Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival Models

As the world moves into the exciting age of Healthcare 4.0, it is essential that patients and clinicians have confidence and reassurance that the real-time clinical decision support systems being used throughout their care guarantee robustness and optimal quality of care. However, current systems in...

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Main Authors: Adele H. Marshall, Aleksandar Novakovic
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Algorithms
Subjects:
Online Access:https://www.mdpi.com/1999-4893/15/6/196
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author Adele H. Marshall
Aleksandar Novakovic
author_facet Adele H. Marshall
Aleksandar Novakovic
author_sort Adele H. Marshall
collection DOAJ
description As the world moves into the exciting age of Healthcare 4.0, it is essential that patients and clinicians have confidence and reassurance that the real-time clinical decision support systems being used throughout their care guarantee robustness and optimal quality of care. However, current systems involving autonomic behaviour and those with no prior clinical feedback, have generally to date had little focus on demonstrating robustness in the use of data and final output, thus generating a lack of confidence. This paper wishes to address this challenge by introducing a new process mining approach based on a statistically robust methodology that relies on the utilisation of conditional survival models for the purpose of evaluating the performance of Healthcare 4.0 systems and the quality of the care provided. Its effectiveness is demonstrated by analysing the performance of a clinical decision support system operating in an intensive care setting with the goal to monitor ventilated patients in real-time and to notify clinicians if the patient is predicted at risk of receiving injurious mechanical ventilation. Additionally, we will also demonstrate how the same metrics can be used for evaluating the patient quality of care. The proposed methodology can be used to analyse the performance of any Healthcare 4.0 system and the quality of care provided to the patient.
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spelling doaj.art-143f99c987524fb5b0d0c60a474454b72023-11-23T15:13:08ZengMDPI AGAlgorithms1999-48932022-06-0115619610.3390/a15060196Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival ModelsAdele H. Marshall0Aleksandar Novakovic1School of Mathematics and Physics, Queen’s University Belfast, University Road, Belfast BT7 1NN, Northern Ireland, UKSchool of Mathematics and Physics, Queen’s University Belfast, University Road, Belfast BT7 1NN, Northern Ireland, UKAs the world moves into the exciting age of Healthcare 4.0, it is essential that patients and clinicians have confidence and reassurance that the real-time clinical decision support systems being used throughout their care guarantee robustness and optimal quality of care. However, current systems involving autonomic behaviour and those with no prior clinical feedback, have generally to date had little focus on demonstrating robustness in the use of data and final output, thus generating a lack of confidence. This paper wishes to address this challenge by introducing a new process mining approach based on a statistically robust methodology that relies on the utilisation of conditional survival models for the purpose of evaluating the performance of Healthcare 4.0 systems and the quality of the care provided. Its effectiveness is demonstrated by analysing the performance of a clinical decision support system operating in an intensive care setting with the goal to monitor ventilated patients in real-time and to notify clinicians if the patient is predicted at risk of receiving injurious mechanical ventilation. Additionally, we will also demonstrate how the same metrics can be used for evaluating the patient quality of care. The proposed methodology can be used to analyse the performance of any Healthcare 4.0 system and the quality of care provided to the patient.https://www.mdpi.com/1999-4893/15/6/196Healthcare 4.0real-time alertsdynamic prognosticsquality of careperformance analyticsconditional survival analytics
spellingShingle Adele H. Marshall
Aleksandar Novakovic
Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival Models
Algorithms
Healthcare 4.0
real-time alerts
dynamic prognostics
quality of care
performance analytics
conditional survival analytics
title Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival Models
title_full Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival Models
title_fullStr Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival Models
title_full_unstemmed Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival Models
title_short Process Mining the Performance of a Real-Time Healthcare 4.0 Systems Using Conditional Survival Models
title_sort process mining the performance of a real time healthcare 4 0 systems using conditional survival models
topic Healthcare 4.0
real-time alerts
dynamic prognostics
quality of care
performance analytics
conditional survival analytics
url https://www.mdpi.com/1999-4893/15/6/196
work_keys_str_mv AT adelehmarshall processminingtheperformanceofarealtimehealthcare40systemsusingconditionalsurvivalmodels
AT aleksandarnovakovic processminingtheperformanceofarealtimehealthcare40systemsusingconditionalsurvivalmodels