CN118692643A - A blood management decision-making support system - Google Patents
A blood management decision-making support system Download PDFInfo
- Publication number
- CN118692643A CN118692643A CN202410863681.8A CN202410863681A CN118692643A CN 118692643 A CN118692643 A CN 118692643A CN 202410863681 A CN202410863681 A CN 202410863681A CN 118692643 A CN118692643 A CN 118692643A
- Authority
- CN
- China
- Prior art keywords
- blood
- data
- collection
- demand
- model
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F18/00—Pattern recognition
- G06F18/20—Analysing
- G06F18/24—Classification techniques
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F18/00—Pattern recognition
- G06F18/20—Analysing
- G06F18/27—Regression, e.g. linear or logistic regression
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/04—Forecasting or optimisation specially adapted for administrative or management purposes, e.g. linear programming or "cutting stock problem"
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
- G06Q10/063—Operations research, analysis or management
- G06Q10/0631—Resource planning, allocation, distributing or scheduling for enterprises or organisations
- G06Q10/06315—Needs-based resource requirements planning or analysis
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
Landscapes
- Engineering & Computer Science (AREA)
- Business, Economics & Management (AREA)
- Human Resources & Organizations (AREA)
- Theoretical Computer Science (AREA)
- Data Mining & Analysis (AREA)
- Strategic Management (AREA)
- Economics (AREA)
- Physics & Mathematics (AREA)
- Health & Medical Sciences (AREA)
- General Physics & Mathematics (AREA)
- General Business, Economics & Management (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Entrepreneurship & Innovation (AREA)
- Marketing (AREA)
- Tourism & Hospitality (AREA)
- Game Theory and Decision Science (AREA)
- Artificial Intelligence (AREA)
- Life Sciences & Earth Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Operations Research (AREA)
- Quality & Reliability (AREA)
- Epidemiology (AREA)
- Bioinformatics & Computational Biology (AREA)
- Development Economics (AREA)
- General Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Primary Health Care (AREA)
- Evolutionary Computation (AREA)
- General Health & Medical Sciences (AREA)
- Evolutionary Biology (AREA)
- Educational Administration (AREA)
- Pathology (AREA)
- Databases & Information Systems (AREA)
- Management, Administration, Business Operations System, And Electronic Commerce (AREA)
Abstract
本申请提供一种血液管理辅助决策系统,包括数据采集模块、血液需求预测模块、采血趋势预测模块和用血效果评估模块;数据采集模块负责采集输血数据和采血数据;血液需求预测模块负责分析历史用血数据,预测不同情况下的血液需求量;采血趋势预测模块负责利用历史采血数据和影响采血的因素,预测未来采血趋势;用血效果评估模块负责分析和评估用血的合理性和有效性,以指导用血决策和提高血液资源的使用效率。基于LSTM时序预测方法,构建血液需求预测模型,通过采血前的数据,基于ARIMA时序预测方法,搭建采血结构预测模型,最终构建起一个可兼顾血液采集,使用,预测等多方面功能的辅助决策系统。该系统可为医院和血站提供血液的采集,调配,使用等决策建议,指导临床合理用血,实现精准用血管理。
The present application provides a blood management decision-making support system, including a data acquisition module, a blood demand prediction module, a blood collection trend prediction module and a blood use effect evaluation module; the data acquisition module is responsible for collecting blood transfusion data and blood collection data; the blood demand prediction module is responsible for analyzing historical blood use data and predicting blood demand under different circumstances; the blood collection trend prediction module is responsible for using historical blood collection data and factors affecting blood collection to predict future blood collection trends; the blood use effect evaluation module is responsible for analyzing and evaluating the rationality and effectiveness of blood use to guide blood use decisions and improve the efficiency of blood resource use. Based on the LSTM time series prediction method, a blood demand prediction model is constructed. Through the data before blood collection, based on the ARIMA time series prediction method, a blood collection structure prediction model is built, and finally a decision-making support system that can take into account multiple functions such as blood collection, use, and prediction is constructed. The system can provide hospitals and blood stations with decision-making suggestions on blood collection, allocation, and use, guide clinical rational blood use, and achieve precise blood use management.
Description
技术领域Technical Field
本发明涉及血库管理领域,具体涉及一种血液管理辅助决策系统。The present invention relates to the field of blood bank management, and in particular to a blood management decision-making support system.
背景技术Background Art
无偿献血作为血液的唯一来源,在保障国民健康和国家安全方面有着重要作用。而在我国,采血量和供血量目前均无法满足正常的增长需求,血液供应紧张和“血荒”的现象时有发生。As the only source of blood, voluntary blood donation plays an important role in protecting national health and national security. However, in my country, the amount of blood collected and supplied cannot meet the normal growth demand, and blood supply shortages and "blood shortages" occur from time to time.
“血荒”指的是血液偏型或告急现象,采供血医疗机构无法满足其卫生医疗机构用血需求。我国“血荒”现象产生原因较多,比如无偿献血公众意识不强、无偿献血人数不足、临床不合理用血、卫生行政部门和血站开展无偿献血宣传的效果不显著、行业监管缺失等都是造成“血荒”的原因。其中,采供血机构对于血液采集和供给的能力是最主要的影响因素之一。这些都是目前无偿献血事业面临的挑战和困境。"Blood shortage" refers to the phenomenon of blood type imbalance or emergency, where blood collection and supply medical institutions are unable to meet the blood needs of their health care institutions. There are many reasons for the "blood shortage" phenomenon in my country, such as the public's lack of awareness of voluntary blood donation, insufficient number of voluntary blood donors, unreasonable clinical use of blood, the lack of significant results of voluntary blood donation publicity by health administrative departments and blood stations, and the lack of industry supervision. Among them, the ability of blood collection and supply institutions to collect and supply blood is one of the most important influencing factors. These are the challenges and difficulties currently facing the voluntary blood donation cause.
