Evidence map›Paper›PMID 33986947›Full record

ArticleHealth information science and systems2021

Fast prototyping of a local fuzzy search system for decision support and retraining of hospital staff during pandemic.

Evgeny A Bakin, Oksana V Stanevich, Daria M Danilenko, Dmitry A Lioznov, Alexander N Kulikov

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Article in Health information science and systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Evgeny A BakinPavlov First Saint Petersburg State Medical University, L'va Tolstogo str. 6-8, Saint Petersburg, 197022 Russia.ORCID 0000-0002-5694-4348
Oksana V StanevichPavlov First Saint Petersburg State Medical University, L'va Tolstogo str. 6-8, Saint Petersburg, 197022 Russia.ORCID 0000-0002-6894-6121
Daria M DanilenkoSmorodintsev Research Institute of Influenza, Prof. Popov str. 15/17, Saint Petersburg, 197376 Russia.ORCID 0000-0001-6174-0836
Dmitry A LioznovPavlov First Saint Petersburg State Medical University, L'va Tolstogo str. 6-8, Saint Petersburg, 197022 Russia.ORCID 0000-0003-3643-7354
Alexander N KulikovPavlov First Saint Petersburg State Medical University, L'va Tolstogo str. 6-8, Saint Petersburg, 197022 Russia.ORCID 0000-0002-4544-2967

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe COVID-19 pandemic showed an urgent need for decision support systems to help doctors at a time of stress and uncertainty. However, significant differences in hospital conditions, as well as skepticism of doctors about machine learning algorithms, limit their introduction into clinical practice. Our goal was to test and apply the principle of "patient-like-mine" decision support in rapidly changing conditions of a pandemic.

methodsIn the developed system we implemented a fuzzy search that allows a doctor to compare their medical case with similar cases recorded in their medical center since the beginning of the pandemic. Various distance metrics were tried for obtaining clinically relevant search results. With the use of R programming language, we designed the first version of the system in approximately a week. A set of features for the comparison of the cases was selected with the use of random forest algorithm implemented in Caret. Shiny package was chosen for the design of GUI.

resultsThe deployed tool allowed doctors to quickly estimate the current conditions of their patients by means of studying the most similar previous cases stored in the local health information system. The extensive testing of the system during the first wave of COVID-19 showed that this approach helps not only to draw a conclusion about the optimal treatment tactics and to train medical staff in real-time but also to optimize patients' individual testing plans.

conclusionsThis project points to the possibility of rapid prototyping and effective usage of "patient-like-mine" search systems at the time of a pandemic caused by a poorly known pathogen.

Indexed as

COVID-19Decision support algorithmFuzzy searchPatient-like-minePrototyping

Identifiers

PMID33986947
PMCPMC8112214

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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.