Computer‐based teaching and evaluation of introductory statistics for health science students: Some lessons learned

In recent years, it has become possible to introduce health science students to statistical packages at an increasingly early stage in their undergraduate studies. This has enabled teaching to take place in a computer laboratory, using real data, and encouraging an exploratory and research‐oriented approach. This paper briefly describes a hypertext Computer Based Tutorial (CBT) concerned with descriptive statistics and introductory data analysis. The CBT has three primary objectives: the introduction of concepts, the facilitation of revision, and the acquisition of skills for project work. Objective testing is incorporated and used for both self‐assessment and formal examination. Evaluation was carried out with a large group of Health Science students, heterogeneous with regard to their IT skills and basic numeracy. The results of the evaluation contain valuable lessons

Using Markov Models to Characterize and Predict Process Target Compliance

Processes are everywhere, covering disparate fields such as business, industry, telecommunications, and healthcare. They have previously been analyzed and modelled with the aim of improving understanding and efficiency as well as predicting future events and outcomes. In recent years, process mining has appeared with the aim of uncovering, observing, and improving processes, often based on data obtained from logs. This typically requires task identification, predicting future pathways, or identifying anomalies. We here concentrate on using Markov processes to assess compliance with completion targets or, inversely, we can determine appropriate targets for satisfactory performance. Previous work is extended to processes where there are a number of possible exit options, with potentially different target completion times. In particular, we look at distributions of the number of patients failing to meet targets, through time. The formulae are illustrated using data from a stroke patient unit, where there are multiple discharge destinations for patients, namely death, private nursing home, or the patient’s own home, where different discharge destinations may require disparate targets. Key performance indicators (KPIs) of this sort are commonplace in healthcare, business, and industrial processes. Markov models, or their extensions, have an important role to play in this work where the approach can be extended to include more expressive assumptions, with the aim of assessing compliance in complex scenarios

Some challenges facing Lean Thinking in healthcare

Copyright @ The Authors 2009. Published by Oxford University Press in association with the International Society for Quality in Health Care. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/2.5/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.No abstract available (Editorial).EPSR

Semi-Markov Models for Process Mining in Smart Homes

Generally, these days people live longer but often with increased impairment and disabilities; therefore, they can benefit from assistive technologies. In this paper, we focus on the completion of activities of daily living (ADLs) by such patients, using so-called Smart Homes and Sensor Technology to collect data, and provide a suitable analysis to support the management of these conditions. The activities here are cast as states of a Markov-type process, while changes of state are indicated by sensor activations. This facilitates the extraction of key performance indicators (KPIs) in Smart Homes, e.g., the duration of an important activity, as well as the identification of anomalies in such transitions and durations. The use of semi-Markov models for such a scenario is described, where the state durations are represented by mixed gamma models. This approach is illustrated and evaluated using a publicly available Smart Home dataset comprising an event log of sensor activations, together with an annotated record of the actual activities. Results indicate that the methodology is well-suited to such scenarios

Phase-type survival trees and mixed distribution survival trees for clustering patients' hospital length of stay

Clinical investigators, health professionals and managers are often interested in developing criteria for clustering patients into clinically meaningful groups according to their expected length of stay. In this paper, we propose two novel types of survival trees; phase-type survival trees and mixed distribution survival trees, which extend previous work on exponential survival trees. The trees are used to cluster the patients with respect to length of stay where partitioning is based on covariates such as gender, age at the time of admission and primary diagnosis code. Likelihood ratio tests are used to determine optimal partitions. The approach is illustrated using nationwide data available from the English Hospital Episode Statistics (HES) database on stroke-related patients, aged 65 years and over, who were discharged from English hospitals over a 1-year period.peer-reviewe

Quantifying consensus of rankings based on q-support patterns

Rankings, representing preferences over a set of candidates, are widely used in many information systems, e.g., group decision making and information retrieval. It is of great importance to evaluate the consensus of the obtained rankings from multiple agents. An overall measure of the consensus degree provides an insight into the ranking data. Moreover, it could provide a quantitative indicator for consensus comparison between groups and further improvement of a ranking system. Existing studies are insufficient in assessing the overall consensus of a ranking set. They did not provide an evaluation of the consensus degree of preference patterns in most rankings. In this paper, a novel consensus quantifying approach, without the need for any correlation or distance functions as in existing studies of consensus, is proposed based on a concept of q-support patterns of rankings. The q-support patterns represent the commonality embedded in a set of rankings. A method for detecting outliers in a set of rankings is naturally derived from the proposed consensus quantifying approach. Experimental studies are conducted to demonstrate the effectiveness of the proposed approach