Research Article

Using Healthcare Resources Wisely: A Predictive Support System Regarding the Severity of Patient Falls

Table 1

A summary of patient safety studies applying machine learning techniques.

SourceIncident typePurposeBest learnerPerformanceData source

Ong et al. [23]AllTo automatically detect extreme-risk events in clinical incident reportsSupport vector machineAUC = 0.92, F-measures = 0.86, precision = 0.88, and recall = 0.83 for incident typesClinical incident reports
Marschollek et al. [24]Fall eventsTo derive comprehensible fall risk classification modelsC4.5Accuracy = 0.66, sensitivity = 0.55, specificity = 0.67, positive/negative predictive values = 0.15/0.94Fall incident reports
Cheng and Zhao [25]MedicationTo predict drug-drug interactionSupport vector machineAUROC = 0.67DrugBank
Wang et al. [13]AllTo automate the identification of patient safety incidents in hospitalsSupport vector machineF-score = 0.78 for incident type and F-score = 0.87 for severity levelIncident reporting systems
Marella et al. [12]AllTo screen cases associated with the electronic health recordNaive BayesAUROC = 0.93, accuracy = 0.86, and F-score = 0.88Patient safety reporting system and electronic health records
Fong et al. [26]AllTo identify health information technology-related eventsLogistic regressionAUC = 0.93 and F1 score = 0.77Patient safety event report
Comfort et al. [27]MedicationTo classify individual case safety reports within social digital mediaSupport vector machineAccuracy = 0.78 and gKappa = 0.83Individual case safety reports and social digital media
Liu et al. [28]Fall eventsTo explore potential fall incident clustersClusteringN/AIncident reporting systems
Evans et al. [29]AllTo determine the incident type and the severity of harm outcomeSupport vector machineAUROC = 0.89 for incident types and AUROC = 0.71 for severity of harmIncident reporting systems
Wang et al. [14]Fall eventsTo predict the severity of inpatient fallsMulti-view ensemble learning with missing valuesAUC = 0.81Incident reports
Wang et al. [15]AllTo identify incident types and severity levelsConvolutional neural networkF-scores >0.85Incident reporting systems
Liu et al. [16]AllTo improve the classification of the fall incident severity levelRandom forestMacro-F1 = 0.73Incident reporting systems

Note. AUC/AUROC denotes the area under the receiver operating characteristic curve and N/A denotes not available.