ABSTRACT
Predictive monitoring is a key activity in some Process-Aware Information Systems (PAIS) such as information systems for operational management support. Unforeseen circumstances like COVID can introduce changes in human behaviour, processes, or computing resources, which lead the owner of the process or information system to consider whether the quality of the predictions made by the system (e.g., mean time to solution) is still good enough, and if not, which amount of data and how often the system should be trained to maintain the quality of the predictions. To answer these questions, we propose, compare, and evaluate different strategies for selecting the amount of information required to update the predictive model in a context of offline learning. We performed an empirical evaluation using three real-world datasets that span between 2 and 13 years to validate the different strategies which show a significant enhancement in the prediction accuracy with respect to a non-update strategy. © 2022, Springer Nature Switzerland AG.
ABSTRACT
Coronavirus disease 2019 can lead to sudden and severe respiratory failure that mandates endotracheal intubation, a procedure much more safely performed under elective rather than emergency conditions. Early warning of rising risk of this event could benefit both patients and healthcare providers by reducing the high risk of emergency intubation. Current illness severity scoring systems, which usually update only when clinicians measure vital signs or laboratory values, are poorly suited for early detection of this kind of rapid clinical deterioration. We propose that continuous predictive analytics monitoring, a new approach to bedside management, is more useful. The principles of this new practice anchor in analysis of continuous bedside monitoring data, training models on diagnosis-specific paths of deterioration using clinician-identified events, and continuous display of trends in risks rather than alerts when arbitrary thresholds are exceeded.