根据医疗水平的发展和历年数据,合理预测用血变化情况,并根据预测结果,安排血液中心的发展规划和政策,制定有效合理的招募献血计划,是非常有必要的,不仅在保障供应的同时避免浪费,而且对于采供血机构的发展和建设也起到了重要作用。同时在血荒或遇到重大突发事件时避免血液库存不足。It is very necessary to reasonably predict the changes in blood use based on the development of medical level and historical data, and arrange the development plan and policy of the blood center based on the prediction results, and formulate an effective and reasonable blood donation recruitment plan, which not only ensures the supply while avoiding waste, but also plays an important role in the development and construction of blood collection and supply institutions. At the same time, it can avoid insufficient blood inventory in the event of blood shortage or major emergencies.
发明内容Summary of the invention
本发明的目的就是解决上述背景中的技术问题提出了一种血液管理辅助决策系统,包括数据采集模块、血液需求预测模块、采血趋势预测模块和用血效果评估模块;The purpose of the present invention is to solve the technical problems in the above background and propose a blood management decision-making support system, including a data acquisition module, a blood demand prediction module, a blood collection trend prediction module and a blood use effect evaluation module;
数据采集模块负责采集输血数据和采血数据;The data collection module is responsible for collecting blood transfusion data and blood collection data;
血液需求预测模块负责分析历史用血数据,预测不同情况下的血液需求量;The blood demand prediction module is responsible for analyzing historical blood usage data and predicting blood demand under different circumstances;
采血趋势预测模块负责利用历史采血数据和影响采血的因素(如天气、人口统计数据等),预测未来采血趋势;The blood collection trend prediction module is responsible for predicting future blood collection trends using historical blood collection data and factors that affect blood collection (such as weather, demographic data, etc.);
用血效果评估模块负责分析和评估用血的合理性和有效性,以指导用血决策和提高血液资源的使用效率。The blood use effectiveness evaluation module is responsible for analyzing and evaluating the rationality and effectiveness of blood use in order to guide blood use decisions and improve the efficiency of blood resource utilization.
优选的方案中,血液需求预测模块包括LSTM时序预测模型,预测出未来七日的血液需求量;In the preferred solution, the blood demand prediction module includes an LSTM time series prediction model to predict the blood demand in the next seven days;
数据采集模块采集往年此时的血液需求数据,血液需求预测模块将预测数据与往年此时的血液需求数据进行比较;The data collection module collects blood demand data at this time in previous years, and the blood demand prediction module compares the predicted data with the blood demand data at this time in previous years;
当血液需求预测量高于往年的血液需求数据时,则直接形成(补充)制定的采血计划的要素之一;When the predicted blood demand is higher than the blood demand data of previous years, it directly forms (supplements) one of the elements of the formulated blood collection plan;
当血液需求预测量低于往年的血液需求数据时,则需要血站进一步调整完善后,再作为采血要素。When the predicted blood demand is lower than the blood demand data of previous years, the blood station needs to make further adjustments and improvements before it can be used as a factor for blood collection.
优选的方案中,采血趋势预测模块包括ARIMA预测模型,预测出未来七日的各种血型的采集量;In the preferred solution, the blood collection trend prediction module includes an ARIMA prediction model to predict the collection volume of various blood types in the next seven days;
数据采集模块采集往年此时的各种血型的采集数据,采血趋势预测模块将预测出的数据与往年的采集数据进行比较:The data collection module collects the data of various blood types collected at this time in previous years, and the blood collection trend prediction module compares the predicted data with the collection data of previous years:
当采血预测量较低时,则需要对采血进行调整提高缺少血型的采集量;When the predicted blood collection volume is low, the blood collection needs to be adjusted to increase the collection volume of the missing blood type;
当采血预测量较高时,则对未来七日的采血结构数量进行优化,进一步精确各种血型的采集量。When the predicted blood collection volume is high, the blood collection structure quantity for the next seven days will be optimized to further refine the collection volume of each blood type.
优选的方案中,血液库存管理模块根据采血预测结果生成采血计划,具体包括以下步骤:In a preferred solution, the blood inventory management module generates a blood collection plan according to the blood collection prediction result, which specifically includes the following steps:
S1、采血趋势预测模块经过和历史数据对比生成采血预测量;S1, the blood sampling trend prediction module generates the predicted blood sampling amount by comparing with the historical data;
S2、血液需求预测模型与历史用血数据进行对比修正后形成用血预测量;S2. The blood demand prediction model is compared with the historical blood usage data and then corrected to form the predicted blood usage amount;
S3、当血液需求预测量大于采血预测量时,则将未来七日的采血量提高;当血液需求预测量小于采血预测量时,将降低未来七日的采血量,将超出需求预测量的部分转移至缺血少血地区。S3. When the predicted blood demand is greater than the predicted blood collection, the blood collection volume for the next seven days will be increased; when the predicted blood demand is less than the predicted blood collection, the blood collection volume for the next seven days will be reduced, and the part exceeding the predicted demand will be transferred to the ischemic and anemic areas.
优选的方案中,还包括紧急需求相应模块;The preferred solution also includes an emergency demand response module;
紧急需求响应模块包括快速响应模型,用于紧急情况下的快速识别、预警和决策;The emergency demand response module includes a rapid response model for rapid identification, early warning and decision-making in emergency situations;
紧急需求响应包括以下步骤:Emergency demand response includes the following steps:
S1、收集和整理历史上发生过的紧急情况,包括血液短缺、自然灾害和大规模事故,并分析紧急情况的特点和应对措施。S1. Collect and organize emergency situations that have occurred in history, including blood shortages, natural disasters, and large-scale accidents, and analyze the characteristics of emergencies and response measures.
S2、利用统计和机器学习技术,评估不同紧急情况发生的概率,并建立预测模型。S2. Use statistical and machine learning techniques to assess the probability of different emergency situations and establish a predictive model.
