Clinical Scorecard: Using AI to Identify Gender-Based Violence in Brazilian Health Records

At a Glance

Key Highlights

• A pilot investigation examined 13,000 formally documented GBV cases in Recife.
• Women’s health care visits occurred an average of 92 days before GBV was recorded in their cases.
• ClarIA uses amber alerts for patterns resembling those in confirmed GBV records and red alerts for prior disclosure or identification by a health professional.
• After deployment began in Recife, 39 clinics and hospitals were using ClarIA, and health professionals submitted eight GBV notifications after receiving alerts.

Guideline-Based Recommendations

Diagnosis

• The article describes ClarIA alerts as prompts for closer review, not as diagnoses.
• The article says the tool identifies patterns across clinical narratives rather than isolated terms.

Management

• Clinicians receiving alerts undergo training in ethical, sensitive care that safeguards patients’ rights and privacy.
• The article describes workflows for subsequent actions, including referral to specialists or contacting protective services when circumstances warrant.

Monitoring & Follow-up

• The article reports limited available data because ClarIA is new.
• Following rollout, health professionals formally submitted eight GBV notifications after receiving alerts.

Risks

Patient & Prescribing Data

The Recife pilot examined 13,000 formally documented GBV cases. ClarIA is being deployed in clinics and hospitals in Recife.

ClarIA is an alerting tool, not a treatment or diagnostic system. Alerts prompt clinical review and may be followed by specialist referral or contact with protective services when circumstances warrant.

Clinical Best Practices

• The article describes alerts as prompts for closer review, not confirmation of GBV.
• The article reports that clinicians receiving alerts are trained in ethical, sensitive care that safeguards patients’ rights and privacy.
• The article describes workflows for appropriate next steps, including referral or protective-service contact when circumstances warrant.

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