Development of Predictive Model of Surgical Case Durations Using Machine Learning Approach.

Optimizing operating room (OR) utilization is critical for enhancing hospital management and operational efficiency. Accurate surgical case duration predictions are essential for achieving this optimization. Our study aimed to refine the accuracy of these predictions beyond traditional estimation me...

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Publicado en:Journal of Medical Systems Vol. 49; no. 1; pp. 1 - 12
Autores principales: Park, Jung-Bin, Roh, Gyun-Ho, Kim, Kwangsoo, Kim, Hee-Soo
Formato: research tables/charts Journal Article
Publicado: Springer Nature 1/14/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/14/2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-025-02141-y
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          Park, Jung-Bin
          Roh, Gyun-Ho
          Kim, Kwangsoo
          Kim, Hee-Soo
        affil: https://ror.org/04h9pn542 Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
      sug:
        subj:
          Surgery, Operative
          Treatment Duration
          Prediction Models
          Random Forest
          Machine Learning
          Program Development
          Health Facility Departments
          Human
          Funding Source
          Operating Rooms
          Algorithms
          Scales
          Decision Making, Clinical
          Retrospective Design
          Record Review
      ab: Optimizing operating room (OR) utilization is critical for enhancing hospital management and operational efficiency. Accurate surgical case duration predictions are essential for achieving this optimization. Our study aimed to refine the accuracy of these predictions beyond traditional estimation methods by developing Random Forest models tailored to specific surgical departments. Utilizing a comprehensive dataset, we applied several machine learning algorithms, including RandomForest, XGBoost, Linear Regression, LightGBM, and CatBoost, and assessed their performance using Mean Absolute Error (MAE), Root Mean Squared Error (RMSE), and R-Squared (R2) metrics. Our findings highlighted that Random Forest models excelled in department-specific applications, achieving an MAE of 16.32, an RMSE of 31.19, and an R2 of 0.92, significantly outperforming general models and conventional estimates. This improvement emphasizes the advantage of customizing models to fit the distinct characteristics and data patterns of each department. Additionally, our SHAP-based feature importance analysis identified morning operation timing, ICU ward assignments, operation codes, and surgeon IDs as key factors influencing surgical duration. This suggests that a detailed and nuanced approach to model development can substantially increase prediction accuracy. By providing a more accurate, reliable tool for predicting surgical case durations, our department-specific Random Forest models promise to enhance surgical scheduling, leading to more effective OR management. This approach underscores the importance of leveraging tailored, data-driven models to improve healthcare outcomes and operational efficiency.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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