S3、根据历史数据和风险评估,制定紧急情况清单;S3. Develop an emergency list based on historical data and risk assessment;
S4、对清单中的每个紧急情况,预设应对措施;S4. For each emergency situation in the list, pre-set response measures;
S5、利用实时数据监控和自动化算法,用于快速识别紧急情况;S5. Use real-time data monitoring and automated algorithms to quickly identify emergency situations;
S6、当监测到紧急情况即将发生或已经发生时,系统能够自动发出预警;S6. When an emergency is detected to be about to happen or has already happened, the system can automatically issue an early warning;
S7、提供决策支持工具,帮助管理人员快速做出决策,包括预设措施的选择和执行。S7. Provide decision support tools to help managers make decisions quickly, including the selection and implementation of preset measures.
优选的方案中,使用LSTM模型进行预测,表示为:In the preferred solution, the LSTM model is used for prediction, which is expressed as:
其中,i=1,2,…,T;o、h和c分别代表LSTM的输出、隐藏状态和细胞状态,T为时序窗口的长度,ep代表融合了时序窗口中所有月份后的用血量。Where i = 1, 2, …, T; o, h and c represent the output, hidden state and cell state of LSTM respectively, T is the length of the time series window, and ep represents the blood consumption after integrating all months in the time series window.
优选的方案中,采血预测方法包括以下步骤:整理历史采血数据,检查时间序列的平稳性,当时间序列不平稳时,则进行差分操作;对数据进行自相关性检验,确定模型中使用过去多少期的数据来预测当前值;对数据进行偏自相关性检验,确定模型中使用过去多少期的残差来预测当前值;使用ARIMA模型参数,对一部分数据进行模型拟合,并使用剩余数据进行模型评估;使用均方根误差来评估模型的拟合程度,使用已训练好的ARIMA模型进行未来七日的采血数据预测。In the preferred scheme, the blood collection prediction method includes the following steps: sorting out historical blood collection data, checking the stationarity of the time series, and performing a difference operation when the time series is not stationary; performing an autocorrelation test on the data to determine how many periods of past data are used in the model to predict the current value; performing a partial autocorrelation test on the data to determine how many periods of residuals in the past are used in the model to predict the current value; using ARIMA model parameters to fit the model to a portion of the data, and using the remaining data to evaluate the model; using the root mean square error to evaluate the degree of fit of the model, and using the trained ARIMA model to predict the blood collection data for the next seven days.
优选的方案中,用血效果评估模块以用血量为研究对象和数据集,选择影响用血量预测的因素为变量目标,建立logistics回归模型;In the preferred solution, the blood use effect evaluation module takes the blood use volume as the research object and data set, selects the factors affecting the blood use volume prediction as the variable target, and establishes a logistics regression model;
用血评估包括以下步骤:首先对预测指标进行因子分析,对数据进行降维处理,剔除数据间的相关性,确定最终指标;然后根据最终指标建立logistics回归模型;最后对logistics回归模型的预测效果进行检验,并结合真实结果对合理用血提出建议。The blood use assessment includes the following steps: first, factor analysis is performed on the prediction indicators, the data is reduced in dimension, the correlation between the data is eliminated, and the final indicators are determined; then a logistics regression model is established based on the final indicators; finally, the prediction effect of the logistics regression model is tested, and suggestions for rational blood use are made based on the actual results.
优选的方案中,Logistics回归模型表示为:In the preferred solution, the Logistics regression model is expressed as:
其中,x1为A型血,x2为B型血,x3为AB型血,x4为O型血;设因变量为二分类变量,取值为y=0或y=1,影响y取值的m个变量非别为x1x2x3x4;在m个自变量作用下,阳性结果y=1发生的条件概率p=p(y=1|x1,x2,…xm);Among them, x1 is blood type A, x2 is blood type B, x3 is blood type AB, and x4 is blood type O; suppose the dependent variable is a binary variable, with the value y=0 or y=1, and the m variables that affect the value of y are x1 x2 x3 x4 ; under the influence of m independent variables, the conditional probability of the positive result y=1 is p=p(y=1| x1 , x2 ,… xm );
对Logistics回归模型表达式进行logit变换,得到logistics回归模型如下的线性形式:Perform logit transformation on the Logistics regression model expression to obtain the following linear form of the Logistics regression model:
常数项β是当各种暴露因素均为0时,供血充足与不充足概率之比的自然对数值;偏回归系数βj(j=1,2,3,…,m)表示在其他自变量固定的条件下,第j个自变量每改变一个单位时logit(p)的平均改变量,它与比数比OR有对应关系;在其他影响因素相同的情况下,某危险因素xj的两个不同暴露水平和c1和c0发病优势比的自然对数为:The constant term β is the natural logarithm of the ratio of the probability of adequate blood supply to that of inadequate blood supply when all exposure factors are 0; the partial regression coefficient β j (j = 1, 2, 3, ..., m) represents the average change in logit (p) when the jth independent variable changes by one unit under the condition that other independent variables are fixed, and it has a corresponding relationship with the odds ratio OR; when other influencing factors are the same, the natural logarithm of the odds ratio of two different exposure levels of a risk factor x j and c 1 and c 0 is:
所以:so:
ORj=exp[βj(c1-c0)]OR j = exp[β j (c 1 −c 0 )]
OR越大阳性结果概率越大,表示该种血型的用血量充足。The larger the OR, the greater the probability of a positive result, indicating that the blood supply for that blood type is sufficient.
