Automating medical simulations.

Activity Recognition Checklist Machine Learning Medical Medical Simulation NLP Speech

Journal

Journal of biomedical informatics
ISSN: 1532-0480
Titre abrégé: J Biomed Inform
Pays: United States
ID NLM: 100970413

Informations de publication

Date de publication:
08 2023
Historique:
received: 19 12 2022
revised: 08 07 2023
accepted: 16 07 2023
medline: 11 8 2023
pubmed: 20 7 2023
entrez: 19 7 2023
Statut: ppublish

Résumé

This study aims to explore speech as an alternative modality for human activity recognition (HAR) in medical settings. While current HAR technologies rely on video and sensory modalities, they are often unsuitable for the medical environment due to interference from medical personnel, privacy concerns, and environmental limitations. Therefore, we propose an end-to-end, fully automatic objective checklist validation framework that utilizes medical personnel's uttered speech to recognize and document the executed actions in a checklist format. Our framework records, processes, and analyzes medical personnel's speech to extract valuable information about performed actions. This information is then used to fill the corresponding rubrics in the checklist automatically. Our approach to activity recognition outperformed the online expert examiner, achieving an F1 score of 0.869 on verbal tasks and an ICC score of 0.822 with an offline examiner. Furthermore, the framework successfully identified communication failures and medical errors made by physicians and nurses. Implementing a speech-based framework in medical settings, such as the emergency room and operation room, holds promise for improving care delivery and enabling the development of automated assistive technologies in various medical domains. By leveraging speech as a modality for HAR, we can overcome the limitations of existing technologies and enhance workflow efficiency and patient safety.

Identifiants

pubmed: 37467836
pii: S1532-0464(23)00167-3
doi: 10.1016/j.jbi.2023.104446
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

104446

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Sapir Gershov (S)

Technion Autonomous Systems Program, Technion - Israel Institute of Technology, Haifa, Israel. Electronic address: sapirgershov@campus.technion.ac.il.

Daniel Braunold (D)

Rambam Health Care Campus, Haifa, Israel.

Robert Spektor (R)

Faculty of Industrial Engineering & Management, Technion - Israel Institute of Technology, Haifa, Israel.

Alexander Ioscovich (A)

Shaare Zedek Medical Center, Jerusalem, Israel.

Aeyal Raz (A)

Rambam Health Care Campus, Haifa, Israel.

Shlomi Laufer (S)

Faculty of Industrial Engineering & Management, Technion - Israel Institute of Technology, Haifa, Israel.

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Classifications MeSH