A Systematic Review of Healthcare Information Technology Anomaly Classification
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Pullum, Laura↗
Engineering topics
Pullum, Laura
Publications and source records attributed to Pullum, Laura.
Use of Event-Time Embeddings via RNN to Discern Novel Event Sequences in EHRs
In highly configurable health information technology (HIT) systems, such as VistA of the Veterans Health Administration, the variations in how the system is used among different healthcare facilities and how the data are recorded can be significant. Despite the successful standardization of care efforts, some of these variations can be indicative of HIT hazards and demand further investigation. In this work, we implemented a recurrent neural network (RNN) architecture to learn clinical provider order sequences and their temporal dynamics while predicting the orders' terminal state. We demonstrate model performance and provide a use case for the model discerning novel event sequences. This model is proposed to find novel event sequences in an operational environment.
Ozmen, Ozgur↗
Evolution of the IEEE P7009 Standard: Towards Fail-Safe Design of Autonomous Systems
Autonomous systems are complex, diverse, and likely be used in environments that change unpredictably. We must develop mechanisms to cope with failures, potentially caused by both the natural stresses of the operating environment and the system's inadequate environmental models. Failures also arise from system component wear. In 2016, the IEEE launched the Global Initiative on Ethics of Autonomous and Intelligent Systems in response to the proliferation of increasingly-autonomous systems. A cornerstone of this initiative is the IEEE P7000 series of projects, which set the standards for the future of ethical intelligent and autonomous technologies. This paper describes the ongoing development of the IEEE P7009 standard on “Fail-Safe Design of Autonomous and Semi-Autonomous Systems”. We provide a collective perspective on the ongoing development of IEEE P7009, and outline the objectives, current approaches, issues under discussion, and two exemplar use cases from different sectors: one high-regulation, the other low-regulation.
Farrell, Marie↗
Verification and Validation of Systems in which AI is a Key Element
Many systems are being considered in which artificial intelligence (AI) will be a key element. Failure of an AI element can lead to system failure, hence the need for AI verification and validation (V&V). This article addresses V&V of such a system, focusing on the issues created by characteristics of AI that make V&V challenging. The element(s) containing AI capabilities is treated as a subsystem and V&V is conducted on that subsystem and its interfaces with other elements of the system under study, just as V&V would be conducted on other subsystems. That is, the high-level definitions of verification and of validation do not change for systems containing one or more AI elements. However, AI V&V challenges require approaches and solutions beyond those for conventional or traditional (those without AI elements) systems. This article provides an overview of how machine learning components/subsystems “fit” in the systems engineering framework (Section 1), identifies characteristics of AI subsystems that create challenges in their V&V (Section 2), describes those challenges (Section 3) and provides some potential solutions (Section 4).
Pullum, Laura↗
Comparative Assessment of Data-driven Process Models in Health Information Technology
Process mining for conformance analysis consists of comparing a reference process model against a data-driven process model generated via log files from information technology systems. However, in the absence of a complete reference process model, we found no suggested approaches in the literature to address the need for evaluating process conformance among different healthcare facilities to assess standardization of care. Our goal is to find similarities and dissimilarities in data-driven process models among US Veterans Health Administration (VHA) facilities that can be indicative of patient safety issues. Our hypothesis was that the analysis would not produce statistically significant differences in outcome. We present a unique implementation of conformance analysis in process mining that consists of combining process mining, process mapping and statistical metrics. We illustrate our approach by applying it to the analysis of two clinical radiology order process models generated from healthcare data provided by two similar facilities in the VHA. The comparative assessment showed that about 70% of the orders completed successfully and 30% were not completed due to policy and duplications. Our analysis found a good statistical correlation between both facilities, as the Spearman’s correlation coefficient between facilities for the frequency of cases per total hours was 0.87879, for the frequency of cases by state transition was 0.79702 and for the throughput time per state transition was 0.63582. Additional statistical analyses using the Mann-Whitney U test and the root mean square error both produced values that were not significant. The foregoing approach validated our hypothesis by demonstrating a good statistical correlation of data describing the flow of clinical radiology orders absent a credible reference model. Finding good agreement between both facilities was important in confirming that the clinical orders flow in a similar manner, suggesting standardization of care.
97 MATHEMATICS AND COMPUTING↗
Automated detection of corrosion in used nuclear fuel dry storage canisters using residual neural networks
Not Available
73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
Robustness and Validation of Model and Digital Twins Deployment
For digital twins (DTs) to become a central fixture in mission critical systems, a better understanding is required of potential modes of failure, quantification of uncertainty, and the ability to explain a model’s behavior. These aspects are particularly important as the performance of a digital twin will evolve during model development and deployment for real-world operations.
97 MATHEMATICS AND COMPUTING↗
Adaptive Anomaly Detection for Dynamic Clinical Event Sequences
Over the past decade, health information technology (IT) has enabled the amount of digital information stored in electronic health records (EHRs) to expand greatly. However, according to some studies, hazards in health IT can lead to changes in clinical decisions, care processes, and care outcomes, as well as other issues. Thus, the effects of health IT hazards on patient safety have been at the forefront of recent patient safety research. Nonetheless, hazard detection in health IT remains a challenge. In this paper, the authors assume that safety-related issues in health IT would exhibit anomalous characteristics in EHR data. Although all hazards will exhibit some anomalous characteristics, not all anomalies can be regarded as hazards. The authors hypothesize that errors in health IT could lead to interruptions in the sequence of clinical actions. To this end, the problem of detecting anomalous sequences in big EHR data is considered. This paper focuses on dynamic event sequences, which are a series of clinical actions in motion. The authors propose an adaptive anomaly detection approach that uses higher-order network representation to detect anomalous sequences. Furthermore, the authors propose a contiguous subsequence anomaly detection approach that identifies abnormal subsequences in the detected anomalous sequences. The proposed approaches are tested by using synthetic and real-world EHR data. The proposed methods outperform existing state of the art anomaly detection techniques. To reduce the computational complexity associated with the operational implementation of the proposed approaches, the Apache Spark environment was leveraged, and a much shorter run time together with improved performance were achieved, especially for data with more than 60,000 sequences.
Niu, Haoran↗