本发明的有益效果为:本系统中血液需求预测经过机器预测和人工修改完善后,会大大减少血液需求预测时发生的错误——预测量过多导致采集、运输、储存计划出现偏差,造成的成本增加和血液浪费;预测量过低导致采集不足,血液供应不足;采用ARIMA模型预测预测出未来七天的各种血型的采集量,可以进一步精确血液采集的结构——各种血型的采集量,有效避免血液的浪费;对用血量用logisc回归进行集成学习,形成的用血效果评估模型,将会对血液需求预测模型进行更精确的约束,采用数据驱动的方法实时更新模型,提高了血液需求预测的准确性。The beneficial effects of the present invention are: after machine prediction and manual modification and improvement, the blood demand forecast in the system will greatly reduce the errors occurring in the blood demand forecast - excessive forecast amounts will lead to deviations in the collection, transportation and storage plans, resulting in increased costs and blood waste; too low forecast amounts will lead to insufficient collection and insufficient blood supply; the ARIMA model is used to predict the collection amounts of various blood types in the next seven days, which can further accurately determine the structure of blood collection - the collection amounts of various blood types, and effectively avoid blood waste; the blood usage amount is integrated and learned using logistic regression to form a blood usage effect evaluation model, which will impose more precise constraints on the blood demand forecast model, and the data-driven method is used to update the model in real time, thereby improving the accuracy of blood demand forecasting.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1是本发明中的用血效果评估图;FIG1 is a diagram of blood use effect evaluation in the present invention;
图2是本发明中的数据采集和处理流程图;FIG2 is a flow chart of data collection and processing in the present invention;
图3是本发明中的LSTM模型预测流程图;FIG3 is a LSTM model prediction flow chart in the present invention;
图4是本发明中的ARIMA模型预测流程图;FIG4 is an ARIMA model prediction flow chart in the present invention;
图5是本发明中的采血计划制定流程图;FIG5 is a flow chart of blood sampling plan formulation in the present invention;
图6是Logistics回归模型评估用血效果流程图。FIG6 is a flow chart of the Logistics regression model for evaluating the effect of blood use.
具体实施方式DETAILED DESCRIPTION
实施例1Example 1
如图1~6所示,为了避免出现季节性与结构性血荒,本发明提出一种系统,将对医院用血相关数据,血站申发血数据,血站历史采集数据进行搜集,进行三方数据融合,进行数据清洗,数据规范化,数据缺失补回。以防后续进行采写计划的制定时出现错误,此处理进一步加强了数据的正确性,相关性;将处理后的输血数据导入LSTM时序预测模型并以参考文献和专家规则进行辅助修正,对血液需求进行预测。需求预测与数量结构预测一起构成了采血计划的两大重要基本指标。同时将会对采血产生影响的天气因素,从另一个维度多方面考虑,采血计划的制定,并将其供给血站,血站在根据其具体方案,进行筹备及运输,有效避免缺血,少血,一血多用,一血多抢的局面。当血液运送到医院,医院进行手术,抢救病人时,该系统将会对医生的用血量用logisc回归和专家辅助的方式进行集成学习,最后形成用血效果评估模型,作为辅助去知道血液需求。As shown in Figures 1 to 6, in order to avoid seasonal and structural blood shortages, the present invention proposes a system that collects hospital blood use-related data, blood station application data, and blood station historical collection data, performs three-party data fusion, data cleaning, data normalization, and data missing supplementation. In order to prevent errors in the subsequent formulation of the collection and writing plan, this processing further strengthens the correctness and relevance of the data; the processed blood transfusion data is imported into the LSTM time series prediction model and assisted by references and expert rules to predict blood demand. Demand forecasting and quantity structure forecasting together constitute the two important basic indicators of the blood collection plan. At the same time, the weather factors that will affect blood collection are considered from another dimension and multiple aspects. The blood collection plan is formulated and supplied to the blood station. The blood station prepares and transports according to its specific plan, effectively avoiding the situation of ischemia, less blood, multiple uses of one blood, and multiple grabs of one blood. When blood is delivered to the hospital and the hospital performs surgery to rescue the patient, the system will use logistic regression and expert assistance to integrate the learning of the doctor's blood usage, and finally form a blood usage effect evaluation model to assist in understanding blood needs.
1.数据清洗除杂:1. Data cleaning and removal:
采集医院HIS,LIS,输血管理平台,手术麻醉管理系统,血站申请用血数据,血站运输血液数据,血站历史血液采集数据,多方面,全方位采集尽可能多的血液采集,申请,运输,使用数量和血液结构。Collect data from the hospital's HIS, LIS, blood transfusion management platform, surgical anesthesia management system, blood station application data, blood station transportation data, and historical blood collection data. Collect as much blood collection, application, transportation, usage quantity and blood structure as possible in multiple and comprehensive aspects.
将三者数据先剔除掉无用,错误数据后,进行融合,提取出相关指标进行下一步分析。After eliminating useless and erroneous data, the three data are integrated and relevant indicators are extracted for the next step of analysis.
清洗冗余错误数据。找到缺失数据,进行回溯补充。降低数据的维度,以免后续处理困难。规范数据,使其数据特征进一步优化。Clean up redundant and erroneous data. Find missing data and supplement it retrospectively. Reduce the dimension of data to avoid difficulties in subsequent processing. Standardize data to further optimize its data features.
2.用血需求预测模型:2. Blood demand prediction model:
整理好历史输血数据及血站申发数据Organize historical blood transfusion data and blood station application data
精心整理历史输血记录与血站申请发放数据Carefully organize historical blood transfusion records and blood station application and issuance data
LSTM模型训练,调整超参数。LSTM model training and hyperparameter adjustment.
实施方法:Implementation method:
其中,i=1,2,…,T,o,h,c分别代表LSTM的输出,隐藏状态,细胞状态,T为时序窗口的长度ep代表融合了时序窗口中所有月份后的用血量;Where i=1,2,…,T,o,h,c represent the output, hidden state, and cell state of LSTM respectively, T is the length of the time series window, and ep represents the blood consumption after integrating all months in the time series window;
根据相关文献和专家意见,采用德尔菲法来汇总专家意见,并达成对特征重要性的共识。通过参考相关文献和专家意见,我们采用德尔菲法来综合专家的观点,并形成对特征重要性的共识。Based on relevant literature and expert opinions, we used the Delphi method to synthesize the experts' opinions and reach a consensus on the importance of features. Based on relevant literature and expert opinions, we used the Delphi method to synthesize the experts' opinions and reach a consensus on the importance of features.
