Enhancing prediction of inpatient deterioration by combining clinical and nurse concern features, with or without temporal clustering.
Early warning systems (EWSs) help clinicians identify deteriorating patients using clinical data, such as vital signs. However, standard systems struggle to capture nuanced nursing concerns. The Healthcare Process Model-ExpertSignals (HPM-ExpertSignals) framework describes how nurses' concerns are reflected in their documentation patterns. While a recent trial showed positive outcomes, the predictive gain of combining both data types remains unquantified.
Author(s): Wan, Yik-Ki Jacob, Abdelrahman, Samir E, Facelli, Julio C, Madaras-Kelly, Karl, Kawamoto, Kensaku, Dishman, Deniz, Cato, Kenrick, Rossetti, Sarah C, Del Fiol, Guilherme
DOI: 10.1093/jamiaopen/ooag077