Evidence map›Paper›PMID 30041919›Full record

ArticleArtificial intelligence in medicine2018

Change-point detection method for clinical decision support system rule monitoring.

Siqi Liu, Adam Wright, Milos Hauskrecht

Open access · greenAbstract read
In one paragraph

Article in Artificial intelligence in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Using automated methods to detect safety problems with health information technology: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Siqi LiuDepartment of Computer Science, University of Pittsburgh, USA. Electronic address: siqiliu@cs.pitt.edu.
Adam WrightBrigham and Women's Hospital and Harvard Medical School, USA. Electronic address: awright@bwh.harvard.edu.
Milos HauskrechtDepartment of Computer Science, University of Pittsburgh, USA. Electronic address: milos@pitt.edu.
University of Pittsburgh · USHarvard University · US

Funding

Real-time detection of deviations in clinical care in ICU data streamsR01GM088224 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CLERMONT, GILLES, COOPER, GREGORY F. · 2009 to 2017
$3.7M
Improving clinical decision support reliability using anomaly detection methodsR01LM011966 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WRIGHT, ADAM T · 2014 to 2017
$2.4M
NIGMS NIH HHS R01 GM088224NLM NIH HHS R01 LM011966
6 · The paper itself

Abstract

A clinical decision support system (CDSS) helps clinicians to manage patients, but malfunctions of its components or other systems on which it depends may affect its intended functions. Monitoring the system and detecting changes in its behavior that may indicate the malfunction can help to avoid any potential costs associated with its improper operation. In this paper, we investigate the problem of detecting changes in the CDSS operation, in particular its monitoring and alerting subsystem, by monitoring its rule firing counts. We aim to screen and detect changes in real-time, that is whenever a new datum (rule firing count) arrives, we want to have a score indicating how likely there is a change in the system. We develop a new method based on Seasonal-Trend decomposition with locally weighted regression (Loess) and likelihood ratio statistics to detect the changes. Experiments on daily rule-firing-count data collected from a real CDSS and known change-points show that our method improves the detection performance when compared with existing change-point detection methods.

Indexed as

AlgorithmsSoftware DesignDecision Support Systems, ClinicalHumansLikelihood FunctionsRegression AnalysisAnomaly detectionChange-point detectionClinical decision support systemNonstationarityTime series

Identifiers

PMID30041919
PMCPMC7416776
OpenAlexW2810936687

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.