平均绝对误差、均方根误差,及用血效果评估模型意见,评估模型效果。The mean absolute error, root mean square error, and blood effect evaluation model opinions were used to evaluate the model effect.
使用训练好的模型预测未来七天用血需求。Use the trained model to predict blood demand for the next seven days.
根据后续用血效果评估模型动态更新。The model is dynamically updated based on the subsequent blood use effect evaluation.
3.采血预测模型:3. Blood sampling prediction model:
整理好历史采血数据;Organize historical blood collection data;
检查时间序列的平稳性,如果不平稳,则进行差分操作;Check the stationarity of the time series, and perform a difference operation if it is not stationary;
对数据进行自相关性(ACF)检验,确定模型中使用过去多少期的数据来预测当前值;Perform an autocorrelation (ACF) test on the data to determine how many periods of past data are used in the model to predict the current value;
对数据进行偏自相关性(PACF)检验,确定模型中使用过去多少期的残差来预测当前值;Perform a partial autocorrelation (PACF) test on the data to determine how many past residuals are used in the model to predict the current value;
选择合适的ARIMA模型参数;Choose appropriate ARIMA model parameters;
一部分数据进行模型拟合,并使用剩余数据进行模型评估;A portion of the data is used for model fitting, and the remaining data is used for model evaluation;
使用均方根误差(RMSE)来评估模型的拟合程度;The root mean square error (RMSE) was used to evaluate the model fit;
使用已训练好的ARIMA模型进行未来七天的采血数据预测。Use the trained ARIMA model to predict blood collection data for the next seven days.
具体实施:Specific implementation:
公式:formula:
Yt=c+φ1Y(t-1)+φ2Y(t-2)+...+φp Y(t-p)+θ1∈(t-1)+θ2∈(t-2)+...+θq∈(t-q)+∈t。Y t =c+φ 1 Y (t-1) +φ 2 Y (t-2) +...+φ p Y (tp) +θ 1 ∈ (t-1) +θ 2 ∈ (t-2 ) +...+θ q ∈ (tq) +∈ t .
Yt表示我们需要预测的t时刻的采血量;Y t represents the blood collection volume at time t that we need to predict;
其中,φ1至φp用来描述Yt与过去p个时间节点采血量之间的关系;θ1至θq用来描述Yt与过去q个时间节点的误差之间的关系;∈t是t时刻的误差项;c是常数项。Among them, φ1 to φp are used to describe the relationship between Yt and the blood collection volume at the past p time nodes; θ1 to θq are used to describe the relationship between Yt and the error at the past q time nodes; ∈t is the error term at time t; c is the constant term.
4.ARIMA(p,d,q)4. ARIMA(p,d,q)
p:与模型的自回归方面相关的参数,模型中包含的滞后观测数,也称为滞后阶数;p: parameter related to the autoregressive aspect of the model, the number of lagged observations included in the model, also known as the lag order;
d:与模型集成部分相关的参数,原始观测值差异的次数,也称为差异度。它影响到应用于时间序列的差分的数量;d: a parameter related to the integration part of the model, the number of times the original observations are different, also called the degree of difference. It affects the amount of differences applied to the time series;
q:与模型的移动平均部分相关的参数。移动平均窗口的大小,也称为移动平均的阶数。q: Parameter related to the moving average part of the model. The size of the moving average window, also known as the order of the moving average.
5.平稳性检验:5.Stability test:
将清洗后的历史采血数据进行ADF检验,如不平稳,进行d阶差分,转化成平稳序列;The cleaned historical blood collection data is subjected to ADF test. If it is not stable, d-order difference is performed to transform it into a stable series;
确定p值和q值,将d阶差分后的历史采血数据分别进行PACF和ACF来确定p和q值。其中p为PACF图的最大滞后点,q为ACF图的最大滞后点。通过AIC和BIC准则比较不同差分阶数的AIC,BIC,取两者最小值的p,q。Determine the p and q values, and perform PACF and ACF on the historical blood sampling data after d-order difference to determine the p and q values. Where p is the maximum lag point of the PACF graph, and q is the maximum lag point of the ACF graph. Use the AIC and BIC criteria to compare the AIC and BIC of different difference orders, and take the p and q with the minimum value of the two.
6.生成采血计划6. Generate blood collection plan
a.采血预测模型经过和历史数据对比生成精确的采血预测量;a. The blood collection prediction model generates accurate blood collection prediction volume by comparing with historical data;
b.用血需求预测模型与历史用血数据进行对比修正后形成用血预测量;b. The blood demand forecast model is compared with the historical blood usage data and then revised to form the predicted blood usage volume;
c.用血需求预测模型与采血预测需求模型共同作用:c. The blood demand prediction model and the blood collection demand prediction model work together:
若用血需求预测量大于采血预测量,则结合血站血液库存量,对未来七天的采血计划中采血量提高;若用血需求预测量小于采血预测模型,则结合血站血液库存,对未来七天的采血计划调整,降低采血量,将多出的部分转移至其他缺血少血地区;If the predicted blood demand is greater than the predicted blood collection, the blood collection plan for the next seven days will be increased in combination with the blood inventory at the blood station; if the predicted blood demand is less than the blood collection prediction model, the blood collection plan for the next seven days will be adjusted in combination with the blood inventory at the blood station, the blood collection volume will be reduced, and the excess blood will be transferred to other blood-deficient and anemic areas;
d.未来天气预测:未来七天的天气也会对采血计划造成干扰,预测出未来七天天气后,在对不同地区的采血时间进行更精确的分析定位。d. Future weather forecast: The weather in the next seven days will also interfere with the blood collection plan. After predicting the weather in the next seven days, a more accurate analysis and positioning of the blood collection time in different regions can be carried out.
