基于数据驱动的手术时间预测模型:公立医院实践可行模型的案例研究

Kar Way Tan, Francis Ngoc Hoang Long Nguyen, Boon Yew Ang, Jerald Gan, Sean Shao Wei Lam
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引用次数: 1

摘要

医院一直在努力提高手术室的利用率,因为它会影响患者满意度、手术吞吐量、收入和成本。使用术后数据的手术预测模型通常需要高维数据,并包含手术团队因素等关键预测因素,这些因素在手术列表过程中可能无法获得。我们的研究考虑了一个两步数据挖掘模型,该模型提供了一个实用、可行和简洁的手术时间预测。我们的模型首先利用领域知识来提供在列表过程中不可用的第一位外科医生排名(一个关键预测属性)的估计,然后在基于树的模型中使用该预测属性和其他预测因素(如手术团队、患者、时间和操作因素)来预测手术持续时间。实验结果表明,所提出的两步模型更加简洁,并且优于医院现有的移动平均方法。我们的模型通过将数据分析与专家的输入相结合,为现实世界的公立医院开发可部署的手术持续时间预测模型,弥合了研究与实践之间的差距。
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Data-Driven Surgical Duration Prediction Model for Surgery Scheduling: A Case-Study for a Practice-Feasible Model in a Public Hospital
Hospitals have been trying to improve the utilization of operating rooms as it affects patient satisfaction, surgery throughput, revenues and costs. Surgical prediction model which uses post-surgery data often requires high-dimensional data and contains key predictors such as surgical team factors which may not be available during the surgical listing process. Our study considers a two-step data-mining model which provides a practical, feasible and parsimonious surgical duration prediction. Our model first leverages on domain knowledge to provide estimate of the first surgeon rank (a key predicting attribute) which is unavailable during the listing process, then uses this predicted attribute and other predictors such as surgical team, patient, temporal and operational factors in a tree-based model for predicting surgical durations. Experimental results show that the proposed two-step model is more parsimonious and outperforms existing moving averages method used by the hospital. Our model bridges the research-to-practice gap by combining data analytics with expert’s inputs to develop a deployable surgical duration prediction model for a real-world public hospital.
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