手术优先级的电子健康战略:基于数字双胞胎和强化学习的方法
Fabián Silva-Aravena1, Jenny Morales1, Manoj Jayabalan2
1Facultad de Ciencias Sociales y Económicas, Universidad Católica del Maule, Avenida San Miguel 3605, Talca 3460000, Chile.
Bioengineering (Basel, Switzerland)
|June 26, 2025
概括
本研究引入了使用数字双胞胎 (DTs) 和强化学习 (RL) 来实现更智能的外科手术安排的新框架. 该方法显著减少了等待时间和临床风险,同时提高了手术室的效率,并优先考虑弱势患者.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 运营研究 运营研究
背景情况:
- 传统的选择性手术安排在效率和公平性方面面临挑战.
- 需要动态优先级来适应实时患者和系统变量.
- 现有的系统往往缺乏透明度和适应性.
研究的目的:
- 为选择性外科手术安排提出一种新的方法框架.
- 将患者特定的数字双胞胎 (DTs) 与强化学习 (RL) 进行集成,以实现动态优先级.
- 建立智能电子健康平台的基础,支持公平的医疗保健服务.
主要方法:
- 开发了一个结合数字双胞胎 (DTs) 和强化学习 (RL) 的框架.
- 模拟临床,经济,行为和社会变量,用于实时优先级评分.
- 使用强化学习引擎来优化患者访问,并最大限度地提高长期系统性能.
- 模拟的手术安排场景与合成患者数据进行验证.
主要成果:
- 平均患者等待时间减少了55.1%.
- 在手术时减少了41.9%的临床风险.
- 手术室 (OR) 的利用率增加了16.1%.
- 在优先考虑社会脆弱患者方面显著增加.
结论:
- 拟议的框架比传统的外科手术调度策略提供了实质性的改进.
- 数据技术和RL的整合提供了一个透明,适应性和伦理一致的决策支持架构.
- 这种方法作为未来手术安排中的智能医疗保健平台的宝贵基础.
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
5.9K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.9K
01:30Current Trends in Nursing II
1.4K
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,...
1.4K
01:30Health Information Technology and Healthcare Information System
943
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
943