数据驱动的住院控制:一种学习方法

IF 0.7 4区 管理学 Q3 Engineering Military Operations Research Pub Date : 2023-08-10 DOI:10.1287/opre.2020.0481
M. Zhalechian, Esmaeil Keyvanshokooh, Cong Shi, M. P. Van Oyen
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引用次数: 1

摘要

入院时选择护理病房是一项具有挑战性的任务,因为患者特征多种多样,患者需求不确定,重症监护病房和中级监护病房的床位数量有限。这些决定需要仔细权衡改善健康结果的好处与为将来可能到达的更复杂的患者保留更高级别护理床位的机会成本。在“数据驱动的医院入院控制:一种学习方法”中,Zhalechian、Keyvanshokooh、Shi和Van Oyen介绍了一种数据驱动的算法来解决这一具有挑战性的任务。该算法以降低患者再入院风险为重点,通过延迟反馈的批量学习自适应学习患者再入院风险,并根据观察到的信息和占用水平确定患者的最佳护理单元位置,以最小化总再入院风险。该算法得到了性能保证的支持,并通过实际医院系统数据验证了其有效性。
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Data-Driven Hospital Admission Control: A Learning Approach
A Data-Driven Approach to Improve Care Unit Placements in Hospitals The choice of care unit upon hospital admission is a challenging task because of the wide variety of patient characteristics, uncertain needs of patients, and limited number of beds in intensive and intermediate care units. These decisions require carefully weighing the benefits of improved health outcomes against the opportunity cost of reserving higher level care beds for potentially more complex patients arriving in the future. In “Data-Driven Hospital Admission Control: A Learning Approach,” Zhalechian, Keyvanshokooh, Shi, and Van Oyen introduce a data-driven algorithm to address this challenging task. By focusing on reducing the readmission risk of patients, the algorithm is designed to (i) adaptively learn the readmission risk of patients through batch learning with delayed feedback and (ii) determine the best care unit placement for a patient based on the observed information and occupancy levels to minimize total readmission risk. The algorithm is supported by a performance guarantee, and its effectiveness is showcased using real-world hospital system data.
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来源期刊
Military Operations Research
Military Operations Research 管理科学-运筹学与管理科学
CiteScore
1.00
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: Military Operations Research is a peer-reviewed journal of high academic quality. The Journal publishes articles that describe operations research (OR) methodologies and theories used in key military and national security applications. Of particular interest are papers that present: Case studies showing innovative OR applications Apply OR to major policy issues Introduce interesting new problems areas Highlight education issues Document the history of military and national security OR.
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