机器学习和护士预测医院入院情况的比较在多站点紧急护理系统中
Jonathan Nover1, Mathew Bai1,2,3, Prem Tismina4
1Department of Emergency Medicine, Mount Sinai Health System, New York, NY 10029, United States.
medRxiv : the preprint server for health sciences
|April 29, 2025
概括
机器学习模型准确地预测医院入院,超过护士预测. 整合护士输入并没有提高机器学习模型对急诊室患者流动的准确性.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健中的人工智能
- 临床决策支持系统临床决策支持系统
背景情况:
- 紧急诊所 (ED) 拥挤会对患者的护理产生负面影响,并增加成本.
- 及时的住院决定可以改善患者流动并减少ED拥挤.
- 目前用于预测住院患者的方法缺乏最佳效率.
研究的目的:
- 为了前性地比较护士预测的准确性与医院入院的机器学习 (ML) 模型.
- 评估是否将护士预测与ML输出结合起来可以提高预测性能.
主要方法:
- 在一个大型,混合四级/社区ED系统中进行前性观察研究.
- 选护士为成年患者提供了二元入院预测.
- 一个整体ML模型 (XGBoost + Bio-Clinical BERT) 在历史数据上受训,并在前性数据上进行测试,包括护士预测.
主要成果:
- 机器学习模型的准确性 (85.4%) 比护士预测 (81.6%) 高.
- 与护士 (64.8%) 相比,ML模型显示出更高的灵敏度 (70.8%).
- 将护士预测与ML输出相结合并没有显著提高准确性.
结论:
- 基于机器学习的入院预测比分拣护士的估计更准确.
- 一个ML驱动的入院预测系统可以可靠地利用分拣时可用的数据.
- 机器学习模型为优化ED操作和减轻拥挤提供了一个有前途的工具.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
6.9K
04:09Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
Published on: October 10, 2018
8.1K
相关概念视频
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Hospitals-II
710
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
710
Specialized Care Centers and Settings-II
676
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
676
Nursing Clinical Information System
707
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
707
Current Trends in Nursing I
1.4K
Current trends in nursing include:
1.4K