7.医院用血效果评估模型:7. Hospital blood use effect evaluation model:
从医院收集历史用血数据,包括患者人口学信息、医疗史、实验室测试结果和血液输注记录;Historical blood use data were collected from hospitals, including patient demographic information, medical history, laboratory test results, and blood transfusion records;
预处理数据,处理缺失值、异常值和不一致性,将数据转换为适合分析的格式;Preprocess the data, handle missing values, outliers, and inconsistencies, and convert the data into a format suitable for analysis;
从数据中选择患者年龄和性别,医疗史,血型和Rh状态,以前的血液输注史。采用主成分分析(PCA)或递归特征消除(RFE)从数据中提取相关特征;Select patient age and gender, medical history, blood type and Rh status, previous blood transfusion history from the data. Use principal component analysis (PCA) or recursive feature elimination (RFE) to extract relevant features from the data;
使用所选特征构建逻辑回归模型,以预测用血的可能性。使用后向消除或逐步回归来选择最相关的特征并避免过拟合;Use the selected features to build a logistic regression model to predict the likelihood of blood use. Use backward elimination or stepwise regression to select the most relevant features and avoid overfitting.
使用准确率、精度、召回率和F1分数来评估逻辑回归模型的性能;Use accuracy, precision, recall, and F1 score to evaluate the performance of the logistic regression model;
使用技术德尔菲法来聚合专家意见,并获得特征重要性的共识;A technical Delphi method was used to aggregate expert opinions and obtain consensus on feature importance;
将逻辑回归模型与专家意见结合,使用贝叶斯模型平均来整合逻辑回归模型与专家意见。使用准确率,召回率和F1分数来评估混合模型的性能;Combine the logistic regression model with expert opinions and use Bayesian model averaging to integrate the logistic regression model with expert opinions. Use precision, recall and F1 score to evaluate the performance of the hybrid model;
使用交叉验证和自助法来验证混合模型;Cross-validation and bootstrapping were used to validate the mixed model;
不断监控和更新混合模型。Continuously monitor and update the hybrid model.
具体实施:Specific implementation:
Logistics回归研究方法:以用血量为研究对象和数据集,选择影响用血量预测的因素为变量目标,建立logistics回归模型。首先对预测指标进行因子分析,对数据进行降维处理,剔除数据间的相关性,确定最终指标;然后根据最终指标建立logistics回归模型;最后对模型的预测效果进行检验,并结合真实结果对合理用血提出合理建议。Logistics regression research method: Taking blood usage as the research object and data set, factors affecting blood usage prediction are selected as variable targets to establish a logistics regression model. First, factor analysis is performed on the prediction indicators, dimensionality reduction is performed on the data, the correlation between the data is eliminated, and the final indicators are determined; then a logistics regression model is established based on the final indicators; finally, the prediction effect of the model is tested, and reasonable suggestions for reasonable blood use are made in combination with the actual results.
皮尔逊检验是否有相关性:Pearson's test for correlation:
变量说明:x1:A型血,x2:B型血,x3:AB型血,x4:O型血;Variable description: x 1 : blood type A, x 2 : blood type B, x 3 : blood type AB, x 4 : blood type O;
步骤一:数据清洗,设因变量为二分类变量,取值为y=0或y=1(血液用量是否充足)影响y取值的m个变量非别为x1x2x3x4。在m个自变量作用下,阳性结果暨y=1发生的条件概率p=p(y=1|x1,x2,…xm)。Step 1: Data cleaning, assume that the dependent variable is a binary variable, with the value y=0 or y=1 (whether the blood volume is sufficient). The m variables that affect the value of y are x1 x2 x3 x4 . Under the influence of m independent variables, the conditional probability of a positive result, y=1, is p=p(y=1| x1 , x2 , ... xm ).
Logistics回归模型可表示为:The Logistics regression model can be expressed as:
步骤二:对式子进行logit变换,得到logistics回归模型如下的线性形式:Step 2: Perform logit transformation on the formula to obtain the following linear form of the logistics regression model:
常数项β是当各种暴露因素均为0时,供血充足与不充足概率之比的自然对数值。偏回归系数βj(j=1,2,3,…,m)表示在其他自变量固定的条件下,第j个自变量每改变一个单位时logit(p)的平均改变量。它与比数比OR有对应关系。在其他影响因素相同的情况下,某危险因素xj的两个不同暴露水平和c1和c0发病优势比的自然对数为:The constant term β is the natural logarithm of the ratio of the probability of adequate blood supply to the probability of inadequate blood supply when all exposure factors are 0. The partial regression coefficient β j (j = 1, 2, 3, ..., m) represents the average change in logit (p) when the jth independent variable changes by one unit under the condition that other independent variables are fixed. It has a corresponding relationship with the odds ratio OR. When other influencing factors are the same, the natural logarithm of the odds ratio of two different exposure levels of a risk factor x j and c 1 and c 0 is:
所以:so:
ORj=exp[βj(c1-c0)]OR j = exp[β j (c 1 −c 0 )]
OR越大阳性结果概率越大,表示该种血型的用血量充足。The larger the OR, the greater the probability of a positive result, indicating that the blood supply for that blood type is sufficient.
