001b[0m | \u001b[1mINFO    \u001b[0m | \u001b[36mnomic.atlas\u001b[0m:\u001b[36mmap_embeddings\u001b[0m:\u001b[36m119\u001b[0m - \u001b[1mEmbedding upload succeeded.\u001b[0m\n",
      "\u001b[32m2023-05-14 21:27:33.222\u001b[0m | \u001b[1mINFO    \u001b[0m | \u001b[36mnomic.project\u001b[0m:\u001b[36mcreate_index\u001b[0m:\u001b[36m1282\u001b[0m - \u001b[1mCreated map `Clinical Needs` in project `Clinical Needs`: https://atlas.nomic.ai/map/763265c3-9020-45b5-ad8a-d6dd8c70e88b/61d1889d-5c94-471c-bb7c-d2f2355f270e\u001b[0m\n",
      "\u001b[32m2023-05-14 21:27:33.223\u001b[0m | \u001b[1mINFO    \u001b[0m | \u001b[36mnomic.atlas\u001b[0m:\u001b[36mmap_embeddings\u001b[0m:\u001b[36m132\u001b[0m - \u001b[1mClinical Needs: https://atlas.nomic.ai/map/763265c3-9020-45b5-ad8a-d6dd8c70e88b/61d1889d-5c94-471c-bb7c-d2f2355f270e\u001b[0m\n"
     ]
    },
    {
     "name": "stdout",
     "output_type": "stream",
     "text": [
      "Clinical Needs: https://atlas.nomic.ai/map/763265c3-9020-45b5-ad8a-d6dd8c70e88b/61d1889d-5c94-471c-bb7c-d2f2355f270e\n"
     ]
    }
   ],
   "source": [
    "# send embeddings with Atlas\n",
    "project = atlas.map_embeddings(\n",
    "    embeddings=np.array(need_embeddings),\n",
    "    data=data,\n",
    "    name=\"Clinical Needs\",\n",
    "    reset_project_if_exists=True\n",
    ")\n",
    "\n",
    "# map = project.get_map('Clinical Needs')\n",
    "# print(map)\n",
    "# project.create_index(name=project.name, build_topic_model=True, topic_label_field='text')\n",
    "# print(project.maps[0])"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 46,
   "metadata": {},
   "outputs": [],
   "source": [
    "from openai.embeddings_utils import distances_from_embeddings, indices_of_nearest_neighbors_from_distances"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 59,
   "metadata": {},
   "outputs": [],
   "source": [
    "def print_recommendations_from_strings(\n",
    "    strings,\n",
    "    index_of_source_string,\n",
    "    k_nearest_neighbors=3,\n",
    "    model=\"text-embeddings-ada-002\"\n",
    "):\n",
    "    # Get all embeddings\n",
    "    embeddings = [embeddings_from_string(string) for string in strings]\n",
    "    # get embedding for our specific query string\n",
    "    query_embedding = embeddings[index_of_source_string]\n",
    "    # get distances between our embedding and all others\n",
    "    distances = distances_from_embeddings(query_embedding, embeddings)\n",
    "    # get indices of the knn\n",
    "    indices_of_nearest_neighbors = indices_of_nearest_neighbors_from_distances(distances)\n",
    "    # loop over indices to match\n",
    "    query_string = strings[index_of_source_string]\n",
    "    match_count = 0\n",
    "    for i in indices_of_nearest_neighbors:\n",
    "        if query_string == strings[i]:\n",
    "            continue\n",
    "        if match_count >= k_nearest_neighbors:\n",
    "            break\n",
    "        match_count =+ 1\n",
    "        print(f\"Found {match_count} closest match: \")\n",
    "        print(f\"Distances of: {distances[i]} \")\n",
    "        print(strings[i])"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": 62,
   "metadata": {},
   "outputs": [
    {
     "name": "stdout",
     "output_type": "stream",
     "text": [
      "Found 1 closest match: \n",
      "Distances of: 0.07506885107945171 \n",
      "MIGS (hysterectomy), the top of the vagina is very difficult to visualize using current techniques (uterine manipulator, lap tools)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.0896807897105294 \n",
      "MIGS (Hysterectomies): it's difficult to identify the cuff on the uterine manipulator so that the surgeon can cut the tissue at the correct location.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.09321698481066976 \n",
      "MIGS (hysterectomy): Knowing how much tissue to remove is difficult using laparoscopic visualization. Separating the cervix from the vagina: sometimes either too much of the vagina is removed or not enough vagina (and cervical tissue) is removed. Not a common problem amongst high-volume surgeons (>10 cases/yr, which is actually not a lot).\n",
      "Found 1 closest match: \n",
      "Distances of: 0.09546722738705071 \n",
      "MIGS (Hysterectomies): smaller uteri can fit back through the vaginal opening, larger uteri must be removed through an incision in the naval which is more time consuming.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.10311995496577275 \n",
      "MIGS (hysterectomy): an additional surgeon/clinician is needed to manually maneuver the uterus via a device inside of the uterus in order to view surrounding anatomy laparoscopically, remove uterus from conjoining tissue, and remove cervix from vagina.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.11086130727704624 \n",
      "MIGS (hysterectomy): when extra ends of V-Loc barbed sutures are left after suturing the vagina, they can puncture the bowel and cause contents to leak into the abdomen, causing infection, sepsis.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1402567835906915 \n",
      "Uterine arteries are difficult to locate and keep track of during laparscopic hysterectomies.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.14682728328138384 \n",
      "Covidien Endo Stitch suture device does not get a good enough \"bite\" of tissue during suturing of the vagina.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.15824815865323316 \n",
      "Current endoscopic tissue removal tools are time-consuming and often require multiple procedures to complete\n",
      "Found 1 closest match: \n",
      "Distances of: 0.16801925683406072 \n",
      "Checking a patient's cervix during general appts, prenatal care, and during labor & deliver is painful and physically and emotionally uncomfortable for patients.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1698210974982619 \n",
      "During ovarian cyst removal, if the cyst is punctured determining between cyst wall and ovary is very difficult\n",
      "Found 1 closest match: \n",
      "Distances of: 0.17084445644946056 \n",
      "Ureters are difficult to locate and keep track of during laparscopic hysterectomies. If the ureter is damaged (usually due to poor visibility/identification) the contents from the kidney and bladder may leak into abdominal cavity. Must take additional time to repair ureter.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.17229931051709624 \n",
      "The cost of caring for women with pelvic pain is extremely high.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.17410646688024511 \n",
      "We need a more effective way to treat Bartholin's cysts and abscesses among affected women.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.17551110471243514 \n",
      "The first incision for laparascopic surgery may accidentally contact an important organ or vessel which must be immediately repaired and will cause the surgery to either be delayed or postponed. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.1764403978768 \n",
      "Instruments with cords are difficult to manage alonside other instruments during surgery.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1777456960878575 \n",
      "The extent of adhesive disease in the lower abdomen cannot be accurately assessed until the surgeon gains internal access to the pelvis.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.17819165411374382 \n",
      "Multiple laparoscopic instruments are needed to provide image functionality, suction, and irrigation.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.17871912651490052 \n",
      "Drug packets cannot be removed endoscopically due to risk of perforation. They must be removed surgically instead.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.17952325499853317 \n",
      "During ovarian cyst removal, cyst wall tissue strongly adhered to ovary is a problem.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1799042209174887 \n",
      "Surgeries are delayed when breast localization needles must be replaced the morning of surgery.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.18021017370997217 \n",
      "Laparascopic scope lenses can become obstructed by tissue and must be removed from their ports to clean, taking time.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.18084094164809006 \n",
      "The Hasson technique of entry is somewhat safer, however the incision is larger than other entry techniques for trocar/port insertion, resulting in a larger scar post surgery. \n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.18409050491411438 \n",
      "Removing food stuck in the esophagus (especially fibrous or tough foods) is difficult and time consuming.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.18436504999077286 \n",
      "Limitation in surgery from anterior approach for spinal fixation instrumentation. Adhesions/scarring after initial procedure makes any subsequent procedure for removal/adjustment techincally difficult.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1855145073963862 \n",
      "Bandages applied to female genital organs stick to underlying steri strips, causing the steri strips to be unintentionally removed and pain for the patient.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.18571890177579653 \n",
      "One-size LAVH drapes are difficult to fit to larger and smaller patients.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1862511857025022 \n",
      "Current endoscopes require a lot of effort to maneuver.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1866980353300498 \n",
      "Irrigation waste is difficult to control while irrigating after sinus surgery\n",
      "Found 1 closest match: \n",
      "Distances of: 0.18720318338914332 \n",
      "Pre-Sinus surgery: flexible bronchoscopy had to keep connecting and disconnecting small flush syringes to break up secretions.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.18992394289316583 \n",
