使用警报停留时间来过通用临床警报:一种机器学习方法.
Shuo-Chen Chien1, Hsuan-Chia Yang2, Chun-You Chen3
1Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei 110, Taiwan; Artificial Intelligence Research and Development Center, Wan Fang Hospital, Taipei Medical University, Taipei 110, Taiwan; International Center for Health Information and Technology, College of Medical science and Technology, Taipei Medical University, Taipei 110, Taiwan.
Computer methods and programs in biomedicine
|July 22, 2023
概括
使用警报停留时间和人口统计特征的机器学习模型有效地过了计算机化医生订单输入 (CPOE) 系统中的无关警报. 这种方法通过优先考虑医生对上下文敏感的警报来减少警报疲劳.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的机器学习
- 患者安全 患者安全
背景情况:
- 计算机化医生订单输入 (CPOE) 系统中的基于规则的警报提高了患者的安全性,但缺乏定制性.
- 这种限制导致不相关的警报和医疗保健提供者的警报疲劳.
研究的目的:
- 开发和评估机器学习模型,使用警报停留时间和上下文因素来过医生不相关的警报.
- 为了提高CPOE系统的特异性和减少警报疲劳.
主要方法:
- 利用了五个机器学习算法,在警报,人口统计,环境,诊断,处方和实验室类别中提供了1,120个功能.
- 在特定时间窗口内,员工的警报停留时间通过灵敏度分析进行优化,以预测警报的相关性.
- 从2020-2021年分析了813,026份门诊病例记录.
主要成果:
- 0.3-4.0秒的时间窗口显示了最佳性能,实现了0.73的接收器操作特征 (AUROC) 曲线下的面积和0.97.97的精度回忆曲线 (AUPRC) 下的面积.
- 结合警报和人口特征的模型表现最好 (AUROC 0.73).
- 警报和人口特征是警报相关性预测中最重要的个人贡献者.
结论:
- 警报和用户/患者的人口特征比临床特征更为关键,以创建具有普遍上下文意识的警报.
- 警报停留时间与时间窗口相结合,有效确定警报触发状态.
- 结果为开发特定和通用的上下文意识警报提供了洞察力,以提高CPOE系统的可用性和患者安全.
相关概念视频
Steps in Outbreak Investigation
152
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
152
The Availability Heuristic
6.0K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.0K
Pharmacovigilance
895
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
895


