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To evaluate the impact of community level information on the predictability of out-of-hospital cardiac arrest (OHCA) survival.We used the Cardiac Arrest Registry to Enhance Survival (CARES) to geocode 9,595 Chicago incidents from 2014 to 2019 into community areas. Community variables including crime, healthcare, and economic factors from public data were merged with CARES. The merged data were used to develop ML models for OHCA survival. Models were evaluated using Area Under the Receiver Operating Characteristic curve (AUROC) and features were analyzed using SHapley Additive exPansion (SHAP) values.Baseline results using CARES data achieved an AUROC of 84%. The final model utilizing community variables increased the AUROC to 88%. A SHAP analysis between high and low performing community area clusters showed the high performing cluster is positively impacted by good health related features and good community safety features positively impact the low performing cluster.Utilizing community variables helps predict neurologic outcomes with better performance than only CARES data. Future studies will use this model to perform simulations to identify interventions to improve OHCA survival.

Diabetes intensive care unit (ICU) patients are at increased risk of complications leading to in-hospital mortality. Assessing the likelihood of death is a challenging and time-consuming task due to a large number of influencing factors. Healthcare providers are interested in the detection of ICU patients at higher risk, such that risk factors can possibly be mitigated. While such severity scoring methods exist, they are commonly based on a snapshot of the health conditions of a patient during the ICU stay and do not specifically consider a patient's prior medical history. In this paper, a process mining/deep learning architecture is proposed to improve established severity scoring methods by incorporating the medical history of diabetes patients. First, health records of past hospital encounters are converted to event logs suitable for process mining. The event logs are then used to discover a process model that describes the past hospital encounters of patients. An adaptation of Decay Replay Mining is proposed to combine medical and demographic information with established severity scores to predict the in-hospital mortality of diabetes ICU patients. Significant performance improvements are demonstrated compared to established risk severity scoring methods and machine learning approaches using the Medical Information Mart for Intensive Care III dataset.

Classification models for multivariate time series have drawn the interest of many researchers to the field with the objective of developing accurate and efficient models. However, limited research has been conducted on generating adversarial samples for multivariate time series classification models. Adversarial samples could become a security concern in systems with complex sets of sensors. This study proposes extending the existing gradient adversarial transformation network (GATN) in combination with adversarial autoencoders to attack multivariate time series classification models. The proposed model attacks classification models by utilizing a distilled model to imitate the output of the multivariate time series classification model. In addition, the adversarial generator function is replaced with a variational autoencoder to enhance the adversarial samples. The developed methodology is tested on two multivariate time series classification models: 1-nearest neighbor dynamic time warping (1-NN DTW) and a fully convolutional network (FCN). This study utilizes 30 multivariate time series benchmarks provided by the University of East Anglia (UEA) and University of California Riverside (UCR). The use of adversarial autoencoders shows an increase in the fraction of successful adversaries generated on multivariate time series. To the best of our knowledge, this is the first study to explore adversarial attacks on multivariate time series. Additionally, we recommend future research utilizing the generated latent space from the variational autoencoders.

Background Many models are published which predict outcomes in hospitalized COVID-19 patients. The generalizability of many is unknown. We evaluated the performance of selected models from the literature and our own models to predict outcomes in patients at our institution. Methods We searched the literature for models predicting outcomes in inpatients with COVID-19. We produced models of mortality or criticality (mortality or ICU admission) in a development cohort. We tested external models which provided sufficient information and our models using a test cohort of our most recent patients. The performance of models was compared using the area under the receiver operator curve (AUC). Results Our literature review yielded 41 papers. Of those, 8 were found to have sufficient documentation and concordance with features available in our cohort to implement in our test cohort. All models were from Chinese patients. One model predicted criticality and seven mortality. Tested against the test cohort, internal models had an AUC of 0.84 (0.74–0.94) for mortality and 0.83 (0.76–0.90) for criticality. The best external model had an AUC of 0.89 (0.82–0.96) using three variables, another an AUC of 0.84 (0.78–0.91) using ten variables. AUC’s ranged from 0.68 to 0.89. On average, models tested were unable to produce predictions in 27% of patients due to missing lab data. Conclusion Despite differences in pandemic timeline, race, and socio-cultural healthcare context some models derived in China performed well. For healthcare organizations considering implementation of an external model, concordance between the features used in the model and features available in their own patients may be important. Analysis of both local and external models should be done to help decide on what prediction method is used to provide clinical decision support to clinicians treating COVID-19 patients as well as what lab tests should be included in order sets.

