Supervised machine learning-based prediction for in-hospital pressure injury development using electronic health records: A retrospective observational cohort study in a university hospital in Japan.

Journal: International journal of nursing studies
Published Date:

Abstract

BACKGROUND: In hospitals, nurses are responsible for pressure injury risk assessment using several kinds of risk assessment scales. However, their predictive validity is insufficient to initiate targeted preventive strategy for each patient. The use of electronic health records with machine learning technique is a promising strategy to provide automated clinical decision-making aid.

Authors

  • Gojiro Nakagami
    Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Shinichiroh Yokota
    Author Affiliations: Departments of Healthcare Information Management (Mr Yokota) and Nursing (Ms Endo), The University of Tokyo Hospital; and Department of Biomedical Informatics, Graduate School of Medicine (Dr Ohe), The University of Tokyo, Japan.
  • Aya Kitamura
    Department of Gerontological Nursing/Wound Care Management, The Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. Electronic address: ayakitamura@g.ecc.u-tokyo.ac.jp.
  • Toshiaki Takahashi
    Division of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
  • Kojiro Morita
    Department of Health Services Research, Faculty of Medicine, University of Tsukuba, 1-1-1 Tenno-dai, Tsukuba, Ibaraki 305-8575, Japan; Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 1130033, Japan.
  • Hiroshi Noguchi
    Department of Life Support Technology (Molten), Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. Electronic address: hnogu-tky@umin.ac.jp.
  • Kazuhiko Ohe
    Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Hiromi Sanada
    Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.