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预测患者到达人数特征的系统评价

A Systematic Review of Features Forecasting Patient Arrival Numbers.

作者信息

Förstel Markus, Haas Oliver, Förstel Stefan, Maier Andreas, Rothgang Eva

机构信息

Author Affiliations: Ostbayerische Technische Hochschule Amberg-Weiden (Mr M. Förstel, Dr Haas, Mr S. Förstel, Dr Rothgang) and Friedrich-Alexander-Universität Erlangen-Nürnberg (Dr Haas, Mr S. Förstel, Dr Maier), Germany.

出版信息

Comput Inform Nurs. 2025 Jan 1;43(1):e01197. doi: 10.1097/CIN.0000000000001197.

DOI:10.1097/CIN.0000000000001197
PMID:39432906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11709000/
Abstract

Adequate nurse staffing is crucial for quality healthcare, necessitating accurate predictions of patient arrival rates. These forecasts can be determined using supervised machine learning methods. Optimization of machine learning methods is largely about minimizing the prediction error. Existing models primarily utilize data such as historical patient visits, seasonal trends, holidays, and calendars. However, it is unclear what other features reduce the prediction error. Our systematic literature review identifies studies that use supervised machine learning to predict patient arrival numbers using nontemporal features, which are features not based on time or dates. We scrutinized 26 284 studies, eventually focusing on 27 relevant ones. These studies highlight three main feature groups: weather data, internet search and usage data, and data on (social) interaction of groups. Internet data and social interaction data appear particularly promising, with some studies reporting reduced errors by up to 33%. Although weather data are frequently used, its utility is less clear. Other potential data sources, including smartphone and social media data, remain largely unexplored. One reason for this might be potential data privacy challenges. In summary, although patient arrival prediction has become more important in recent years, there are still many questions and opportunities for future research on the features used in this area.

摘要

充足的护士配备对优质医疗保健至关重要,因此需要准确预测患者到达率。这些预测可以使用监督式机器学习方法来确定。机器学习方法的优化主要是关于最小化预测误差。现有模型主要利用历史患者就诊、季节性趋势、节假日和日历等数据。然而,尚不清楚还有哪些其他特征可以减少预测误差。我们的系统文献综述确定了使用监督式机器学习利用非时间特征(即不基于时间或日期的特征)来预测患者到达人数的研究。我们仔细审查了26284项研究,最终聚焦于27项相关研究。这些研究突出了三个主要特征组:天气数据、互联网搜索和使用数据以及群体(社交)互动数据。互联网数据和社交互动数据显得特别有前景,一些研究报告称误差减少了高达33%。虽然天气数据经常被使用,但其效用尚不太明确。其他潜在数据来源,包括智能手机和社交媒体数据,在很大程度上仍未得到探索。造成这种情况的一个原因可能是潜在的数据隐私挑战。总之,尽管近年来患者到达预测变得更加重要,但在该领域所使用的特征方面仍有许多问题和未来研究的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1a/11709000/2f19690034d4/cin-43-e01197-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1a/11709000/38813bebcbe3/cin-43-e01197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1a/11709000/18dba89602d2/cin-43-e01197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1a/11709000/2f19690034d4/cin-43-e01197-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1a/11709000/38813bebcbe3/cin-43-e01197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1a/11709000/18dba89602d2/cin-43-e01197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e1a/11709000/2f19690034d4/cin-43-e01197-g003.jpg

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本文引用的文献

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Automatic detection of health misinformation: a systematic review.健康错误信息的自动检测:一项系统综述。
J Ambient Intell Humaniz Comput. 2023 May 27:1-13. doi: 10.1007/s12652-023-04619-4.
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Accurate Forecasting of Emergency Department Arrivals With Internet Search Index and Machine Learning Models: Model Development and Performance Evaluation.利用互联网搜索指数和机器学习模型准确预测急诊科就诊人数:模型开发与性能评估
JMIR Med Inform. 2022 Jul 20;10(7):e34504. doi: 10.2196/34504.
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Can we accurately forecast non-elective bed occupancy and admissions in the NHS? A time-series MSARIMA analysis of longitudinal data from an NHS Trust.
我们能否准确预测 NHS 中的非择期床位占用和入院情况?来自 NHS 信托的纵向数据的时间序列 MSARIMA 分析。
BMJ Open. 2022 Apr 20;12(4):e056523. doi: 10.1136/bmjopen-2021-056523.
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Forecasting patient arrivals at emergency department using calendar and meteorological information.利用日历和气象信息预测急诊科患者就诊人数
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Predicting hospital admissions from individual patient data (IPD): an applied example to explore key elements driving external validity.从个体患者数据预测住院人数:一个应用实例,旨在探索影响外部有效性的关键因素。
BMJ Open. 2021 Aug 4;11(8):e045572. doi: 10.1136/bmjopen-2020-045572.
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Performance evaluation of Emergency Department patient arrivals forecasting models by including meteorological and calendar information: A comparative study.纳入气象和日历信息的急诊科患者到达预测模型的性能评估:一项比较研究。
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The Dynamics of Patient Visits to a Public Hospital Pediatric Emergency Department: A Time-Series Model.《某公立医院儿科急诊患者就诊动态:时间序列模型》。
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