Risk adjusted EWMA control chart based on support vector machine with application to cardiac surgery data

Sci Rep. 2024 Apr 26;14(1):9633. doi: 10.1038/s41598-024-60285-2.

Abstract

In the current study, we demonstrate the use of a quality framework to review the process for improving the quality and safety of the patient in the health care department. The researchers paid attention to assessing the performance of the health care service, where the data is usually heterogeneous to patient's health conditions. In our study, the support vector machine (SVM) regression model is used to handle the challenge of adjusting the risk factors attached to the patients. Further, the design of exponentially weighted moving average (EWMA) control charts is proposed based on the residuals obtained through SVM regression model. Analyzing real cardiac surgery patient data, we employed the SVM method to gauge patient condition. The resulting SVM-EWMA chart, fashioned via SVM modeling, revealed superior shift detection capabilities and demonstrated enhanced efficacy compared to the risk-adjusted EWMA control chart.

Keywords: Control chart; EWMA; Run length; Statistical process control; Support vector machine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiac Surgical Procedures* / methods
  • Humans
  • Risk Adjustment / methods
  • Risk Factors
  • Support Vector Machine*