Computer algorithm can match physicians' decisions about blood transfusions

J Transl Med. 2019 Oct 10;17(1):340. doi: 10.1186/s12967-019-2085-y.

Abstract

Background: Checking appropriateness of blood transfusion for quality assurance required enormous usage of time and human resources from the healthcare system. We report here a new machine learning algorithm for checking blood transfusion quality.

Materials and methods: The multilayer perceptron neural network (MLPNN) was designed to learn an expert's judgement from 4946 clinical cases. The accuracy in predicting the blood transfusion was then reported.

Results: We achieved a 96.8% overall accuracy rate, with a 99% match rate to the experts' judgement on those appropriate cases and 90.9% on the inappropriate cases.

Conclusions: Machine learning algorithm can accurately match to human judgement by feeding in pre-surgical information and key laboratory variables.

Keywords: Artificial intelligence; Blood transfusion; Computer algorithm; Neural networks (computer); Patient safety; Surgery.

MeSH terms

  • Algorithms*
  • Blood Transfusion*
  • Clinical Decision-Making*
  • Humans
  • Neural Networks, Computer
  • Physicians*