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arXiv 2007.06566stat.APcs.LGstat.ML
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应用于急诊部门需求的时间序列预测的统一机器学习方法

A unified machine learning approach to time series forecasting applied to demand at emergency departments

MRC Centre for Global Infectious Disease Analysis, Imperial College London(帝国理工学院MRC全球传染病分析中心);Imperial College Healthcare NHS Trust(帝国理工学院医疗保健国民健康服务体系信托);Faculty of Medicine, Imperial College London(帝国理工学院医学院);Department of Infectious Disease, Imperial College London(帝国理工学院传染病系);Department of Mathematics, Imperial College London(帝国理工学院数学系)

Michaela A. C. Vollmer, Ben Glampson, Thomas A. Mellan, Swapnil Mishra, Luca Mercuri, Ceire Costello, Robert Klaber, Graham Cooke, Seth Flaxman, Samir Bhatt

摘要:

2019年,英格兰急诊科(ED)的就诊人数为2560万人次,与过去十年相比增加了1200万人次。急诊室的需求稳步上升,在保持标准和生产力的同时提供足够的护理质量是一个持续的挑战。有效管理医院需求需要充分了解未来的入院率。使用伦敦两家主要急性护理医院8年的电子入院数据,我们开发了一种新的集成方法,该方法结合了最佳时间序列和机器学习方法的结果,以便对未来1天,3天和7天的需求进行高度准确的预测。两间医院的平均每日诊症需求分别为208人次及106人次,并在此平均值附近经历相当大的波动。然而,我们的方法是能够预测在这些急诊科就诊提前一天的平均绝对误差为+/- 14和+/- 10名患者对应的平均绝对百分比误差分别为6.8%和8.6%。我们的分析比较了机器学习算法和更传统的线性模型。我们发现,线性模型往往优于机器学习方法,并且我们对1天、3天或7天的任何预测范围的预测质量与MAE中的测量结果相当。除了比较和结合最先进的预测方法来预测医院需求外,我们还考虑了两种不同的超参数调整方法,从而在不影响性能的情况下更快地部署我们的模型。我们相信我们的框架可以很容易地用于预测广泛的政策相关指标。

英文摘要:

There were 25.6 million attendances at Emergency Departments (EDs) in England in 2019 corresponding to an increase of 12 million attendances over the past ten years. The steadily rising demand at EDs creates a constant challenge to provide adequate quality of care while maintaining standards and productivity. Managing hospital demand effectively requires an adequate knowledge of the future rate of admission. Using 8 years of electronic admissions data from two major acute care hospitals in London, we develop a novel ensemble methodology that combines the outcomes of the best performing time series and machine learning approaches in order to make highly accurate forecasts of demand, 1, 3 and 7 days in the future. Both hospitals face an average daily demand of 208 and 106 attendances respectively and experience considerable volatility around this mean. However, our approach is able to predict attendances at these emergency departments one day in advance up to a mean absolute error of +/- 14 and +/- 10 patients corresponding to a mean absolute percentage error of 6.8% and 8.6% respectively. Our analysis compares machine learning algorithms to more traditional linear models. We find that linear models often outperform machine learning methods and that the quality of our predictions for any of the forecasting horizons of 1, 3 or 7 days are comparable as measured in MAE. In addition to comparing and combining state-of-the-art forecasting methods to predict hospital demand, we consider two different hyperparameter tuning methods, enabling a faster deployment of our models without compromising performance. We believe our framework can readily be used to forecast a wide range of policy relevant indicators.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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