arXiv Machine Learning

Quantifying the Impact of Ambulance Ramping: A Multi-Year Analysis of Victorian Emergency Medical Services Cases

This study analyzes 2,850,575 ambulance attendances in Victoria, Australia, to quantify ambulance ramping—the delay between hospital arrival and patient handover—across 59 hospitals and 79 local government areas from January 2020 to March 2024. It finds that cumulative ambulance hours lost (AHL) totalled 1,491,127 hours, with ten hospitals accounting for 57.8 % of lost hours. Ramping duration increases with the number of ambulances arriving at the same hospital in the preceding hour and shows a moderate correlation with hourly demand two to four hours later.

arXiv AI
Aug 11

Communication-efficient distributed hazard difference estimation for heterogeneous multi-site survival data

arXiv:2601. 14609v2 Announce Type: replace-cross Abstract: Multi-site collaboration can power survival models that no single hospital could fit alone, but privacy rules and protected computing environments block patient-level data sharing and the persistent server connections required by iterative federated methods.

By Ziwen Wang, Siqi Li, Marcus Eng Hock Ong, Nan Liu
arXiv Machine Learning
5d ago

Missingness-Aware Conformal Prediction Under Cross-Hospital Distribution Shift

The paper introduces a missingness‑aware conformal calibration method for mortality prediction that accounts for cross‑hospital distribution shifts. By selecting a measurement on an independent sample, grouping patients by whether that measurement is recorded, and applying Mondrian calibration within each group, the method avoids reusing calibration outcomes. Experiments on eICU and MIMIC‑IV data show that, compared to pooled calibration, it reduces the worst‑group coverage gap by a median of 1.9 percentage points across six settings, though the benefit varies with predictor and hospital.

By Liang You, Dongwen Ou, Hengyu Shi, Siyuan Dai
Hugging Face Trending Papers
Sep 8

A Data-Driven Framework for Identifying and Prioritizing RPA Opportunities in Healthcare Processes

The paper presents a four‑module, data‑driven framework to identify and prioritize robotic process automation (RPA) opportunities in U.S. hospitals. It includes a process taxonomy, an automation suitability index, a tool‑tier selection recommendation, and a return‑on‑investment analysis, all applied to a synthetic portfolio of twenty hospital processes. The authors demonstrate the framework’s robustness through Monte Carlo simulations and discuss governance and future validation steps.

arXiv AI
Sep 11

Emergency Department Revisit Quality Review Screening: Exploring Human Decision-Making and Artificial Intelligence Support

The study examined how clinicians and GPT‑4 evaluate emergency department revisit pairs to determine if further assessment is needed. GPT‑4 over‑identified nearly all pairs as requiring follow‑up, while clinicians used clinical gravity and differential diagnosis factors. An algorithm using a knowledge graph populated by an LLM achieved high positive predictive value for identifying pairs that clinicians deemed warranting review.

By Jonathan A. Handler, Marlene I. Robles-Granda, Jacob E. Mefford, Jeremy S. McGarvey, Gregory S. Podolej, Colleen J. Klein, Matthew D. Dalstrom, William F. Bond
arXiv Machine Learning
Aug 26

A Bayesian Learning Approach for Drone Coverage Network: A Case Study on Cardiac Arrest in Scotland

arXiv:2603.23134v2 Announce Type: replace Abstract: Drones are becoming popular as a complementary system for Emergency Medical Services (EMS). Although several pilot studies and flight trials have s...

By Tathagata Basu, Edoardo Patelli, Gianluca Filippi, Ben Parsonage, Christy Maddock, Massimiliano Vasile, Marco Fossati, Adam Loyd, Shaun Marshall, Paul Gowens