      "The cost of sterilization is too high.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1915693246293808 \n",
      "Smaller polyps are difficult to locate and/or are missed during colonoscopies.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1918283440850871 \n",
      "ENT surgery: coagulator was repeatedly clogged with tissue during suction.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19190599076638903 \n",
      "Surgical tools do not always fit smaller hands.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19229547807479908 \n",
      "The \"red tape\" involved with radioactive seed locators for breast surgery prevents surgeons from using the locators.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19234089357059359 \n",
      "Savi scout clips for breast surgery cannot be seen with ultrasound, which is used to detect breast localization needles. Sometimes, clips and needles are used in the same case.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19325726893318518 \n",
      "Repositioning larger patients is difficult and requires additional clinicians.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1937412385118893 \n",
      "Accidental injury to ureters during laparoscopic hysterectomies causes the contents from the kidney and bladder to leak into the abdominal cavity, requiring additional operation time to repair the ureter and clean the abdominal cavity.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19375572692952525 \n",
      "Surgeons had to switch sides during procedure. Scrub tech had to hold laparoscopic tools in place while surgeons moved around.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19409625464636537 \n",
      "While inserting a second trocar, the trocar tip wouldn't penetrate through the last layer of internal tissue and had to be manually cut away from the trocar tip.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1942920186178121 \n",
      "Turbinates were stabbed with suturing needle while they were being sutured after endoscopic septoplasty (deviated septum).\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19429217926783093 \n",
      "Foreign object could not fit back through upper esophageal sphincter during attempted object removal via endoscopy.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19469014802862572 \n",
      "LAVH drapes attach to the patient with adhesive, which peels off easily, especially on larger patients, thereby exposing unsterile skin to an already sterile surgical area. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.19486978574251934 \n",
      "GI auxillary tools (grabbers, nets) require more than one person to operate.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1954757177966222 \n",
      "Diagnosing endometriosis non-invasively.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19708582357412585 \n",
      "Low income countries reuse single use laparoscopic surgery devices which increases the risk of spreading infection & disease.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1972687229870035 \n",
      "A way to improve surgical device ergonomics in addresses the needs or women surgeons\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19736258013183505 \n",
      "A way to genital atrophy in postmenopausal women\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19763937322450376 \n",
      "Large lesions cannot be marked using only one localization needle or one clip.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.19826814743705234 \n",
      "Irrigation while pinching the nostrils and suction cannot be performed at the same time by a single surgeon.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.1998325958411774 \n",
      "Some patients' heads do not firmly fit on current head stabilization donuts during ENT surgery.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2001134934090244 \n",
      "Some hemostasis agents cause scarring/adhesions.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20028879139879885 \n",
      "Minimizing pain from pelvic floor musculature dysfunction.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20033699742977418 \n",
      "Difficulty determining if the Veress Needle (used for creating an incision where first trocar is placed in laparoscopic surgery) was in the correct depth.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20150995753662104 \n",
      "Surgeons cannot directly point to regions on the monitor (camera feed) because their hands are occupied with the laparoscopic tools.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20158692241819587 \n",
      "It's time consuming and repetitive to reposition SICU patients every 2 hours to prevent pressure induced sores (bed sores)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.201615733837874 \n",
      "Bleeding during tonsillectomy and adenoidectomy is extensive in some patients.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20171001618055096 \n",
      "Distinguishing between areas of concern and areas of dense breast tissue is difficult using current mammogram technology. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2021854823103567 \n",
      "Laparoscopic surgical instruments can lead to overuse injuries, especially tendonitis of the thumb, requiring physical therapy and braces to be worn by the surgeon.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2021924221211695 \n",
      "Several cervical spine fixation systems require surgeries to be performed from the posterior of the patient. Infection rate from surgical instrumentation when surgery is conducted from posterior of patient is significantly higher than the anterior of the patient. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2029873552442908 \n",
      "Smoke accumulates in abdomen during laparoscopic procedures with cautery which the camera cannot see through.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20359085891394735 \n",
      "The cost of using the Savi scout is higher than the breast localization needle.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20390992026319776 \n",
      "Surgeons have a difficult time keeping track of what is in stock. (Couldn't find the right Medtronic microdebrider blade)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2041236933921906 \n",
      "Difficult to determine if any damage to the orbital wall occurred during sinus surgery.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20511495314570605 \n",
      "Risk of perforation of GI tract when tools are fed down endoscope further past the end of the scope.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2051245834511256 \n",
      "Current pressure reducing/repositioning beds are very heavy, expensive, and tedious to work with.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20537225779263957 \n",
      "Pediatricians do not always make referrals for children that experience dysmenorrhea (painful periods). Mothers with endometriosis usually end up taking their child (if they have symptoms of endo) directly to specialist.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20660661041913964 \n",
      "Ovarian and pelvic masses (benign or harmful) are difficult to diagnose & are overimaged due to current imaging techniques which produce vague results. Keyword is \"masses\"\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20725526413625917 \n",
      "Laparoscopic surgical instruments are not padded and put pressure on nerves of the hand, causing the surgeon pain.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20738830462143554 \n",
      "Long nasal hair obstructs sinus surgery and septoplasty\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2087098890410537 \n",
      "Blockages in the upper intestine cause the small intestine to collapse, which makes navigating around the blockages in order to insert a port between the stomach and upper intestine difficult.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20881149217515405 \n",
      "Original Solution Pitched: Long term Foley patients – could Foley have multiple sheaths (to avoid multiple insertions).\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20907101562423658 \n",
      "Power morcellators work, however there is a high risk of spreading potentially cancerous tissue via morcellating action, which is life threatening.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.20909443120509053 \n",
      "A way to dyspareunia in women with high tone pelvic floor\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21149035192468202 \n",
      "In sinus surgery, the turbinates have to be pushed aside every time the scope and tools are re-inserted into the nose (100's of insertions). The turbinates push back!\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2117133638327935 \n",
      "A way to place G-Tubes in a single puncture that accomplishes gastropexy & access for the tube\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21206111995632515 \n",
      "Ablating turbinates and suctioning smoke cannot be performed by the same person at the same time.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21237570330865352 \n",
      "A way to ovarian cyst seen on ultrasound in the ED in chronic pelvic pain population\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21296317140452825 \n",
      "Patients who are unconscious are not able to perform the cervical extension/flexion movements d \n",
      "Found 1 closest match: \n",
      "Distances of: 0.21322740413920815 \n",
      "A way to map fibroid location intraoperatively to reduce cost and accessibility issues with pre-op testing.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21333919080860575 \n",
      "Suction sleeves (Endoscrub by Medtronic, Instaclear by Olympus) work but they add a millimeter or so of material to each side of the tool, which restricts room in peds patients.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2134456859606635 \n",
