一个基于人工智能的框架,用于预测紧急部门过度拥挤:开发和评估研究研究
Orhun Vural1, Bunyamin Ozaydin2,3, Khalid Y Aram4
1Department of Electrical and Computer Engineering, School of Engineering, University of Alabama at Birmingham, Birmingham, AL, United States.
JMIR medical informatics
|September 17, 2025
概括
机器学习模型准确地预测每小时和每天的急诊室 (ED) 等待数. 这些工具允许主动分配资源,以减少ED过度拥挤和改善患者流动.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 运营研究 运营研究
背景情况:
- 紧急诊所 (ED) 过度拥挤是一个持续的挑战,影响患者护理和医院效率.
- 目前的反应性管理策略不足以实现有效的患者流动.
- 机器学习 (ML) 为主动干预提供了预测能力.
研究的目的:
- 在每小时和每天的分辨率下开发ML模型来预测ED等待室占用率 (等待数).
- 实现主动资源分配和缓解ED过度拥挤.
- 预测等待计数提前6小时 (每小时) 和平均每日等待计数.
主要方法:
- 利用来自美国东南部一家医院的综合内部和外部数据.
- 训练和评估了11个ML算法,包括传统和深度学习方法.
- 优化特征组合,在各种条件下评估模型准确性.
主要成果:
- 时间序列视觉变压器加 (TSiTPlus) 实现了最好的每小时预测 (MAE 4.19).
- 可解释卷积神经网络加 (XCMPlus) 产生了最佳的每日预测 (MAE 2.00).
- 这两种模型的性能都超过了传统的预测方法.
结论:
- 开发了有效的ML模型,以每小时和每天间隔预测ED等待次数.
- 证明了各种数据集成和先进建模的价值,用于主动的医院管理.
- 这些工具可以改善患者流动并减少ED过度拥挤.
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