Augmented Reality Eyewear for Assisting in the Preparation and Control of Cancer Therapies: Assessing the Learning Curve and Level of Adoption.

Since March 2022, the centralized cytotoxic preparation unit at the Lille University Hospital (Lille, France) is equipped with augmented reality eyewear for preparation and quality control. The technology enables a user-friendly guided step by step preparation process. It also assists the user by identifying vials through data matrix scan and recording photos at different stages of preparation in order to replace the in-process double visual inspection which will now be carried out a posteriori during the release control. In this paper, we evaluate user feedback and model the learning curve for this new tool. The team's feedback was evaluated using the System Usability Scale (SUS) and Short User Experience Questionnaire (S-UEQ). Both questionnaires showed very good acceptance of the tool by our teams, with scores of 79.7 for the SUS and 2.014 for the UEQ. Finally, a learning curve was drawn up according to Wright, showing a learning curve of 91%. This study shows that the tool has been very well integrated into our preparation unit.

Symbolic Artificial Intelligence to Diagnose Tuberculosis Using Ontology.

Pulmonary Tuberculosis (PTB) is an infectious disease caused by a bacterium called Mycobacterium tuberculosis. This paper aims to create Symbolic Artificial Intelligence (SAI) system to diagnose PTB using clinical and paraclinical data. Usually, the automatic PTB diagnosis is based on either microbiological tests or lung X-rays. It is challenging to identify PTB accurately due to similarities with other diseases in the lungs. X-ray alone is not sufficient to diagnose PTB. Therefore, it is crucial to implement a system that can diagnose based on all paraclinical data. Thus, we propose in this paper a new PTB ontology that stores all paraclinical tests and clinical symptoms. Our SAI system includes domain ontology and a knowledge base with performance indicators and proposes a solution to diagnose current and future PTB also abnormal patients. Our approach is based on a real database of more than four years from our collaborators at Pondicherry hospital in India.

Pharmaceutical Decision Support System Using Machine Learning to Analyze and Limit Drug-Related Problems in Hospitals.

The health product circuit corresponds to the chain of steps that a medicine goes through in hospital, from prescription to administration. The safety and regulation of all the stages of this circuit are major issues to ensure the safety and protect the well-being of hospitalized patients. In this paper we present an automatic system for analyzing prescriptions using Artificial Intelligence (AI) and Machine Learning (ML), with the aim of ensuring patient safety by limiting the risk of prescription errors or drug iatrogeny. Our study is made in collaboration with Lille University Hospital (LUH). We exploited the MIMIC-III (Medical Information Mart for Intensive Care) a large, single-center database containing information corresponding to patients admitted to critical care units at a large tertiary care hospital.

Impact of the Automation of Inpatient Bed Management to Reduce the Emergency Service Waiting Time.

The patient waiting time to be transferred for hospitalization is the time that the patient waits between the decision to hospitalize and the actual admission to an inpatient hospital bed. One of the difficulties encountered in qualifying waiting time for inpatient bed is the inability of hospital information systems to measure it. Hospitals in France have a specialized bed allocation team. This team must manage the bed allocation problem between different hospital departments using phone communication to assign patients to the adapted service. This kind of communication represents a lengthy additional workload in which effectiveness is uncertain. This paper presents a new approach to automate bed management in downstream service. For that, we have implemented algorithms based on artificial intelligent integrated in an inpatient web platform using IoT-Beacons, which is implemented to improve and facilitate the exchange of availability information of downstream beds within the Lille university hospital center (LUHC).

Ontology for Overcrowding Management in Emergency Department.

Emergency department (ED) overcrowding is an ongoing problem worldwide. Scoring systems are available for the detection of this problem. This study aims to combine a model that allows the detection and management of overcrowding. Therefore, it is crucial to implement a system that can reason model, rank ED resources and ED performance indicators based on environmental factors. Thus, we propose in this paper a new domain ontology (EDOMO) based on a new overcrowding estimation score (OES) to detect critical situations, specify the level of overcrowding and propose solutions to deal with these situations. Our approach is based on a real database created during more than four years from the Lille University Hospital Center (LUHC) in France. The resulting ontology is capable of modeling complete domain knowledge to enable semantic reasoning based on SWRL rules. The evaluation results show that the EDOMO is complete that can enhance the functioning of the ED.