      "A way to make nephrostomy tube w/ ureteral stent placement more user friendly in all patients that makes it easier for a single operator\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21417952801659523 \n",
      "For patients undergoing laparoscopic surgeries in rural settings that are at high risk for adhesions, there's a risk that the surgeon will not be able to perform surgery if adhesions exist that are undetected prior to surgery. An adhesion is the unwanted formation of a tissue connection between one or more organs in the abdominal cavity.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21445958605304194 \n",
      "Towels used to elevate the patient's shoulders, neck and head sometimes \"fail\" (compress down) during surgery, lowering the patient's shoulders and thereby limiting visibility in the mouth and increasing risk of stomach contents travelling up esophagus into mouth/airways\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21516340943818046 \n",
      "Tympanostomy tubes (ear tubes) that do not fall out on their own must be removed under anesthesia\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2152044429064801 \n",
      "A patient with a non-sutured NG tube develops a pressure injury in the nose or on the face.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21521963271239808 \n",
      "It is impossible to locate a Savi scout clip during surgery after it has come into contact with the Bovie electrocautery device.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2154320825195949 \n",
      "Current method for delivering cancer therapy for liquid cancers in sanctuary sites (usually via serial Lumbar Punctures for cancer behind BBB) is painful for pts\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21608949531235833 \n",
      "Patients that have reconstructive surgery due to the removal of large lesions have 3 months longer of complete recovery time. *see note\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21629875069670346 \n",
      "make transjugular liver biopsies more user friendly for a single operator\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21687069103857803 \n",
      "A way to pain with deep penetration during intercourse in women\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21689275761093996 \n",
      "Unable to identify multiple foreign objects in a patient's stomach during endoscopic removal of foreign objects. *see notes\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21689905148672672 \n",
      "There is no single tissue shaver that can fit in straight and curved areas of the sinuses\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2180430324410637 \n",
      "Changing the suction power for the suction bovie takes additional time.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2187641216783074 \n",
      "A way to have all peel away sheaths have a valve in central venous access pts that decreases blood loss & increases ease\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21895517131140285 \n",
      "Laparoscopic scopes become foggy during use causing the image to be unclear.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.21977846819101643 \n",
      "Robotic and DaVinci systems irritate surgeon's lower back.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2198397438306101 \n",
      "Overimaging of benign cysts in OB-GYN due to poor identification of cyst nature\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2200831134504001 \n",
      "A way to recurrent vaginal infections (BN/yeast) in women\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22020808638400313 \n",
      "Insertion of a central line subclavianly can damage internal organs (i.e. lung puncture) if not done correctly.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22029600746013966 \n",
      "Fluids during tonsillectomy and adenoidectomy procedures exit the patient's nose and flow to their eyes, soaking the gauze taped over the patient's eyes.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2205207465935891 \n",
      "obtain hemostasis without using electrosurgery to reduce risk of thermal injury\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22073581860315583 \n",
      "A way to gauge patient-centered outcomes for patients with endometriosis in can predict successful tx algorithms\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22084160478717962 \n",
      "During breaking of turbinate procedures, turbinates may be broken at the wrong point due to the exact orientation of the tool in the nose cannot be visualized.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22103777309144923 \n",
      "Orignal Solution Pitched:CHG dressings – easy removal, no pain, and keeps lines in place\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2213349758280696 \n",
      "A way to reduce transport times in patients with a condition that requires an emergent procedure\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22134231308185626 \n",
      "The tools that doctors need for special situations do not exist in hospital.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22135987127756218 \n",
      "Monopolar cautery tools contain gaps in insulation which can burn the patient if the gaps contact metal instruments in contact with tissue.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2216097798607125 \n",
      "Long hair gets in the way of care. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.22162413541906645 \n",
      "Instrument tray had to be repositioned during surgery which caused the mouth retractor to have to be adjusted again.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22187515063475827 \n",
      "A way to suicidal ideation in chronic pelvic pain population\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22214313323950496 \n",
      "Esophageal spasms (peristalsis) occur while trying to remove objects from stomach using endoscopy.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2224690866393032 \n",
      "During an adenoidectomy, adenoids that extend farther into the nasal cavity cannot be removed through the mouth.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2224737459709658 \n",
      "insufficient diagnostic methods for originating source of Lower GI bleed between ligament of treitz and terminal ilium\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22255752472838208 \n",
      "A way to identify bowel injury intra-op in surgical patients \n",
      "Found 1 closest match: \n",
      "Distances of: 0.22256637949676328 \n",
      "IV tubing tugging at the insertion site.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22257585064355712 \n",
      "GI aspiration needle with suction, 15G, needs to be disposable\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2229438799097293 \n",
      "Doctors experience repetitive stress injuries from performing endoscopies: particularly wrist, shoulder and neck injuries\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22310062245245676 \n",
      "A way to pain flare in patients with chronic pelvic pain\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22329081181474864 \n",
      "Multiple breast localization needles cannot be placed in one image acquisition if the regions of interest are outside of the current paddle's grid window. The paddles must be repositioned and additional images must be taken, which increases the overall procedure time, increases the amount of radiation the patient is exposed to, and decreases patient comfort.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.223321919853684 \n",
      "Lack of supplies available for bedside procedures\n",
      "Found 1 closest match: \n",
      "Distances of: 0.223321919853684 \n",
      "Lack of supplies available for bedside procedures\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22340135980615394 \n",
      "Looping and buckling in endoscopes during therapeutic endoscopy prevents the scope from correctly feeding and steering through the GI tract.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22351634201059634 \n",
      "People with smaller hands have trouble using the control wheels on current endoscopes.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22357588406520568 \n",
      "Mayo table (instrument tray) wiggles, mouth retractor/opener is clipped on Mayo table, thus whole head moves.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22373505017767958 \n",
      "Replacement parts/equipment are not readily available/purchased when needed which puts the piece of equipment out of commision which limits the volume and frequency with which care can be given.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22401789937151495 \n",
      "Geniculate artery embolization (GAE) new procedure being pioneered for osteoarthritis, is an extremely technically difficult procedure (ie navigating through vasculature to get to the target artery is arduous)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22442334633161565 \n",
      "Patients with esophageal abnormalities (etc), can develop food blockages that can obstruct their upper GI tract.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22474756153512487 \n",
      "Pts that require diapers for incontinence have dificultty using slide boards\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22489199027519546 \n",
      "A way to organize cords from surgical instruments in ____ patients\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22503399150498038 \n",
      "A way to determine how much muscle tone in/around vagina and vaginal tube tone, contratability of muscles.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2253500897770736 \n",
      "Bovie tips that are not completely shielded and contact metal instruments in contact with the patient's mouth cause perioral burns which may require extensive plastic surgery and leave a permanent scar.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22567617167591447 \n",