Process mining algorithms discover a process model from an event log. The resulting process model is supposed to describe all possible event sequences of the underlying system. Generalization is a process model quality dimension of interest. A generalization metric should quantify the extent to which a process model represents the observed event sequences contained in the event log and the unobserved event sequences of the system. Most of the available metrics in the literature cannot properly quantify the generalization of a process model. A recently published method called Adversarial System Variant Approximation leverages Generative Adversarial Networks to approximate the underlying event sequence distribution of a system from an event log. While this method demonstrated performance gains over existing methods in measuring the generalization of process models, its experimental evaluations have been performed under ideal conditions. This paper experimentally investigates the performance of Adversarial System Variant Approximation under non-ideal conditions such as biased and limited event logs. Moreover, experiments are performed to investigate the originally proposed sampling parameter value of the method on its performance to measure the generalization. The results confirm the need to raise awareness about the working conditions of the Adversarial System Variant Approximation method and serve to initiate future research directions.

BackgroundParalytic Ileus (PI) patients in the Intensive Care Unit (ICU) are at a significant risk of death. Prediction of at-risk patients for mortality after 24 hours of admission of ICU PI patients is important to increase the life expectancy of PI patients.Methods and ResultsThe proposed framework,DLMP(Deep Learning Model for Mortality Prediction of ICU Patients with PI) is a powerful deep learning model consisting of six total unique clinical lab items and two demographics as inputs to a Neural Network(NN) of only two neuron layers. Using the Medical Information Mart for Intensive Care III (MIMIC-III) dataset of 1,017 ICU PI patients, theDLMPresulted in the best prediction performance with an AUC score of 0.866.ConclusionThe proposed approach is capable of modeling the mortality of ICU patients after 24 hours admission using only six unique total clinical data and two demographics with a simple NN architecture.DLMPframework significantly improves the outcome prediction compared to the process mining and machine learning models. The proposedDLMPhas the potential of allowing clinicians to create targeted interventions that reduce mortality for PI patients in an ICU setting.

Background Intensive Care Unit (ICU) readmissions in patients with heart failure (HF) result in a significant risk of death and financial burden for patients and healthcare systems. Prediction of at-risk patients for readmission allows for targeted interventions that reduce morbidity and mortality. Methods and results We presented a process mining/deep learning approach for the prediction of unplanned 30-day readmission of ICU patients with HF. A patient’s health records can be understood as a sequence of observations called event logs; used to discover a process model. Time information was extracted using the DREAM (Decay Replay Mining) algorithm. Demographic information and severity scores upon admission were then combined with the time information and fed to a neural network (NN) model to further enhance the prediction efficiency. Additionally, several machine learning (ML) algorithms were developed to be used as the baseline models for the comparison of the results. Results By using the Medical Information Mart for Intensive Care III (MIMIC-III) dataset of 3411 ICU patients with HF, our proposed model yielded an area under the receiver operating characteristics (AUROC) of 0.930, 95% confidence interval of [0.898–0.960], the precision of 0.886, sensitivity of 0.805, accuracy of 0.841, and F-score of 0.800 which were far better than the results of the best baseline model and the existing literature. Conclusions The proposed approach was capable of modeling the time-related variables and incorporating the medical history of patients from prior hospital visits for prediction. Thus, our approach significantly improved the outcome prediction compared to that of other ML-based models and health calculators.

Paralytic Ileus (PI) patients are at high risk of death when admitted to the Intensive care unit (ICU), with mortality as high as 40\%. There is minimal research concerning PI patient mortality prediction. There is a need for more accurate prediction modeling for ICU patients diagnosed with PI. This paper demonstrates performance improvements in predicting the mortality of ICU patients diagnosed with PI after 24 hours of being admitted. The proposed framework, PMPI(Process Mining Model to predict mortality of PI patients), is a modification of the work used for prediction of in-hospital mortality for ICU patients with diabetes. PMPI demonstrates similar if not better performance with an Area under the ROC Curve (AUC) score of 0.82 compared to the best results of the existing literature. PMPI uses patient medical history, the time related to the events, and demographic information for prediction. The PMPI prediction framework has the potential to help medical teams in making better decisions for treatment and care for ICU patients with PI to increase their life expectancy.

Decay Replay Mining is a deep learning method that utilizes process model notations to predict the next event. However, this method does not intertwine the neural network with the structure of the process model to its full extent. This paper proposes an approach to further interlock the process model of Decay Replay Mining with its neural network for next event prediction. The approach uses a masking layer which is initialized based on the reachability graph of the process model. Additionally, modifications to the neural network architecture are proposed to increase the predictive performance. Experimental results demonstrate the value of the approach and underscore the importance of discovering precise and generalized process models.