IoT Based Architecture for Model Predictive Control of HVAC Systems in Smart Buildings.

The efficient management of Heating Ventilation and Air Conditioning (HVAC) systems in smart buildings is one of the main applications of the Internet of Things (IoT) paradigm. In this paper we propose an IoT based architecture for the implementation of Model Predictive Control (MPC) of HVAC systems in real environments. The considered MPC algorithm optimizes on line, in a closed-loop control fashion, both the indoor thermal comfort and the related energy consumption for a single zone environment. Thanks to the proposed IoT based architecture, the sensing, control, and actuating subsystems are all connected to the Internet, and a remote interface with the HVAC control system is guaranteed to end-users. In particular, sensors and actuators communicate with a remote database server and a control unit, which provides the control actions to be actuated in the HVAC system; users can set remotely the control mode and related set-points of the system; while comfort and environmental indices are transferred via the Internet and displayed on the end-users' interface. The proposed IoT based control architecture is implemented and tested in a campus building at the Polytechnic of Bari (Italy) in a proof of concept perspective. The effectiveness of the proposed control algorithm is assessed in the real environment evaluating both the thermal comfort results and the energy savings with respect to a classical thermostat regulation approach.

Agents endowed with uncertainty management behaviors to solve a multiskill healthcare task scheduling.

Health organizations are complex to manage due to their dynamic processes and distributed hospital organization. It is therefore necessary for healthcare institutions to focus on this issue to deal with patients' requirements. We aim in this paper to develop and implement a management decision support system (DSS) that can help physicians to better manage their organization and anticipate the feature of overcrowding. Our objective is to optimize the Pediatric Emergency Department (PED) functioning characterized by stochastic arrivals of patients leading to its services overload. Human resources allocation presents additional complexity related to their different levels of skills and uncertain availability dates. So, we propose a new approach for multi-healthcare task scheduling based on a dynamic multi-agent system. Decisions about assignment and scheduling are the result of a cooperation and negotiation between agents with different behaviors. We therefore define the actors involved in the agents' coalition to manage uncertainties related to the scheduling problem and we detail their behaviors. Agents have the same goal, which is to enhance care quality and minimize long waiting times while respecting degrees of emergency. Different visits to the PED services and regular meetings with the medical staff allowed us to model the PED architecture and identify the characteristics and different roles of the healthcare providers and the diverse aspects of the PED activities. Our approach is integrated in a DSS for the management of the Regional University Hospital Center (RUHC) of Lille (France). Our survey is included in the French National Research Agency (ANR) project HOST (Hôpital: Optimisation, Simulation et évitement des Tensions (ANR-11-TecSan-010: http://host.ec-lille.fr/wp-content/themes/twentyeleven/docsANR/R0/HOST-WP0.pdf)).

Health Care Decision Support System for the Pediatric Emeregency Department Management.

Health organization management is facing a high amount of complexity due to the inherent dynamics of the processes and the distributed organization of hospitals. It is therefore necessary for health care institutions to focus on this issue in order to deal with patients' requirements and satisfy their needs. The main objective of this study is to develop and implement a Decision Support System which can help physicians to better manage their organization, to anticipate the overcrowding feature, and to establish avoidance proposals for it. This work is a part of HOST project (Hospital: Optimization, Simulation, and Crowding Avoidance) of the French National Research Agency (ANR). It aims to optimize the functioning of the Pediatric Emergency Department characterized by stochastic arrivals of patients which leads to its overcrowding and services overload. Our study is a set of tools to smooth out patient flows, enhance care quality and minimize long waiting times and costs due to resources allocation. So we defined a decision aided tool based on Multi-agent Systems where actors negotiate and cooperate under some constraints in a dynamic environment. These entities which can be either physical agents representing real actors in the health care institution or software agents allowing the implementation of optimizing tools, cooperate to satisfy the demands of patients while respecting emergency degrees. This paper is concerned with agents' negotiation. It proposes a new approach for multi-skill tasks scheduling based on interactions between agents.