Machine Learning to Predict, Detect, and Intervene Older Adults Vulnerable for Adverse Drug Events in the Emergency Department.

Journal: Journal of medical toxicology : official journal of the American College of Medical Toxicology
Published Date:

Abstract

Adverse drug events (ADEs) are common and have serious consequences in older adults. ED visits are opportunities to identify and alter the course of such vulnerable patients. Current practice, however, is limited by inaccurate reporting of medication list, time-consuming medication reconciliation, and poor ADE assessment. This manuscript describes a novel approach to predict, detect, and intervene vulnerable older adults at risk of ADE using machine learning. Toxicologists' expertise in ADE is essential to creating the machine learning algorithm. Leveraging the existing electronic health records to better capture older adults at risk of ADE in the ED may improve their care.

Authors

  • Kei Ouchi
    Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis St, Neville 200, Boston, MA, 02125, USA. kouchi@partners.org.
  • Charlotta Lindvall
    Harvard Medical School, Boston, MA.
  • Peter R Chai
    Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis St, Neville 200, Boston, MA, 02125, USA.
  • Edward W Boyer
    Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis St, Neville 200, Boston, MA, 02125, USA.