      "A way to clean out chronic grunge in patients with stents \n",
      "Found 1 closest match: \n",
      "Distances of: 0.22581772819495582 \n",
      "Foreign object got stuck in bite block during extraction with endoscope.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2265618181153467 \n",
      "Probing gum pocket depth takes an extended amount of time, 192 sites must be probed manually. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2269638815645768 \n",
      "Return visits to clarify potential abnormalities seen on breast images causes patients to be anxious.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22709515506482414 \n",
      "A way to assess the pelvic floor.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2273953340235726 \n",
      "A way to identify patients that clinically benefit from urgent/emergent hemostabilizing endoscopic interventions in hemodynamically stable patients with recent episodes of gastrointestinal hemorrhaging at the Emergency Department that reduces noninterventional EGDs\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22797232191800887 \n",
      "Left handed people have trouble using endoscopes, which are designed for right handed people.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22811637362661918 \n",
      "Catheter System for better selecting small adrenal vein\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22819133106640965 \n",
      "A way to eliminate instrument exchange in patients undergoing surgery\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22862860245546768 \n",
      "A way to confirm bowel adhesions requiring colorectal surgery in patients with endo or other prior surgery\n",
      "Found 1 closest match: \n",
      "Distances of: 0.228716925735174 \n",
      "Interpreters for non-native English speakers are not readily available which delays appointments & care for patients involved.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22872159606798204 \n",
      "Physical Therapist prefer not to use harness or lifting device becuase it ties up too many resources\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2288739792023009 \n",
      "Uterine balloon stent by Cook doesn't have an entry mechanism.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2290986200993128 \n",
      "Patient's shoulders fell during surgery and had to be repositioned with towel.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22925351660023097 \n",
      "Feeding tubes were used as urinary catheters in peds, but the connector didn't fit to the urine collection bag\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22930524032149635 \n",
      "A way to identify patients that do not require hemostabilizing endoscopic interventions in patients with recent episodes of gastrointestinal hemorrhaging at the Emergency Department that reduces noninterventional EGDs\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2294708295725595 \n",
      "Bovie tips that contact metal instruments which are in contact with the patient's mouth cause perioral burns which may require extensive plastic surgery and leave a permanent scar.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2295637082441826 \n",
      "increase visualization intra operatively to reduce wasted time cleaning camera\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2297499089975623 \n",
      "septal stapler is too big for pediatric patients\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22985747350751795 \n",
      "dx thermal injury to viscera intraoperatively to reduce delayed diagnosis\n",
      "Found 1 closest match: \n",
      "Distances of: 0.22992923096580908 \n",
      "A way to mychart messages in patients who have pelvic pain and have many questions\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2299718921959084 \n",
      "way to get ____ biopsies faster in pts presenting with osteo_____ to improve appropriate antibiotic use\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23007942152322258 \n",
      "Current instruments used to break turbinates slip out of place while trying to isolate the turbinate. (Was told by Dr. Rose that NC A&T is working on this problem)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23024200222977098 \n",
      "Securing drain lines in larger patients\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23042138568368753 \n",
      "Removal of breast lesions causes dimples in the breast which decrease patient satisfaction. *see note\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23056678958663435 \n",
      "Pedals with cords are a trip hazard in the OR. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2313728285526918 \n",
      "The biter jaws would routinely get clogged by bone and tissue\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2317936845616877 \n",
      "need for revasc. in pt LE wounds to shorten hosp stay\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2321044196644908 \n",
      "Request for monopolar cautery\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23220547005057735 \n",
      "Not enough room surrounding the bed for the clinician to comfortably give care\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2322581822809383 \n",
      "Original Solution Pitched: Keep a trach in place with the need for suturing – phalange piece (because it’s tough to clean) – or make the phalange piece clear. Hard plastic oval under trach, sutured to skin, sits on collar bone. To address pressure injuries.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23246615512037327 \n",
      "Nurses may be asked to convert a JP drain into a flush drain when there is an unexpected infection in a surgical site where the drain is located. This can lead to unexpected exposure event to drain contents, ineffective flushing (which can result in an additional CT scan + additional treatment)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23267380241158164 \n",
      "When patients fall using the bathroom (toilet or otherwise) may be unable to reach the call bell.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2330048935113994 \n",
      "Tubing and cords in patient's room are very disorganized\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23370473595964025 \n",
      "A way to A way to reduce self-administration of drugs of abuse in patients with vascular access devices at inpatient setting that reduces line infection risk and associated length of stay.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23411420330003618 \n",
      "Males that must sit while urinating into bedside commodes cannot urinate directly into the collection bin.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23414265576967475 \n",
      "Clogged Absess drains with decreased diameter due to stopcocks\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23415031992151525 \n",
      "Patient's mouths can be burned during tonsillectomies when exposed sections of suction coagulators contact metal objects that are also in contact with the patient's skin around their mouth.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23415097378269056 \n",
      "less avoidable port complications after insertion\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23421917122401636 \n",
      "A way to identify and assess thermal damage to an organ that a surgeon cannot see. Thermal injuries worsen over time (days & weeks) if they are not immediately identified and corrected/treated. \"A full-thickness [bowel] perforation may lead to sepsis and multiple organ failure and eventually to death\" [van der Voort]. A laparotomy is required to find the damaged organ and repair it.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23424676552963053 \n",
      "Unable to predict when a patient is about to develop a pressure sore.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23468833432345837 \n",
      "Improved efficiency of getting supplies for patients undergoing procedures on MRS\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2351554652306378 \n",
      "keep wires organized, ___ and separated during procedures\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23534317049016784 \n",
      "A way to identify nerve origin of pain in complex pelvic pain patients\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23564638655757542 \n",
      "Gastric contents may infiltrate the air lumen of the NG tube and cause a blockage that prevents the ability to flush the tube and deliver medication. \n",
      "Found 1 closest match: \n",
      "Distances of: 0.23583367393258603 \n",
      "A way to intro-op identify planes between bowel and other tissue in surgical patients\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23597207436998702 \n",
      "A baby with shoulder dystocia can get stuck in the birth canal, triggering an obstetric emergency.\n",
      "(Shoulder dystocia is when, after delivery of the head, the baby's anterior shoulder gets caught above the mother's pubic bone [Wiki].)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2360290864992809 \n",
      "A way to charity care status in not visible in EPIC easily in MIGS \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2360528283098039 \n",
      "A way to patients that don’t know when they’re “done” with their appointment in the clinic population\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2363501801307092 \n",
      "A way to perform large volume paracentesis by a single individual\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2363690385024586 \n",
      "dx bowel injury intra op to reduce delayed diagnosis\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23644387212290485 \n",
      "CLABSI microbes get into the interior of the ports and infect the patients.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23697821183683443 \n",
