Use of a Multiscale Vision Transformer to predict Nursing Activities Score from Low Resolution Thermal Videos in an Intensive Care Unit

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Main Authors: Lee, Isaac YL, Nguyen-Duc, Thanh, Ueno, Ryo, Smith, Jesse, Chan, Peter Y
Format: Preprint
Published: 2024
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author Lee, Isaac YL
Nguyen-Duc, Thanh
Ueno, Ryo
Smith, Jesse
Chan, Peter Y
author_facet Lee, Isaac YL
Nguyen-Duc, Thanh
Ueno, Ryo
Smith, Jesse
Chan, Peter Y
contents Excessive caregiver workload in hospital nurses has been implicated in poorer patient care and increased worker burnout. Measurement of this workload in the Intensive Care Unit (ICU) is often done using the Nursing Activities Score (NAS), but this is usually recorded manually and sporadically. Previous work has made use of Ambient Intelligence (AmI) by using computer vision to passively derive caregiver-patient interaction times to monitor staff workload. In this letter, we propose using a Multiscale Vision Transformer (MViT) to passively predict the NAS from low-resolution thermal videos recorded in an ICU. 458 videos were obtained from an ICU in Melbourne, Australia and used to train a MViTv2 model using an indirect prediction and a direct prediction method. The indirect method predicted 1 of 8 potentially identifiable NAS activities from the video before inferring the NAS. The direct method predicted the NAS score immediately from the video. The indirect method yielded an average 5-fold accuracy of 57.21%, an area under the receiver operating characteristic curve (ROC AUC) of 0.865, a F1 score of 0.570 and a mean squared error (MSE) of 28.16. The direct method yielded a MSE of 18.16. We also showed that the MViTv2 outperforms similar models such as R(2+1)D and ResNet50-LSTM under identical settings. This study shows the feasibility of using a MViTv2 to passively predict the NAS in an ICU and monitor staff workload automatically. Our results above also show an increased accuracy in predicting NAS directly versus predicting NAS indirectly. We hope that our study can provide a direction for future work and further improve the accuracy of passive NAS monitoring.
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id arxiv_https___arxiv_org_abs_2406_04364
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Use of a Multiscale Vision Transformer to predict Nursing Activities Score from Low Resolution Thermal Videos in an Intensive Care Unit
Lee, Isaac YL
Nguyen-Duc, Thanh
Ueno, Ryo
Smith, Jesse
Chan, Peter Y
Computer Vision and Pattern Recognition
Human-Computer Interaction
Machine Learning
Excessive caregiver workload in hospital nurses has been implicated in poorer patient care and increased worker burnout. Measurement of this workload in the Intensive Care Unit (ICU) is often done using the Nursing Activities Score (NAS), but this is usually recorded manually and sporadically. Previous work has made use of Ambient Intelligence (AmI) by using computer vision to passively derive caregiver-patient interaction times to monitor staff workload. In this letter, we propose using a Multiscale Vision Transformer (MViT) to passively predict the NAS from low-resolution thermal videos recorded in an ICU. 458 videos were obtained from an ICU in Melbourne, Australia and used to train a MViTv2 model using an indirect prediction and a direct prediction method. The indirect method predicted 1 of 8 potentially identifiable NAS activities from the video before inferring the NAS. The direct method predicted the NAS score immediately from the video. The indirect method yielded an average 5-fold accuracy of 57.21%, an area under the receiver operating characteristic curve (ROC AUC) of 0.865, a F1 score of 0.570 and a mean squared error (MSE) of 28.16. The direct method yielded a MSE of 18.16. We also showed that the MViTv2 outperforms similar models such as R(2+1)D and ResNet50-LSTM under identical settings. This study shows the feasibility of using a MViTv2 to passively predict the NAS in an ICU and monitor staff workload automatically. Our results above also show an increased accuracy in predicting NAS directly versus predicting NAS indirectly. We hope that our study can provide a direction for future work and further improve the accuracy of passive NAS monitoring.
title Use of a Multiscale Vision Transformer to predict Nursing Activities Score from Low Resolution Thermal Videos in an Intensive Care Unit
topic Computer Vision and Pattern Recognition
Human-Computer Interaction
Machine Learning
url https://arxiv.org/abs/2406.04364