Continuity of care is crucial to ensuring positive health outcomes for patients discharged from an inpatient hospital setting, and improved information sharing can help. To share information, caregivers write discharge notes containing action items to share with patients and their future caregivers, but these action items are easily lost due to the lengthiness of the documents. In this work, we describe our creation of a dataset of clinical action items annotated over MIMIC-III, the largest publicly available dataset of real clinical notes. This dataset, which we call CLIP, is annotated by physicians and covers 718 documents representing 100K sentences. We describe the task of extracting the action items from these documents as multi-aspect extractive summarization, with each aspect representing a type of action to be taken. We evaluate several machine learning models on this task, and show that the best models exploit in-domain language model pre-training on 59K unannotated documents, and incorporate context from neighboring sentences. We also propose an approach to pre-training data selection that allows us to explore the trade-off between size and domain-specificity of pre-training datasets for this task.

Common recurrent neural architectures scale poorly due to the intrinsic difficulty in parallelizing their state computations. In this work, we propose the Simple Recurrent Unit (SRU), a light recurrent unit that balances model capacity and scalability. SRU is designed to provide expressive recurrence, enable highly parallelized implementation, and comes with careful initialization to facilitate training of deep models. We demonstrate the effectiveness of SRU on multiple NLP tasks. SRU achieves 5—9x speed-up over cuDNN-optimized LSTM on classification and question answering datasets, and delivers stronger results than LSTM and convolutional models. We also obtain an average of 0.7 BLEU improvement over the Transformer model (Vaswani et al., 2017) on translation by incorporating SRU into the architecture.