Decision support in crime prevention: data analysis, policy evaluation and GIS

2001 ◽  
pp. 269-300
2018 ◽  
Vol 59 (6) ◽  
pp. 1024-1033 ◽  
Author(s):  
Mustafa Ozkaynak ◽  
Blaine Reeder ◽  
Cynthia Drake ◽  
Peter Ferrarone ◽  
Barbara Trautner ◽  
...  

Abstract Background and Objectives Clinical decision support systems (CDSS) hold promise to influence clinician behavior at the point of care in nursing homes (NHs) and improving care delivery. However, the success of these interventions depends on their fit with workflow. The purpose of this study was to characterize workflow in NHs and identify implications of workflow for the design and implementation of CDSS in NHs. Research Design and Methods We conducted a descriptive study at 2 NHs in a metropolitan area of the Mountain West Region of the United States. We characterized clinical workflow in NHs, conducting 18 observation sessions and interviewing 15 staff members. A multilevel work model guided our data collection and framework method guided data analysis. Results The qualitative analysis revealed specific aspects of multilevel workflow in NHs: (a) individual, (b) work group/unit, (c) organization, and (d) industry levels. Data analysis also revealed several additional themes regarding workflow in NHs: centrality of ongoing relationships of staff members with the residents to care delivery in NHs, resident-centeredness of care, absence of memory aids, and impact of staff members’ preferences on work activities. We also identified workflow-related differences between the two settings. Discussion and Implications Results of this study provide a rich understanding of the characteristics of workflow in NHs at multiple levels. The design of CDSS in NHs should be informed by factors at multiple levels as well as the emergent processes and contextual factors. This understanding can allow for incorporating workflow considerations into CDSS design and implementation.


Sensors ◽  
2021 ◽  
Vol 21 (18) ◽  
pp. 6209
Author(s):  
Andrei Velichko

Edge computing is a fast-growing and much needed technology in healthcare. The problem of implementing artificial intelligence on edge devices is the complexity and high resource intensity of the most known neural network data analysis methods and algorithms. The difficulty of implementing these methods on low-power microcontrollers with small memory size calls for the development of new effective algorithms for neural networks. This study presents a new method for analyzing medical data based on the LogNNet neural network, which uses chaotic mappings to transform input information. The method effectively solves classification problems and calculates risk factors for the presence of a disease in a patient according to a set of medical health indicators. The efficiency of LogNNet in assessing perinatal risk is illustrated on cardiotocogram data obtained from the UC Irvine machine learning repository. The classification accuracy reaches ~91% with the~3–10 kB of RAM used on the Arduino microcontroller. Using the LogNNet network trained on a publicly available database of the Israeli Ministry of Health, a service concept for COVID-19 express testing is provided. A classification accuracy of ~95% is achieved, and~0.6 kB of RAM is used. In all examples, the model is tested using standard classification quality metrics: precision, recall, and F1-measure. The LogNNet architecture allows the implementation of artificial intelligence on medical peripherals of the Internet of Things with low RAM resources and can be used in clinical decision support systems.


Author(s):  
Markos G. Tsipouras ◽  
Themis P. Exarchos ◽  
Dimitrios I. Fotiadis ◽  
Aris Bechlioulis ◽  
Katerina K. Naka

This article addresses the decision support regarding cardiovascular diseases, using computer-based methods, focusing on the coronary artery disease (CAD) diagnosis and on the prediction of clinical restenosis in patients undergoing angioplasty. Methods reported in the literature are reviewed with respect to (i) the medical information that are employing in order to reach the diagnosis and (ii) the data analysis techniques used for the creation of the CDSSs. In what concerns medical information, easily and noninvasively-obtained data present several advantages compared to other types of data, while data analysis techniques that are characterized by transparency regarding their decisions are more suitable for medical decision making. A recently developed approach that complies with the above requirements is presented. The approach is based on data mining and fuzzy modelling. Using this approach, one CDSS has been developed for each of the two cardiovascular problems mentioned above. These CDSSs are extensively evaluated and comments about the discovered knowledge are provided by medical experts. The later is of great importance in designing and evaluating CDSSs, since it allows them to be integrated into real clinical environments.


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