Outlier detection for patient monitoring and alerting

Fuente: arXiv
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Autores principales: Hauskrecht, Miloš, Batal, Iyad, Valko, Michal, Visweswaran, Shyam, Cooper, Gregory F., Clermont, Gilles
Formato: Preprint
Publicado: 2026
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author Hauskrecht, Miloš
Batal, Iyad
Valko, Michal
Visweswaran, Shyam
Cooper, Gregory F.
Clermont, Gilles
author_facet Hauskrecht, Miloš
Batal, Iyad
Valko, Michal
Visweswaran, Shyam
Cooper, Gregory F.
Clermont, Gilles
contents We develop and evaluate a data-driven approach for detecting unusual (anomalous) patient-management decisions using past patient cases stored in electronic health records (EHRs). Our hypothesis is that a patient-management decision that is unusual with respect to past patient care may be due to an error and that it is worthwhile to generate an alert if such a decision is encountered. We evaluate this hypothesis using data obtained from EHRs of 4486 post-cardiac surgical patients and a subset of 222 alerts generated from the data. We base the evaluation on the opinions of a panel of experts. The results of the study support our hypothesis that the outlier-based alerting can lead to promising true alert rates. We observed true alert rates that ranged from 25\% to 66\% for a variety of patient-management actions, with 66\% corresponding to the strongest outliers.
format Preprint
id arxiv_https___arxiv_org_abs_2605_08955
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Outlier detection for patient monitoring and alerting
Hauskrecht, Miloš
Batal, Iyad
Valko, Michal
Visweswaran, Shyam
Cooper, Gregory F.
Clermont, Gilles
Machine Learning
We develop and evaluate a data-driven approach for detecting unusual (anomalous) patient-management decisions using past patient cases stored in electronic health records (EHRs). Our hypothesis is that a patient-management decision that is unusual with respect to past patient care may be due to an error and that it is worthwhile to generate an alert if such a decision is encountered. We evaluate this hypothesis using data obtained from EHRs of 4486 post-cardiac surgical patients and a subset of 222 alerts generated from the data. We base the evaluation on the opinions of a panel of experts. The results of the study support our hypothesis that the outlier-based alerting can lead to promising true alert rates. We observed true alert rates that ranged from 25\% to 66\% for a variety of patient-management actions, with 66\% corresponding to the strongest outliers.
title Outlier detection for patient monitoring and alerting
topic Machine Learning
url https://arxiv.org/abs/2605.08955