      "A way to improve non-hormonal vaginal lubrication in women with genital atrophy\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23710541685444253 \n",
      "The lighted scope had to be manually held in place during the entire procedure.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23752596452154684 \n",
      "Clinicians do not wipe central lines for the full 15 seconds before connecting the port with a syringe.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23756138056108012 \n",
      "A way to reduce self-administration of drugs of abuse in patients with vascular access devices at inpatient setting that reduces line infection risk and associated length of stay.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2376353310376792 \n",
      "Variability in gum pocket depth measurements between doctors can produce incorrect and/or misdiagnoses.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23776824035024158 \n",
      "Surgeons do not remember how many devices they use/week, leading to over/under purchasing of new products. \n",
      "*mentioned in SVAC meeting and by Dr. Rose on 01/23/2019 (one day later)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23828120227315874 \n",
      "The disinfecting protocol for administering drugs into central line catheters is not always exactly followed, sometimes leading to CLABSI. (see notes)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23836815728715544 \n",
      "A way to void urine from bladder in patients with chronic urinary retention(e.g, neurogenic bladder, bladder outlet obstruction) that minimizes trauma to urinary tract and provides comfortable low-profile design\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2383814869382368 \n",
      "Pts that require life sustaining lines (e.g. oxygen, feeding tube, ventilator, etc) do not recieve optimal PT/OT because PT spends plurality of session managing lines\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23841828536982357 \n",
      "Improving tactle sensations in simulations so surgeons can feel what it's like to grab tissue.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2385479841443119 \n",
      "CLABSIs are determined after the patient becomes infected and undergoes testing; delaying a CLABSI diagnosis.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23856489537870496 \n",
      "Patients do not always perform spirometry as part of the standard pulmonary hygiene improvement protocol after cardiothoracic surgery. (Atelectasis prevention)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2386989813302849 \n",
      "There's no indication that enough or not enough monopolar cautery has been applied to a particular area. **see note\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23879786974523243 \n",
      "Machines and monitors in patient's room are very disorganized\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23883213720422292 \n",
      "A way to hx of an incorrect dx of “probable endometriosis” in referred patient\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23943289245339971 \n",
      "The Savi Scout locater cannot be used in patients whose areas of concern are located near implants.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2394383175995719 \n",
      "diagnose ____ injury intraoperatively to reduc pot op/delayed diagnosis\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23959590258403174 \n",
      "Absorbent towels do not fit around the patient's face.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.23970365277961658 \n",
      "A way to perform LVP that is less unwieldy and can be performed by a single individual\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24015467253499345 \n",
      "A patient where a circumferential collar is contraindicated loses their airway because they cough\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24054174635857972 \n",
      "A way to repair/embolize endoleaks in patients with EVAR\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24062691511980594 \n",
      "A way to perform Y-90 radioembolization mapping & Treatment in a single session\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24063269013659216 \n",
      "Pts that require swallow studies are at risk for aspiration when undergoing a swallow study procedure\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24065081268149868 \n",
      "clean camera tip during surgery without removing the instrument multiple times during cases\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24130487442301518 \n",
      "Better visability biopsy device needles for better visibility\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24132310100051035 \n",
      "A way to rapidly (< 2hrs) identify active bleeding in the stomach, esophagus or duodenum in patients with recent episodes of gastrointestinal hemorrhaging at the Emergency Department that reduces frequency of unnecessary EGD orders\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24133814639980122 \n",
      "A way to A way to identify easiest way to achieve orgasm  in women with decreased libido \n",
      "Found 1 closest match: \n",
      "Distances of: 0.24207193174224573 \n",
      "Decrease the risk of contracting a hospital acquired UTI\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2426050730429976 \n",
      "A way to restore venous competence in patients with chronic post thrombotic syndrome/venous insufficiency\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24260888535602332 \n",
      "A way to A way to deter self-administration of illicit or prescribed drugs in patients with vascular access devices at inpatient setting that reduces IV infection risk and associated length of stay.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2426741386226079 \n",
      "Prostate artery embolization (PAE) is another relatively new IR procedure being done at UNC. Again, similar to GAE (described above), this is a technically difficult procedure, compounded by a number of important adjacent structures (nerves for sexual function and bladder control).\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24295428279358833 \n",
      "prevent tube dislodgement\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2432251242467952 \n",
      "A way to assess cause of vaginal discharge in patients with recurrent yeast/bv (bacterial vaginosis?)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24358405941502503 \n",
      "A way to verify the existence of an active bleed in the stomach and esophagus in patients with recent episodes of hematemesis and/or melena at Hospital ERs that eliminates or reduces unnecessary EGD orders\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24385275316414512 \n",
      "A way to wean HF O2 therapy in patients with cystic fibrosis that shorten LOS\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24488464382313802 \n",
      "coordinate biopsies with Heme/onc so that the proper site is taken\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24488570883514105 \n",
      "A way of finding low flow lower GI bleeds\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24500819655544437 \n",
      "A way to identify the primary cause of vaginal dryness (decreased estrogen, decreased arousal, etc)  in women with dryness during intercourse\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2450620502694385 \n",
      "A way to inexpensively help patients have more consistent breath holds during CT guided lung biopsies\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24542503311584507 \n",
      "A way to address clogged drainage catheters and decreased diameter due to stopcocks\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2456672934581381 \n",
      "A way to decrease GJ tube colonization in patients requiring frequent exchanges\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24619237226595447 \n",
      "A way to address limitations of 2D image interpretation in patient's undergoing surgical procedures that provides a 3D visualization of patient anatomy and surgical device.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24646482901789157 \n",
      "Pockets must be purchased separately and attached to LAVH drapes.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24707746730534053 \n",
      "Cast Fitment Process. Thermoplastic cast has minutes to mold after being heated, takes lots of exp/skill to correctly fit.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24730376919262098 \n",
      "Doctors are not always notified when new products are added.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2479978468899654 \n",
      "A way to address gap in current sealed glove-gown PPE \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2480293346284984 \n",
      "The Olympus Diego Elite microdebrider stopped working, and a switch to a new computer and debrider also proved fruitless.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24956972247609577 \n",
      "A way to have an automated camera that follows the active instrument in patients undergoing surgery that will reduce frustration for everyone\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24969977723875558 \n",
      "A way to prevent tracheostomy tube decannulation in pediatric patients with tracheostomies at home settings that reduce mortality/morbidity associated with hypoxic brain injury\n",
      "Found 1 closest match: \n",
      "Distances of: 0.24987306138971155 \n",
      "triage patients and techs midday to avoid issues when emergent procedures need to occur\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2500775710889406 \n",
      "A way to increase intervention window for pediatric patients with a decannulated tracheotomy tube that decreases incidence of hypoxic brain injury\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2506970087006086 \n",