Introduction: The field of artificial intelligence (AI) is rapidly expanding, with many applications seen routinely in health care, industry, and education, and increasingly in workplaces. Although there is growing evidence of applications of AI in workplaces across all industries to simplify and/or automate tasks there is a limited understanding of the role that AI contributes in addressing occupational safety and health (OSH) concerns. Methods: This paper introduces a new framework called Risk Evolution, Detection, Evaluation, and Control of Accidents (REDECA) that highlights the role that AI plays in the anticipation and control of exposure risks in a worker’s immediate environment. Two hundred and sixty AI papers across five sectors (oil and gas, mining, transportation, construction, and agriculture) were reviewed using the REDECA framework to highlight current applications and gaps in OSH and AI fields. Results: The REDECA framework highlighted the unique attributes and research focus of each of the five industrial sectors. The majority of evidence of AI in OSH research within the oil/gas and transportation sectors focused on the development of sensors to detect hazardous situations. In construction the focus was on the use of sensors to detect incidents. The research in the agriculture sector focused on sensors and actuators that removed workers from hazardous conditions. Application of the REDECA framework highlighted AI/OSH strengths and opportunities in various industries and potential areas for collaboration. Conclusions: As AI applications across industries continue to increase, further exploration of the benefits and challenges of AI applications in OSH is needed to optimally protect worker health, safety and well-being.

Process Mining is a famous technique which is frequently applied to Software Development Processes, while being neglected in Human-Computer Interaction (HCI) recommendation applications. Organizations usually train employees to interact with required IT systems. Often, employees, or users in general, develop their own strategies for solving repetitive tasks and processes. However, organizations find it hard to detect whether employees interact efficiently with IT systems or not. Hence, we have developed a method which detects inefficient behavior assuming that at least one optimal HCI strategy is known. This method provides recommendations to gradually adapt users' behavior towards the optimal way of interaction considering satisfaction of users. Based on users' behavior logs tracked by a Java application suitable for multi-application and multi-instance environments, we demonstrate the applicability for a specific task in a common Windows environment utilizing realistic simulated behaviors of users., Comment: Fixed typos, updated event ordering in traces and PN marking definition

Background Out-of-hospital cardiac arrest (OHCA) affects nearly 400,000 people each year in the United States of which only 10% survive. Using data from the Cardiac Arrest Registry to Enhance Survival (CARES), and machine learning (ML) techniques, we developed a model of neurological outcome prediction for OHCA in Chicago, Illinois. Methods Rescue workflow data of 2639 patients with witnessed OHCA were retrieved from Chicago’s CARES. An Embedded Fully Convolutional Network (EFCN) classification model was selected to predict the patient outcome (survival with good neurological outcomes or not) based on 27 input features with the objective of maximizing the average class sensitivity. Using this model, sensitivity analysis of intervention variables such as bystander cardiopulmonary resuscitation (CPR), targeted temperature management, and coronary angiography was conducted. Results The EFCN classification model has an average class sensitivity of 0.825. Sensitivity analysis of patient outcome shows that an additional 33 patients would have survived with good neurological outcome if they had received lay person CPR in addition to CPR by emergency medical services and 88 additional patients would have survived if they had received the coronary angiography intervention. Conclusions ML modeling of the complex Chicago OHCA rescue system can predict neurologic outcomes with a reasonable level of accuracy and can be used to support intervention decisions such as CPR or coronary angiography. The discriminative ability of this ML model requires validation in external cohorts to establish generalizability.

In complex processes, various events can happen in different sequences. The prediction of the next event given an a-priori process state is of importance in such processes. Recent methods have proposed deep learning techniques such as recurrent neural networks, developed on raw event logs, to predict the next event from a process state. However, such deep learning models by themselves lack a clear representation of the process states. At the same time, recent methods have neglected the time feature of event instances. In this paper, we take advantage of Petri nets as a powerful tool in modeling complex process behaviors considering time as an elemental variable. We propose an approach which starts from a Petri net process model constructed by a process mining algorithm. We enhance the Petri net model with time decay functions to create continuous process state samples. Finally, we use these samples in combination with discrete token movement counters and Petri net markings to train a deep learning model that predicts the next event. We demonstrate significant performance improvements and outperform the state-of-the-art methods on nine real-world benchmark event logs., Revised manuscript. Github repository added