Abstract
The ever-increasing use of information technology (IT) in health care presents new challenges to patient care. Information errors arising from the use of Health IT and their implications on care delivery and patient outcomes have been widely reported. Information errors can lead to changes in clinical decisions, care processes, and care outcomes, among others. An altered care process, for example, could interrupt the sequence of care, which could lead to changes in care decisions and/or changes in care outcomes. We define interruptions in the care process as anomalies in the care sequence. In this paper, we present a new approach based on the higher-order network (HON) representation to detect anomalies in sequential health care data using electronic health records. The results show that there are higher-order dependencies in health care data; and that the use of HON representation is more effective than the first-order network representation for detecting anomalies in sequential health care data.
Original language | English |
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Title of host publication | Proceedings of the 2020 IISE Annual Conference |
Editors | L. Cromarty, R. Shirwaiker, P. Wang |
Publisher | Institute of Industrial and Systems Engineers, IISE |
Pages | 813-818 |
Number of pages | 6 |
ISBN (Electronic) | 9781713827818 |
State | Published - 2020 |
Event | 2020 Institute of Industrial and Systems Engineers Annual Conference and Expo, IISE 2020 - Virtual, Online, United States Duration: Nov 1 2020 → Nov 3 2020 |
Publication series
Name | Proceedings of the 2020 IISE Annual Conference |
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Conference
Conference | 2020 Institute of Industrial and Systems Engineers Annual Conference and Expo, IISE 2020 |
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Country/Territory | United States |
City | Virtual, Online |
Period | 11/1/20 → 11/3/20 |
Funding
This work is sponsored by the US Department of Veterans Affairs. This manuscript has been authored by UT-Battelle, LLC, under contract DE-AC05-00OR22725 with the US Department of Energy (DOE). The US government retains and the publisher, by accepting the article for publication, acknowledges that the US government retains a nonexclusive, paid-up, irrevocable, worldwide license to publish or reproduce the published form of this manuscript, or allow others to do so, for US government purposes. DOE will provide public access to these results of federally sponsored research in accordance with the DOE Public Access Plan (http://energy.gov/downloads/doe-public-access-plan).
Keywords
- Electronic health records
- Higher-order dependency
- Process improvement
- Process monitoring
- System reliability