实施例2Example 2
一种血液管理辅助决策系统,包括数据采集模块、血液需求预测模块、采血趋势预测模块、资源调配决策模块、风险评估与缓解模块和血液库存管理模块;A blood management decision-making support system, comprising a data collection module, a blood demand prediction module, a blood collection trend prediction module, a resource allocation decision module, a risk assessment and mitigation module, and a blood inventory management module;
数据采集模块负责采集输血数据和采血数据;The data collection module is responsible for collecting blood transfusion data and blood collection data;
血液需求预测模块负责分析历史用血数据,预测不同情况下的血液需求量;The blood demand prediction module is responsible for analyzing historical blood usage data and predicting blood demand under different circumstances;
采血趋势预测模块负责利用历史采血数据和影响采血的因素(如天气、人口统计数据等),预测未来采血趋势;The blood collection trend prediction module is responsible for predicting future blood collection trends using historical blood collection data and factors that affect blood collection (such as weather, demographic data, etc.);
资源调配决策模块负责根据预测和实时数据,制定血液资源的调配决策,优化库存分布;The resource allocation decision module is responsible for making blood resource allocation decisions and optimizing inventory distribution based on forecasts and real-time data;
风险评估与采血决策模块负责评估潜在风险,如供应短缺或过剩,并提出相应的缓解措施;The risk assessment and blood collection decision module is responsible for evaluating potential risks, such as supply shortage or surplus, and proposing corresponding mitigation measures;
血液库存管理模块负责跟踪和管理血液库存,包括血型分类、数量、有效期等,并进行库存预警。The blood inventory management module is responsible for tracking and managing blood inventory, including blood type classification, quantity, expiration date, etc., and providing inventory warnings.
优选的方案中,还包括紧急需求响应模块,负责对于突发事件或未预测到的需求激增,快速制定和执行应对计划。The preferred solution also includes an emergency demand response module, which is responsible for quickly formulating and executing response plans for emergencies or unforeseen demand surges.
优选的方案中,还包括数据监控与报告模块,负责实时监控采血和供血数据,生成报告,为管理层提供决策支持。The preferred solution also includes a data monitoring and reporting module, which is responsible for real-time monitoring of blood collection and blood supply data, generating reports, and providing decision support for management.
优选的方案中,血液需求预测模块包括LSTM时序预测模型,预测出未来七日的血液需求量;In the preferred solution, the blood demand prediction module includes an LSTM time series prediction model to predict the blood demand in the next seven days;
数据采集模块采集往年此时的血液需求数据,血液需求预测模块将预测数据与往年此时的血液需求数据进行比较;The data collection module collects blood demand data at this time in previous years, and the blood demand prediction module compares the predicted data with the blood demand data at this time in previous years;
当血液需求预测量高于往年的血液需求数据时,则直接形成(补充)制定的采血计划的要素之一;When the predicted blood demand is higher than the blood demand data of previous years, it directly forms (supplements) one of the elements of the formulated blood collection plan;
当血液需求预测量低于往年的血液需求数据时,则需要血站进一步调整完善后,再作为采血要素。When the predicted blood demand is lower than the blood demand data of previous years, the blood station needs to make further adjustments and improvements before it can be used as a factor for blood collection.
优选的方案中,采血趋势预测模块包括ARIMA预测模型,预测出未来七日的各种血型的采集量;In the preferred solution, the blood collection trend prediction module includes an ARIMA prediction model to predict the collection volume of various blood types in the next seven days;
数据采集模块采集往年此时的各种血型的采集数据,采血趋势预测模块将预测出的数据与往年的采集数据进行比较:The data collection module collects the data of various blood types collected at this time in previous years, and the blood collection trend prediction module compares the predicted data with the collection data of previous years:
当采血预测量较低时,则需要对采血进行调整提高缺少血型的采集量;When the predicted blood collection volume is low, the blood collection needs to be adjusted to increase the collection volume of the missing blood type;
当采血预测量较高时,则对未来七日的采血结构数量进行优化,进一步精确各种血型的采集量。When the predicted blood collection volume is high, the blood collection structure quantity for the next seven days will be optimized to further refine the collection volume of each blood type.
优选的方案中,血液库存管理模块根据采血预测结果生成采血计划,具体包括以下步骤:In a preferred solution, the blood inventory management module generates a blood collection plan according to the blood collection prediction result, which specifically includes the following steps:
S1、采血趋势预测模块经过和历史数据对比生成采血预测量;S1, the blood sampling trend prediction module generates the predicted blood sampling amount by comparing with the historical data;
S2、血液需求预测模型与历史用血数据进行对比修正后形成用血预测量;S2. The blood demand prediction model is compared with the historical blood usage data and then corrected to form the predicted blood usage amount;
S3、当血液需求预测量大于采血预测量时,则将未来七日的采血量提高;当血液需求预测量小于采血预测量时,将降低未来七日的采血量,将超出需求预测量的部分转移至缺血少血地区。S3. When the predicted blood demand is greater than the predicted blood collection, the blood collection volume for the next seven days will be increased; when the predicted blood demand is less than the predicted blood collection, the blood collection volume for the next seven days will be reduced, and the part exceeding the predicted demand will be transferred to the ischemic and anemic areas.
优选的方案中,预测出未来七日天气后,在对不同地区的采血时间进行更精确的分析定位。In the preferred solution, after predicting the weather for the next seven days, a more accurate analysis and positioning of the blood collection time in different regions is performed.
优选的方案中,紧急需求响应模块包括快速响应模型,用于紧急情况下的快速识别、预警和决策;In a preferred solution, the emergency demand response module includes a rapid response model for rapid identification, warning and decision-making in emergency situations;
紧急需求响应包括以下步骤:Emergency demand response includes the following steps:
S1、收集和整理历史上发生过的紧急情况,包括血液短缺、自然灾害和大规模事故,并分析紧急情况的特点和应对措施。S1. Collect and organize emergency situations that have occurred in history, including blood shortages, natural disasters, and large-scale accidents, and analyze the characteristics of emergencies and response measures.
S2、利用统计和机器学习技术,评估不同紧急情况发生的概率,并建立预测模型。S2. Use statistical and machine learning techniques to assess the probability of different emergency situations and establish a predictive model.
