Exploring Runtime Decision Support for Trauma Resuscitation

AI-based recommender systems have been successfully applied in many domains (e.g., e-commerce, feeds ranking). Medical experts believe that incorporating such methods into a clinical decision support system may help reduce medical team errors and improve patient outcomes during treatment processes (e.g., trauma resuscitation, surgical processes). Limited research, however, has been done to develop automatic data-driven treatment decision support. We explored the feasibility of building a treatment recommender system to provide runtime next-minute activity predictions. The system uses patient context (e.g., demographics and vital signs) and process context (e.g., activities) to continuously predict activities that will be performed in the next minute. We evaluated our system on a pre-recorded dataset of trauma resuscitation and conducted an ablation study on different model variants. The best model achieved an average F1-score of 0.67 for 61 activity types. We include medical team feedback and discuss the future work.

Generating Privacy-Preserving Process Data with Deep Generative Models

Process data with confidential information cannot be shared directly in public, which hinders the research in process data mining and analytics. Data encryption methods have been studied to protect the data, but they still may be decrypted, which leads to individual identification. We experimented with different models of representation learning and used the learned model to generate synthetic process data. We introduced an adversarial generative network for process data generation (ProcessGAN) with two Transformer networks for the generator and the discriminator. We evaluated ProcessGAN and traditional models on six real-world datasets, of which two are public and four are collected in medical domains. We used statistical metrics and supervised learning scores to evaluate the synthetic data. We also used process mining to discover workflows for the authentic and synthetic datasets and had medical experts evaluate the clinical applicability of the synthetic workflows. We found that ProcessGAN outperformed traditional sequential models when trained on small authentic datasets of complex processes. ProcessGAN better represented the long-range dependencies between the activities, which is important for complicated processes such as the medical processes. Traditional sequential models performed better when trained on large data of simple processes. We conclude that ProcessGAN can generate a large amount of sharable synthetic process data indistinguishable from authentic data.