      "A way to perform &-90 Radioembolization in HCC patients in a single session\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25074965842392216 \n",
      "A way to stabilize percutaneous ablation probes in patients with liver & kidney tumors \n",
      "Found 1 closest match: \n",
      "Distances of: 0.25087004295622906 \n",
      "A way to evaluate ____ of pain flares in patients with chronic pelvic pain without repeating pelvic ultrasounds\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25136060838227936 \n",
      "Risk of visitors and patients tripping on equipment cords/leads.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2516448427344724 \n",
      "\"Tinder\" for clinical trials & research networks (This is not written as a problem) :-P\n",
      "Andy: Clinical trial recruitment for glioblastoma is difficult due to small patient population and competitive trials ongoing regionally \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2516837416521637 \n",
      "A way to precent TIPS malfunction/stenosis in patients with portal hypertension\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25170747949553673 \n",
      "A way to prevent fibrin sheath formation  in patients on HD with catheter malfunction\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25170778207537214 \n",
      "A way to improve availability of supplies for patients undergoing procedures on Medicine Procedure Service to ensure efficient access\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2517797078570634 \n",
      "More reliable breath hodls for lung biopsies\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2518954120206073 \n",
      "assess cause of recurrent vaginal discharge without a clinic visit\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2520756255255995 \n",
      "A way to identify which tiny arterial branch extravasation is arising from without multiple arteriograms/obliquites \n",
      "Found 1 closest match: \n",
      "Distances of: 0.25212136074879243 \n",
      "Improved screening for Vancomycin-resistant enterococci colonization in GI tract\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25234741243821057 \n",
      "Products used by clinicians are not always documented\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2523659832147376 \n",
      "Central line – if sterility broken, something happens to alert\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2525093896666011 \n",
      "A way to unclog G or J tube at bedside\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2528172362733442 \n",
      "The chicken bone seen via endoscopy was actually not a chicken bone, but a piece of esophageal tissue that looked exactly like a chicken bone.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2532328695031347 \n",
      "A way to target reliable lesions visible on contrast enhanced MRI only for biopsy for fiducial placement\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25339190309690884 \n",
      "A patient with a trach tube develops a pressure injury on the inferior portion of the collar where the trach makes contact with the skin.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25350752620158745 \n",
      "Pts with SCIs may not be able to tolerate sitting up completely, but would benefit from OT/PT therapy that helps pt bear weight. PT/OT does not have adequate time to take multiple blood pressures to accurately access correct tolerance for the pt and must be conservative.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25376085623099187 \n",
      "A way to natural lubrication in patients with low libido/arousal difficulties before intercourse\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2539009750131347 \n",
      "Pts requiring splints cannot wear them in any setting where the splint will be warmed and deform plastically (showers, hot cars)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25419609877841853 \n",
      "Original Solution Pitched: Non-restraint device when patient is on toilet\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2543712482866094 \n",
      "Central line insertion: materials/sizes and scan tubing and steps/process would be called out\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25439609193308144 \n",
      "Testing for Measurable Residual disease (MRD) requires serial bone marrow biopsies, there should be a better way to do this\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25449638795175245 \n",
      "The current suction head was either too big or too small.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25463443209441994 \n",
      "Pain mgmt is SSA that is opiate sparing\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2548378821585746 \n",
      "A way to predict surgical risk in pre-operative patients in can reduce unnecessary pre-operative lab testing\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25483854569165265 \n",
      "Unattended patients showering on 7NSH that are seated in the \"shower chair\" frequently fall (their body goes to a surface that they did not intend to go) and are injured as a result.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25538700871959075 \n",
      "A way to address lack of outpatient providers for MAT in patients admitted with opiod uses disorders to allow move MAT initiation in hospital\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25570769240204805 \n",
      "Patient without control fo shoulder undergoing rehabilitation was at risk of shoulder dislocation. OTA was required to hold arm in place.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25659283731934235 \n",
      "A way to conserve a line in ED-prompting an admission\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2566116380683485 \n",
      "A way to lack of “buy in\" in any number of patients\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25672176825478865 \n",
      "Pts requiring custom wheelchairs may wait 2 to 3 months until they can be safely discharged\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2571707786035866 \n",
      "A way to wean Humid High Flow Nasal Cannula Therapy in pediatric patients with moderate/severe bronchiolitis at PICU/Intermediate support care settings that reduces LOS\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2571771793853507 \n",
      "Accidental fires in the OR can cause death, chaos, destruction of equipment, etc.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2573948404803619 \n",
      "A way to detect tracheostomy tube decannulation in pediatric patients with tracheostomies at home settings that reduce mortality/morbidity associated with hypoxic brain injury\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25754928648151776 \n",
      "A way to increase access of medicaid patients to pain counseling resources in allows them access to care in a timely fashion\n",
      "Found 1 closest match: \n",
      "Distances of: 0.257767813355229 \n",
      "Pt socks do not always fit well and fall. May be slip risk?\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2579837005544765 \n",
      "A way to notify caregivers of tracheostomy dislodegment in pediatric patients with tracheostomies at home care settings that reduce incidence of hypoxic brain injury\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2581304603035861 \n",
      "Novel bispecific antibody treatments for liquid cancers are extremely potent and require continuous(?) nanogram/kg scale doses over several days/weeks. Current Infusion infrastructure is not well positioned to deliver these types of therapies\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25821531318678614 \n",
      "Bariatric pts cannot do edge of bed mobility therapy becuase bed is too high and pt feet cannot contact the ground\n",
      "Found 1 closest match: \n",
      "Distances of: 0.259576567455863 \n",
      "Patients undergoing rehabilitaiton for CVA benefit most when the visual feedback they recieve from moving their extremity; however, OTA is limited in their ability to mask their presence when supporting pt with tasks\n",
      "Found 1 closest match: \n",
      "Distances of: 0.25964413495808414 \n",
      "Burn wounds need oxygen to heal. Hyperbaric oxygen therapy would be a great therapy because it would target O2 directly to the wound site, but moving patients into the chamber is too risky and is not done (unless the patient's risks of not going into the chamber, e.g. carbon monixide poisoning, outweighs the risk of moving them into it).\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26004176643409416 \n",
      "Original Solution Pitched: Alarm that could attach to patient while on toilet\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2600901671636915 \n",
      "Patient falls because their physical capability was not known prior to staff attempting to ambulate them.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2605142398768834 \n",
      "A way to develop a support team independent method of weaning Humid High Flow Nasal Cannula Therapy in pediatric patients with moderate/severe bronchiolitis at PICU/Intermediate support care settings that reduces LOS\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2608489203917479 \n",
      "Better comm. method for IR physicians\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2609690774837332 \n",
      "PPE shortage in times of pandemic that is cost effective\n",
      "Found 1 closest match: \n",
      "Distances of: 0.261027865487665 \n",
      "Pts with cognitive deficits who would otherwise benefit from PT/OT have very limited access to PT/OT therapy because the therapy is conditional on executive function and being able to follow instructions\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26126602665721 \n",
      "Obese patients develop bacterial growths in \"dead spaces\" between layers of fat.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2614830176014342 \n",
