Supervised machine learning to allocate emergency department resources in disaster situations

Abderrahmane Benkacem, Oualid Kamach, S. Chafik, Youness Frichi
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Abstract

Despite implementing the Hospital Emergency Plan (HEP) in Morocco that manages the massive influx of victims in disaster situations, it is still difficult for healthcare decision-makers to deal effectively with these situations, which has negative impacts on the performance of the emergency department. Thus, managers need decision systems that help save lives and reduce disabilities. This paper aims to improve the HEP by developing a model based on supervised machine learning as a support tool, to allocate the needed human and materials resources according to injuries number. We propose applying a feedforward neural network (FFNN) and backpropagation. We evaluate the proposed model performance indicators. Our framework was conducted on previous experiences between 2009 and 2019 of 4 public hospitals in Casablanca city. The application of the developed model on our data sample showed that the FFNN provided satisfactory precision for the direct implementation and gave feasible solutions according to the available resources. Allocating resources can be performed using FFNN and capitalizing from lessons learned through previous experiences. In addition, this solution can be used as an international reference to provide a new solution that is more performant taking account of the available resources.
监督机器学习在灾难情况下分配急诊科资源
尽管摩洛哥实施了医院应急计划(HEP),管理灾害情况下大量涌入的受害者,但医疗保健决策者仍然难以有效处理这些情况,这对急诊科的工作产生了负面影响。因此,管理人员需要有助于拯救生命和减少残疾的决策系统。本文旨在通过开发基于监督机器学习的模型作为支持工具来改进HEP,根据受伤数量分配所需的人力和物力资源。我们提出应用前馈神经网络(FFNN)和反向传播。我们评估了所提出的模型性能指标。我们的框架是根据卡萨布兰卡市4家公立医院2009年至2019年的经验制定的。在我们的数据样本上的应用表明,FFNN为直接实现提供了满意的精度,并根据可用资源给出了可行的解决方案。可以使用FFNN来分配资源,并从以前的经验中吸取教训。此外,该解决方案还可以用作国际参考,以提供考虑到可用资源的性能更高的新解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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