计划手术病例预测分析在预测手术室使用率中的应用

Nurul Atiekah Ab Rashid, Suraya Ya'acob
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引用次数: 0

摘要

手术安排的病例、临床医师的配置、机器、设备、准备时间、手术效果、患者康复等因素对OT的利用有较大影响。由于无诊病人和调度瓶颈导致的低门诊利用率中断了临床流程中的病人流。它还减少了OT的准入和资源浪费。为了提高OT的能力,需要执行的逻辑解决方案是利用率审计。确定了手术排期的趋势,并利用影响手术容量的因素预测手术排期的优化,为未来的手术规划提供依据。摘要本研究旨在探讨医疗机构手术室的使用效率,以及预测分析在手术室日常营运资料上的应用。OT为医院的收入和工作量做出了贡献。该项目使用机器学习来确定可以使用哪个模型来预测手术后进入哪个设施的决定。该模型通过一些数学推理来获得数据集的使用效率。结果表明,支持向量机(SVM)在测试数据上的准确率高于逻辑回归(LR)和随机森林分类器。利用支持向量机预测住院决策,为门诊手术调度提供依据。该项目可根据患者病情的因素或严重程度扩展到门诊接受任何干预的入院决定。
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Predictive Analytics on Scheduled Surgery Cases in Forecasting the Operating Theatre Utilisation
The scheduled surgery cases, allocation of clinical provider, machine, equipment, preparation time, surgery performance, and patient recovery give the big impact on OT utilization. Low OT utilization due to no show patient and scheduling bottleneck interrupt patient flow in clinical process. It also decreases the admission to the OT and wastage of resources. In order to improve the capacity of OT, the logical solution need to be carried out is utilization audit. The trend of scheduled surgery cases has identified, and element affect the OT capacity have used to predict the OT optimization for future planning. The purpose of this study is to investigate efficiency of operating theatre (OT) utilization in healthcare institution and the application predictive analytics on its daily operational data. OT contribute to the revenue for the hospital and workload.  This project use machine learning in identify which model can use to predict the decision of admission to which facility after the surgery. The model has been going through a few mathematical reasoning to getting the usage efficiency on the dataset. The result shows that Support Vector Machine (SVM) got the highest accuracy in test data rather than Logistic Regression (LR) and Random Forest Classifier. SVM used to predict the admission decision, which contribute to the surgery scheduling in OT. This project can be extended to the admission decision with the factor or severity of patient condition to undergo any intervention in outpatient.
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