      "A way to prevent neph tube encrustation in patients with clogged neph tubes requiring frequent exchange\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26272017990750984 \n",
      "Pts requiring modified barium swallow study get underdiagnosed/misdiagnosed(???) because audio is not captured and SLP\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26277751388608284 \n",
      "A way to wean HF O2 therapy in COVID Pts that shorten LOS\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26285496390025376 \n",
      "way to ensure VP shunts are functioning properly in patients with hydrocephalus\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2630879344557657 \n",
      "Patient decompensates because their trach tube is placed in a false pathway\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2632477517938605 \n",
      "A way to decrease no shows in patients __________________\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26356424971864845 \n",
      "A way to address difficulty attaching hub to port with retrograde tunneling\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26365039177997296 \n",
      "late patient in (new appt) that patient gets seen and makes clinic run late, sets other patients behind\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2646105506947053 \n",
      "Pedals with cords become tangeled with other corded equipment.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26463876574148526 \n",
      "Original Solution Pitched: Falls precautions (“call don’t fall”) on the ceiling – something that patient can see while lying supine.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2647610751896027 \n",
      "A way to precisely access distal renal arteries in patients with AAA/EVAR\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26503703269821266 \n",
      "reduce consults to multiple services that may address the same problem/condition in a patient\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26509645263893566 \n",
      "A way to interpersonal violence in transgender, LGBTQ populations\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26516306959770664 \n",
      "Quick & Easy blood draws or IV access\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26535236662564443 \n",
      "Attaching hub to port when retrograde tunneling\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2654691028773142 \n",
      "Method to detect fetal heartbeat in early trimester without using ultrasound (M-mode on ultrasound machine). No fetal heartbeat at 5-6 weeks is not a good sign.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2658657908792269 \n",
      "Store room on 7NSH was out of 16 fr NG tubes for 5-6 weeks per Robyn. Providers instead used 18 fr. Suspect that source was central supply\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26621344420809967 \n",
      "Diuretic refractory ascites in cirrhotic and renal disease\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2662445112935047 \n",
      "way to address lack of MAT outpatients providers in pts admitted with opiod use ______ that allows start of MAT therapy in hospital\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2665977861625505 \n",
      "Halo (Gravity) Traction device \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2670344228201007 \n",
      "Patients cannot always distinguish between a viral infection and a bacterial infection. (do i have a cold or an infection?)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26772355637302436 \n",
      "A way to provide simple medications that bypasses starting an IV\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2681874878435534 \n",
      "A way to prioritize inpatient orders to facilitate clinical care in ?\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26864223898883155 \n",
      "A way to provide newborn jaundice photo-therapy in near-term and full-term newborns at home that increases provider confidence in hyperbilirubinemia prognosis after discharge and ultimately reduces patient LOS\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26887693481471764 \n",
      "A way to efficiently dose and monitor IV antibiotics with narrow therapeutic ranges (ie vancomycin/gentamicin)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26923500734512673 \n",
      "Alarm to know that a patient is not wearing SCDs (when a patient removes them)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2693888649000167 \n",
      "Original Solution Pitched: Device to use in place of O2 nasal cannula – no ears needed! Or better/softer tubing\n",
      "Found 1 closest match: \n",
      "Distances of: 0.26973762436348814 \n",
      "faster determination of blood flow particularly arterial, for wound evaluations CV risk assessment\n",
      "Found 1 closest match: \n",
      "Distances of: 0.269753520580706 \n",
      "A way to inform patients of plan for their day in hospital\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27027382109747966 \n",
      "alert VIR of possible procedures (esp urgent) on transferred patients to UNC\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2704563831922482 \n",
      "A way to address delirium in elderly patients in the hospital\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27052925205848677 \n",
      "Products used by clinicians are sometimes returned to shelves other than where they came from, leading to confusion and loss of product.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2706317450671454 \n",
      "Constantly having to find the foot pedal during cases\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27069006639018145 \n",
      "A way to wean oxygen/HF therapy based on RR/Sats in patients to shorten LOS\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27080624523452446 \n",
      "a way to monitor systemic arterial resistance dynamically and non-invasivecase management coordination for discharge planning\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2712930071948586 \n",
      "A way to test dialysis catheter flow rates in the VIR procedure room to ensure proper catheter function on dialysis after catheter exchange or placement\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27139457286483903 \n",
      "Way to detect accidental decannulation in pediatric patients at home\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2715298913257961 \n",
      "A way to address hemolysis in lab testing that reduces LOS in the ED\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2715795887957513 \n",
      "diagnose PFTM w/o exam or painful/invasive testing\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2727017796763155 \n",
      "Delays in input/output/transfering/viewing of information in the EPIC system can cause delay in patient chart updating and delay of care. \"Computer issues\"\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2730056098107666 \n",
      "Pts that require a ramp to access their home are not discharged until a ramp is installed. If ramps are not available, pts are kept in patient floor.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2734281168547953 \n",
      "__________ crisis __________\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27437611337603185 \n",
      "Better, more secure data collection system for reasearch & PQI\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27479733053413025 \n",
      "Thin layer of gel-like pressure relieving barrier/pad for either body parts or the whole bed\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27486609947788354 \n",
      "More rapid/efficient means of testing for pulmonary TB\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2748761597335386 \n",
      "Coordination of rounds with nursing staff on the unit\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2749779826543397 \n",
      "A way to provide newborn jaundice photo-therapy in near-term and full-term newborns at home that increases treatment compliance and reduces incidence of post-discharge pediatric outpatient visits\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2756280836587729 \n",
      "Insurance does not cover all assistive devices (despite the benefit or added functionality they might provide). Consequently, PT/OT only attempts to use assistive devices that are accessible to the patient\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2767516659820062 \n",
      "Original Solution Pitched:Device to keep NG tube “floating\"(possibly modeled after the expanding foam NG tube)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27689877089792925 \n",
      "Orignal Solution Pitched:Detect how long a patient has been in one position – ideal if visual cue was outside the room to let staff know  \n",
      "Found 1 closest match: \n",
      "Distances of: 0.2770961703438968 \n",
      "case management coordination for discharge planning\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27715873169264016 \n",
      "A way to address frequent COPD overdiagnosis(lack of confirmatory spirometry) in patients admitted for COPD to reduce false diagnosis\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2781675876106764 \n",
      "way to ensure proper positioning of central lines during placement for pts undergoing bedside CVAD that ensures good placement\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2781874755904913 \n",
      "A way to objectively measure change in cellulitis over time\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2787121140750063 \n",
      "Original Solution Pitched:IV tubing that auto changes color when needs to be changed (96 hrs) – or a label/tag that changes color\n",
      "Found 1 closest match: \n",
      "Distances of: 0.27891412591060216 \n",
      "Vital Signs crossing over to provider monitors\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2791316517205267 \n",
