| Publication Type |
dissertation |
| School or College |
School of Medicine |
| Department |
Biomedical Informatics |
| Author |
Taft, Laritza M. |
| Title |
Application of knowledge discovery in databases methodologies for predictive models for pregnancy adverse events |
| Date |
2010-08 |
| Description |
In its report To Err is Human, The Institute of Medicine recommended the implementation of internal and external voluntary and mandatory automatic reporting systems to increase detection of adverse events. Knowledge Discovery in Databases (KDD) allows the detection of patterns and trends that would be hidden or less detectable if analyzed by conventional methods. The objective of this study was to examine novel KDD techniques used by other disciplines to create predictive models using healthcare data and validate the results through clinical domain expertise and performance measures. Patient records for the present study were extracted from the enterprise data warehouse (EDW) from Intermountain Healthcare. Patients with reported adverse events were identified from ICD9 codes. A clinical classification of the ICD9 codes was developed, and the clinical categories were analyzed for risk factors for adverse events including adverse drug events. Pharmacy data were categorized and used for detection of drugs administered in temporal sequence with antidote drugs. Data sampling and data boosting algorithms were used as signal amplification techniques. Decision trees, Naïve Bayes, Canonical Correlation Analysis, and Sequence Analysis were used as machine learning algorithms. iv Performance measures of the classification algorithms demonstrated statistically significant improvement after the transformation of the dataset through KDD techniques, data boosting and sampling. Domain expertise was applied to validate clinical significance of the results. KDD methodologies were applied successfully to a complex clinical dataset. The use of these methodologies was empirically proven effective in healthcare data through statistically significant measures and clinical validation. Although more research is required, we demonstrated the usefulness of KDD methodologies in knowledge extraction from complex clinical data. |
| Type |
Text |
| Publisher |
University of Utah |
| Subject MESH |
Pregnancy Complications; Adverse Drug Reaction Reporting Systems; Medication Errors; Decision Making, Computer-Assisted; Algorithms; Computer Simulation; Knowledge Bases; Data Mining; Unified Medical Language System; Root Cause Analysis; Risk Factors; Database; International Classification of Diseases; Knowledge Discovery |
| Dissertation Institution |
University of Utah |
| Dissertation Name |
Doctor of Philosophy |
| Language |
eng |
| Relation is Version of |
Digital reproduction of Application of Knowledge Discovery in Databases Methodologies for Predictive Models for Pregnancy Adverse Events. Spencer S. Eccles Health Sciences Library. Print version available at J. Willard Marriott Library Special Collections. |
| Rights Management |
Copyright © Laritza M. Taft 2010 |
| Format Medium |
application/pdf |
| Format Extent |
343,428 bytes |
| Source |
Original in Marriott Library Special Collections, RG41.5 2010.T23 |
| ARK |
ark:/87278/s6fn4fcx |
| Setname |
ir_etd |
| ID |
196418 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6fn4fcx |
