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Core, Marcia A.

Mayo Clinic

Mayo Clinic

Citations 1

Clinical Implementation of an AI Early Warning System Algorithm: Lessons Learned
Meehan, Anne M. , Core, Marcia A., Ross, Jared M., Rahman, Parvez, Caraballo, Pedro J. , Rahman, Parvez A, Caraballo, Pedro J , Borah, Bijan J.

Studies in Health Technology and Informatics | January 25, 2024 | Volume: No volume available | Issue: No issue available | Pages: No page available

10.3233/shti231202 Get It

The Deterioration Index (DI) is an automatic early warning system that utilizes a machine learning algorithm integrated into the electronic health record and was implemented to improve risk stratification of inpatients. Our pilot implementation showed superior diagnostic accuracy than standard care. A score >60 had a specificity of 88.5% and a sensitivity of 59.8% (PPV 0.1758, NPP 0.9817). However, acceptance in the clinical workflow was divided; nurses preferred standard care, while providers found it helpful.