      "A way to A way to correctly diagnose initiating cause of Shortness of Breath in Pts admitted to ED with complex respiratory cardiovascular/respiratory histories that reduces unnecessary treatments/decreases average length of stay\n",
      " in admitted to ED with complex respiratory cardiovascular/respiratory histories\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2794398845819377 \n",
      "A way to remotely access patients that allow for remote diagnostics\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2794419072543456 \n",
      "Original Solution Pitched: Lasers that detect patient getting out of a “safe zone”’ in bed\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2797447724529899 \n",
      "Patients are diagnosed with adverse medical conditions (genetic or lifestyle related) before they understand they are at risk for the condition.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2799458967592401 \n",
      "A way to determine which pts with sickle cell anemia and paint have vaso occlusive crisis to improve pain control\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2800524057250934 \n",
      "Lines not being replaced in ED\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28027660863165715 \n",
      "During an adenoidectomy, adenoids that extend farther into the nasal cavity are not visible through the mouth. The adenoids are glands located in the roof of the mouth, behind the soft palate where the nose connects to the throat [healthline].\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28032586502837287 \n",
      "communication tool for multiple case managers to coordinate discharge\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2807275228113256 \n",
      "Rapid decontamination device that doesn't have bleach to kill c diff\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28094528802442453 \n",
      "A way to determine mortality estimates for multiple diseases to facilitate EOL discussions\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2810573307872013 \n",
      "Any woman can develop preeclampsia after her baby is born, whether she experienced high blood pressure during her pregnancy or not, which is a OB-GYN emergency. (https://www.preeclampsia.org/stillatrisk).\n",
      "Found 1 closest match: \n",
      "Distances of: 0.281185583986305 \n",
      "way to distinguish hospital related _______ from infection-triggered encephalitis\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2812901571076598 \n",
      "make sure labs are appropriate day of ___ in patients so that their care is not delayed\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28142405180015917 \n",
      "A way to continuously evaluate markers of tissue perfusion in critically ill patients that improves clinical outcomes\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28165899235737724 \n",
      "way to address overhospitalization of syncope patients presenting in ED\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28191276768769735 \n",
      "way to test if VP shunts are infected in pts w/ hydrocephalus\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28276861650092966 \n",
      "A way to follow up with new port places for less avoidable complications\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28277317243424316 \n",
      "A way to rapidly evaluate blood flow determination for evaluation of wounds, CV risk assessment\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2829238205107898 \n",
      "A way to quickly determine whether hypoxia alarm is true positive in pediatric patients with bronchiolitis who are being weaned at PICU/Intermediate Support wards that reduce LOS (by virtue of eliminating unnecessary O2 Support from transient hypoxia alarm)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2839142244810937 \n",
      "A way to correctly diagnose SOB in pts w/PNA vs CHF vs COPD \n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2840234661840556 \n",
      "Equipment failures\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28573438354473946 \n",
      "Original Solution Pitched: Some way to document for you when care is given – 2nd best would be to dictate as you do an assessment (voice activated documentation)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.285792831058699 \n",
      "Original Solution Pitched: Some way to swab a line internally to see if infected or not – prevents multiple line changes\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2862554546170576 \n",
      "front desk allowing late patient in without asking provider that gives patient consequence without reflecting poorly on provider\n",
      "Found 1 closest match: \n",
      "Distances of: 0.286345413140879 \n",
      "way to address lack of confirmatory spirometery in COPD/pts that eliminates inappropriate COPD diagnosis\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2867739280421372 \n",
      "Original Solution Pitched: Device to keep  O2 nasal cannula \"floating\"(possibly modeled after the expanding foam NG tube)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2869327494163354 \n",
      "Savi scout clip cannot be detected when the sensor is not perpendicular to it, thus possibly missing the clip and it's location.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28934927057480775 \n",
      "A way to more reliably measure patient oxygenation compared with pulse oximetry\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2894606304994385 \n",
      "A way to automatically measure lengths of central lines\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2895095379535124 \n",
      "A way to make shared rooms more private\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28980093930439244 \n",
      "way to more reliably measure oxygenation in pts on pulse ox that accurately reflects oxygenation\n",
      "\n",
      "Found 1 closest match: \n",
      "Distances of: 0.28989561720420864 \n",
      "The BrainLab wasn't as calibrated as originally thought.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.29025099345712435 \n",
      "way to determine depth of infection in cellulitis\n",
      "Found 1 closest match: \n",
      "Distances of: 0.29053549519488464 \n",
      "Original Solution Pitched: Device on bed, pressure maps patient to let us know where pressure builds up, possibly alarms when pressure too high in one area\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2917770993749833 \n",
      "Original Solution Pitched: A way to know that the line is in the right place (central line, NG tubes) – perhaps the color changes (based on pH or O2)?\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2921785924132603 \n",
      "Original Solution Pitched: Some screen outside the room/inside the door that you could interact with – voice activated – plan, goals, fall precautions, labs sent, labs ready, MRN – maybe apps? A replacement for the whiteboard, but feeds from Epic.\n",
      "Found 1 closest match: \n",
      "Distances of: 0.29285797865913765 \n",
      "Secure & Easily accessable data/collection method\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2934398964560604 \n",
      "A way to objectively monitor progression of cellulitis/rash over time across multiple providers\n",
      "Found 1 closest match: \n",
      "Distances of: 0.29515031750195775 \n",
      "streamline/organize inventory so that material needs are recognized prior to procedure start\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2970986879705565 \n",
      "Culture bottles and ABG – change colors when enough sample is in bottle/vial\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2984038162430156 \n",
      "A way to prevent burns to the skin in patients who use electric heating pads at home that indicates unsafe temperature threshold\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2988691162382854 \n",
      "A way for new insulin dependent diabetes mellitus pts to learn blood sugar mgmt\n",
      "Found 1 closest match: \n",
      "Distances of: 0.2994640390776089 \n",
      "Electronic Dashboard\n",
      "Found 1 closest match: \n",
      "Distances of: 0.30022759895377493 \n",
      "A way to predict/detect onset of Cytokine Release Syndrome in patients receiving novel immunotherapies in non-hospital settings that enable usage of Phase 1 immunotherapy drugs w/o requiring hospital admission\n",
      "Found 1 closest match: \n",
      "Distances of: 0.30027907451354463 \n",
      "Hand washing compliance issue\n",
      "Found 1 closest match: \n",
      "Distances of: 0.3006928690787749 \n",
      "prevent ____ in hypothyroidism is to check TSH _____\n",
      "Found 1 closest match: \n",
      "Distances of: 0.3013552023652495 \n",
      "way to address flu in sickle cell disease\n",
      "Found 1 closest match: \n",
      "Distances of: 0.30220372614674096 \n",
      "A way to prevent burns to the skin in who use electric heating pads at home that indicates unsafe temperature threshold\n",
      "Found 1 closest match: \n",
      "Distances of: 0.3061145799823667 \n",
      "Auto label for any IV tubing (date, expiration, initials)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.30783366982370464 \n",
      "Original Solution Pitched: UV cleaning process –  (?? Need more detail – maybe an electronic way to know UV machine has been there)\n",
      "Found 1 closest match: \n",
      "Distances of: 0.31105257805347375 \n",
      "A way for orders to be placed in real time in codes\n"
     ]
    }
   ],
   "source": [
    "print_recommendations_from_strings(need_statements, 312, k_nearest_neighbors=3, model=\"text-embeddings-ada-002\")"
   ]
  },
  {
   "cell_type": "code",
   "execution_count": null,
   "metadata": {},
   "outputs": [],
   "source": []
  }
 ],
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   "file_extension": ".py",
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   "name": "python",
   "nbconvert_exporter": "python",
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