S3、根据历史数据和风险评估,制定紧急情况清单;S3. Develop an emergency list based on historical data and risk assessment;
S4、对清单中的每个紧急情况,预设应对措施;S4. For each emergency situation in the list, pre-set response measures;
S5、利用实时数据监控和自动化算法,用于快速识别紧急情况;S5. Use real-time data monitoring and automated algorithms to quickly identify emergency situations;
S6、当监测到紧急情况即将发生或已经发生时,系统能够自动发出预警;S6. When an emergency is detected to be about to happen or has already happened, the system can automatically issue an early warning;
S7、提供决策支持工具,帮助管理人员快速做出决策,包括预设措施的选择和执行。S7. Provide decision support tools to help managers make decisions quickly, including the selection and implementation of preset measures.
优选的方案中,步骤S3中的紧急情况清单包括:自然灾害、公共卫生事件、血液供应短缺、血液库存达到有效期限制、关键采血地点故障、季节性血液需求变化、血液检测中发现不合格血液比例异常增高、关键人员短缺和技术或系统故障。In a preferred embodiment, the list of emergency situations in step S3 includes: natural disasters, public health events, blood supply shortages, blood inventory reaching its expiration date, failures at key blood collection sites, seasonal changes in blood demand, abnormally high proportions of unqualified blood found in blood testing, shortages of key personnel, and technical or system failures.
优选的方案中,根据不同紧急情况发生的概率分为不同的响应等级。In the preferred solution, different response levels are provided according to the probability of occurrence of different emergency situations.
以上实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的精神和范围。The above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit the same. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that the technical solutions described in the aforementioned embodiments may still be modified, or some of the technical features thereof may be replaced by equivalents. However, these modifications or replacements do not deviate the essence of the corresponding technical solutions from the spirit and scope of the technical solutions of the embodiments of the present invention.
Claims (9)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202410863681.8A CN118692643A (en) | 2024-06-29 | 2024-06-29 | A blood management decision-making support system |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202410863681.8A CN118692643A (en) | 2024-06-29 | 2024-06-29 | A blood management decision-making support system |
Publications (1)
Publication Number | Publication Date |
---|---|
CN118692643A true CN118692643A (en) | 2024-09-24 |
Family
ID=92771352
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN202410863681.8A Pending CN118692643A (en) | 2024-06-29 | 2024-06-29 | A blood management decision-making support system |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN118692643A (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN119092080A (en) * | 2024-11-07 | 2024-12-06 | 宁波大学附属第一医院 | An intelligent blood product management method and system based on multi-dimensional data |
CN119250699A (en) * | 2024-09-25 | 2025-01-03 | 重庆文奥机械有限公司 | An intelligent warehouse management system for spindle components based on digital twins |
CN119480045A (en) * | 2025-01-13 | 2025-02-18 | 上海市皮肤病医院 | Blood product intelligent inventory management method and system based on medical big data |
-
2024
- 2024-06-29 CN CN202410863681.8A patent/CN118692643A/en active Pending
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN119250699A (en) * | 2024-09-25 | 2025-01-03 | 重庆文奥机械有限公司 | An intelligent warehouse management system for spindle components based on digital twins |
CN119092080A (en) * | 2024-11-07 | 2024-12-06 | 宁波大学附属第一医院 | An intelligent blood product management method and system based on multi-dimensional data |
CN119480045A (en) * | 2025-01-13 | 2025-02-18 | 上海市皮肤病医院 | Blood product intelligent inventory management method and system based on medical big data |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN118692643A (en) | A blood management decision-making support system | |
US20080015891A1 (en) | Method and System to Assess an Acute and Chronic Disease Impact Index | |
CN118333642B (en) | Method for tracing diversified community nursing service and improving service quality | |
US11829891B2 (en) | Integrated hospital logistics management system using AI technology, and integrated hospital logistics management method using same | |
Zafaranlouei et al. | Assessment of sustainable waste management alternatives using the extensions of the base criterion method and combined compromise solution based on the fuzzy Z-numbers | |
Ieva et al. | Detecting and visualizing outliers in provider profiling via funnel plots and mixed effect models | |
Fals-Stewart et al. | Assessing the costs, benefits, cost-benefit ratio, and cost-effectiveness of marital and family treatments: why we should and how we can. | |
Hariyani et al. | Green sukuk-based project on sustainable waste management in Indonesia | |
CN115409380A (en) | Hospital medical insurance performance evaluation method and device, electronic equipment and storage medium thereof | |
CN118969295B (en) | Early warning system and method for high-risk pregnant women | |
Martin et al. | Hypertension identification using inpatient clinical notes from electronic medical records: an explainable, data-driven algorithm study | |
CN118471454B (en) | Method and system for assisting in statistics of working efficiency of outpatient service according to triage system | |
Mummolo et al. | A fuzzy approach for medical equipment replacement planning | |
CN118824457A (en) | A critical care auxiliary diagnosis and treatment management method and system based on patient surface information | |
CN117474379A (en) | New operational efficiency calculation method based on DRG and DIP | |
CN117151540A (en) | Data processing method and system applied to intelligent endowment development level evaluation | |
CN113919891B (en) | A standard cost accounting system and method for medical service items based on time-based activity-based costing | |
Tavakoli et al. | Risk assessment of medical devices used for COVID-19 patients based on a Markovian-based weighted failure mode effects analysis (WFMEA) | |
CN115798697A (en) | County-area health community diagnosis and treatment equipment management system based on artificial intelligence algorithm | |
Kennedy et al. | Identification of patients with evolving coronary syndromes by using statistical models with data from the time of presentation | |
Ghaffari et al. | Investigating DRG cost weights for hospitals in middle income countries | |
Hosseinpour et al. | A RISK ASSESSMENT MODEL FOR HEALTH SUPPLY CHAIN BASED ON HYBRID FUZZY MCDM METHOD. | |
van de Meulengraaf et al. | Predicting Demand for Visits to the Outpatient Gynaecology Department | |
Jiang | Optimal Nursing Home Workforce Planning Under Nonstationary Uncertainty | |
Kriksciuniene et al. | Overview of the artificial intelligence methods and analysis of their application potential |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination |