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An Alert Notification Subsystem for AI Based Clinical Decision Support: A Protoype in NICU

2021· article· en· W4205598825 on OpenAlex
Catherine Inibhunu, Carolyn McGregor, James E Pugh

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

Venue2021 IEEE International Conference on Big Data (Big Data) · 2021
Typearticle
Languageen
FieldComputer Science
TopicMachine Learning in Healthcare
Canadian institutionsMcMaster UniversityMcMaster Children's HospitalOntario Tech University
FundersHORIZON EUROPE Health
KeywordsWorkflowAnalyticsComputer sciencePremiseContext (archaeology)ScheduleService (business)Big dataDecision support systemClinical decision support systemHealth careMedical emergencyData scienceMedicineData miningDatabase

Abstract

fetched live from OpenAlex

The potential for recommendation systems integrated within clinical workflows for effective dissemination of vital information needed in decision making at the bedside is explored in this paper. Our premise is that by utilizing big data analytics platforms for processing high frequency physiological data from multiple patients, fused with clinical context, we can generate recommendations on patients detected as potential for onset of conditions, and that if such information is communicated on time to the appropriate health care providers could have an impact when making decisions on care of critically ill patients. To support this, we have designed and developed an alert notification subsystem that combines vast analytics to detect abnormal patient's physiology, determine who is on service at the bedside and then generate appropriate notification to that care provider during their schedule time in a hospital critical care unit.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Open science
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: none
Teacher disagreement score0.943
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0080.001
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.476
GPT teacher head0.485
Teacher spread0.008 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it