Clinical Implementation of an AI Early Warning System Algorithm: Lessons Learned
Anne M. Meehan, Marcia A. Core, Jared M. Ross, Parvez Rahman, Bijan J. Borah, Pedro J. Caraballo · Studies in health technology and informatics · 2024
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.