Introduction of affinity set and its application in data-mining example of delayed diagnosis

摘要

At least 44,000 people die in hospitals each year as a result of medical errors, and these deaths are becoming the eighth-leading cause of death in the United States. Thus, medical providers have the responsibility to pay attention for reducing avoidable medical errors and improve patient safety as best as they can. It requires the rapid evaluation and prioritisation of life threatening injuries in the primary survey followed by a detailed secondary survey in the emergency room. However, time is always valuable and limited such that some important vital signs may be delayed and ignored. This research explores delayed diagnosis problem and uses the affinity set by Topology concept to classify/focus on key attributes causing delayed diagnosis (missed injury) in order to reduce error risk. Results interestingly indicate that when a patient can breathe normally, but his (or her) blood-pressure or pulse is abnormal, a high probability of delayed diagnosis exists. This affinity work also compares the performance with the model of rough set (Rosetta), neural network, support vector machine and logistic regression. And our affinity model shows its advantage by prediction accuracy and explanation power.