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1.
AMIA Annu Symp Proc ; 2022: 405-414, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-37128388

RESUMO

A significant proportion of clinical physiologic monitoring alarms are false. This often leads to alarm fatigue in clinical personnel, inevitably compromising patient safety. To combat this issue, researchers have attempted to build Machine Learning (ML) models capable of accurately adjudicating Vital Sign (VS) alerts raised at the bedside of hemodynamically monitored patients as real or artifact. Previous studies have utilized supervised ML techniques that require substantial amounts of hand-labeled data. However, manually harvesting such data can be costly, time-consuming, and mundane, and is a key factor limiting the widespread adoption of ML in healthcare (HC). Instead, we explore the use of multiple, individually imperfect heuristics to automatically assign probabilistic labels to unlabeled training data using weak supervision. Our weakly supervised models perform competitively with traditional supervised techniques and require less involvement from domain experts, demonstrating their use as efficient and practical alternatives to supervised learning in HC applications of ML.


Assuntos
Artefatos , Monitorização Fisiológica , Aprendizado de Máquina Supervisionado , Sinais Vitais , Humanos , Monitorização Fisiológica/métodos , Monitorização Fisiológica/normas , Heurística , Automação
2.
AMIA Annu Symp Proc ; 2021: 536-545, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35308938

RESUMO

Analysing electrocardiograms (ECGs) is an inexpensive and non-invasive, yet powerful way to diagnose heart disease. ECG studies using Machine Learning to automatically detect abnormal heartbeats so far depend on large, manually annotated datasets. While collecting vast amounts of unlabeled data can be straightforward, the point-by-point annotation of abnormal heartbeats is tedious and expensive. We explore the use of multiple weak supervision sources to learn diagnostic models of abnormal heartbeats via human designed heuristics, without using ground truth labels on individual data points. Our work is among the first to define weak supervision sources directly on time series data. Results show that with as few as six intuitive time series heuristics, we are able to infer high quality probabilistic label estimates for over 100,000 heartbeats with little human effort, and use the estimated labels to train competitive classifiers evaluated on held out test data.


Assuntos
Eletrocardiografia , Cardiopatias , Eletrocardiografia/métodos , Frequência Cardíaca , Humanos , Aprendizado de Máquina
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