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Patient visit forecasting in an emergency department using a deep neural network approach

Milad Yousefi (Department of Industrial and Transportation Engineering, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil)
Moslem Yousefi (Department of Mechanical Engineering, Islamic Azad University, Roudehen, Iran)
Masood Fathi (Department of Production and Automation Engineering, University of Skövde, Skövde, Sweden)
Flavio S. Fogliatto (Department of Industrial and Transportation Engineering, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil)

Kybernetes

ISSN: 0368-492X

Article publication date: 28 October 2019

Issue publication date: 5 September 2020

357

Abstract

Purpose

This study aims to investigate the factors affecting daily demand in an emergency department (ED) and to provide a forecasting tool in a public hospital for horizons of up to seven days.

Design/methodology/approach

In this study, first, the important factors to influence the demand in EDs were extracted from literature then the relevant factors to the study are selected. Then, a deep neural network is applied to constructing a reliable predictor.

Findings

Although many statistical approaches have been proposed for tackling this issue, better forecasts are viable by using the abilities of machine learning algorithms. Results indicate that the proposed approach outperforms statistical alternatives available in the literature such as multiple linear regression, autoregressive integrated moving average, support vector regression, generalized linear models, generalized estimating equations, seasonal ARIMA and combined ARIMA and linear regression.

Research limitations/implications

The authors applied this study in a single ED to forecast patient visits. Applying the same method in different EDs may give a better understanding of the performance of the model to the authors. The same approach can be applied in any other demand forecasting after some minor modifications.

Originality/value

To the best of the knowledge, this is the first study to propose the use of long short-term memory for constructing a predictor of the number of patient visits in EDs.

Keywords

Acknowledgements

The authors would like to thank Dr Lucas Coimbra, coordinator of emergency department in Risoleta Tolentino Neves Hospital for assistance with data collection. The authors also thank the research coordinator of the Brazilian ministry of education (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – CAPES, Process n. 88882.316153/2013-01), for the financial support received to conduct this research.

Citation

Yousefi, M., Yousefi, M., Fathi, M. and Fogliatto, F.S. (2020), "Patient visit forecasting in an emergency department using a deep neural network approach", Kybernetes, Vol. 49 No. 9, pp. 2335-2348. https://doi.org/10.1108/K-10-2018-0520

Publisher

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Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited

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