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引用次数: 0
摘要
在医学研究中,电子病历(EMR)数据的准确性至关重要,尤其是在分析密集的功能数据时,异常数据会严重影响研究的完整性。EMR 中的异常通常是由于数据测量和输入过程中的人为错误造成的,而且随着数据量的增加,出现异常的频率也会增加。尽管计算机科学中已经有了成熟的方法,但医疗应用中的异常检测仍然发展不足。针对这一不足,我们推出了一种新工具,专门用于识别和纠正密集功能性 EMR 数据中的异常。我们的方法利用均值移动模型的学生化残差,因此假定数据遵循平滑的功能轨迹。此外,我们的方法非常保守,在控制误发现率和 II 类错误的同时,重点关注数据收集过程中实际错误的异常现象。为了支持广泛实施,我们提供了一个全面的 R 软件包,确保我们的方法可以应用于各种环境。我们的方法的有效性已通过严格的模拟研究和实际应用进行了验证,证实了其准确识别和纠正错误的能力,从而提高了医学数据分析的可靠性和质量。
Anomaly Detection and Correction in Dense Functional Data Within Electronic Medical Records.
In medical research, the accuracy of data from electronic medical records (EMRs) is critical, particularly when analyzing dense functional data, where anomalies can severely compromise research integrity. Anomalies in EMRs often arise from human errors in data measurement and entry, and increase in frequency with the volume of data. Despite the established methods in computer science, anomaly detection in medical applications remains underdeveloped. We address this deficiency by introducing a novel tool for identifying and correcting anomalies specifically in dense functional EMR data. Our approach utilizes studentized residuals from a mean-shift model, and therefore assumes that the data adheres to a smooth functional trajectory. Additionally, our method is tailored to be conservative, focusing on anomalies that signify actual errors in the data collection process while controlling for false discovery rates and type II errors. To support widespread implementation, we provide a comprehensive R package, ensuring that our methods can be applied in diverse settings. Our methodology's efficacy has been validated through rigorous simulation studies and real-world applications, confirming its ability to accurately identify and correct errors, thus enhancing the reliability and quality of medical data analysis.
期刊介绍:
The journal aims to influence practice in medicine and its associated sciences through the publication of papers on statistical and other quantitative methods. Papers will explain new methods and demonstrate their application, preferably through a substantive, real, motivating example or a comprehensive evaluation based on an illustrative example. Alternatively, papers will report on case-studies where creative use or technical generalizations of established methodology is directed towards a substantive application. Reviews of, and tutorials on, general topics relevant to the application of statistics to medicine will also be published. The main criteria for publication are appropriateness of the statistical methods to a particular medical problem and clarity of exposition. Papers with primarily mathematical content will be excluded. The journal aims to enhance communication between statisticians, clinicians and medical researchers.