A Deep Learning Approach for Classifying Patient Attendance Disposal from Emergency Departments

In recent years, the non-urgent patient treatment at the Accident and Emergency (A&E) departments becomes an ever-increasing research topic. Due to a large number of unplanned admissions at the A&E departments, it is of vital importance to study the classification of the patient attendance disposal with the hope to improve the medical treatment and to save the costs of human and medical resources at the A&E departments. In our work, a popular deep neural network called the deep belief network (DBN) is employed to analyse the patient attendance data from a local A&E department in London, UK. For comparison, two traditional classification algorithms, the k-nearest neighbour (KNN) and the artificial neural network (ANN) approaches are also applied to the patient classification problem for data analysis. Experiment results demonstrate that the DBN outperforms both the KNN and ANN approaches in terms of the classification accuracy.

[1]  Zidong Wang,et al.  A Novel Particle Swarm Optimization Approach for Patient Clustering From Emergency Departments , 2019, IEEE Transactions on Evolutionary Computation.

[2]  Saeid Nahavandi,et al.  Classification of healthcare data using genetic fuzzy logic system and wavelets , 2015, Expert Syst. Appl..

[3]  Guigang Zhang,et al.  Deep Learning , 2016, Int. J. Semantic Comput..

[4]  Cong Wang,et al.  Construction of hierarchical diagnosis network based on deep learning and its application in the fault pattern recognition of rolling element bearings , 2016 .

[5]  Malcolm Clarke,et al.  Meeting the four-hour deadline in an A&E department. , 2011, Journal of health organization and management.

[6]  Pradip Kumar Ray,et al.  Patient flow modelling and performance analysis of healthcare delivery processes in hospitals: A review and reflections , 2014, Comput. Ind. Eng..

[7]  Adam D M Briggs,et al.  Who breaches the four-hour emergency department wait time target? A retrospective analysis of 374,000 emergency department attendances between 2008 and 2013 at a type 1 emergency department in England , 2017, BMC Emergency Medicine.

[8]  Vipin Kumar,et al.  Introduction to Data Mining, (First Edition) , 2005 .

[9]  Carolyn M Clancy,et al.  Reengineering Hospital Discharge: A Protocol to Improve Patient Safety, Reduce Costs, and Boost Patient Satisfaction , 2009, American journal of medical quality : the official journal of the American College of Medical Quality.

[10]  J. Weissman,et al.  Redefining and Redesigning Hospital Discharge to Enhance Patient Care: A Randomized Controlled Study , 2008, Journal of General Internal Medicine.

[11]  Zhi-Hua Zhou,et al.  ML-KNN: A lazy learning approach to multi-label learning , 2007, Pattern Recognit..

[12]  Yaguo Lei,et al.  Application of an intelligent classification method to mechanical fault diagnosis , 2009, Expert Syst. Appl..

[13]  Brian J Moore,et al.  Length of stay in EDs: variation across classifications of clinical condition and patient discharge disposition. , 2016, The American journal of emergency medicine.

[14]  Steve Iliffe,et al.  The impact of a new emergency admission avoidance system for older people on length of stay and same-day discharges. , 2014, Age and ageing.

[15]  Geoffrey E. Hinton Training Products of Experts by Minimizing Contrastive Divergence , 2002, Neural Computation.

[16]  Yoshua. Bengio,et al.  Learning Deep Architectures for AI , 2007, Found. Trends Mach. Learn..

[17]  Yee Whye Teh,et al.  A Fast Learning Algorithm for Deep Belief Nets , 2006, Neural Computation.