The use of artificial intelligence to detect voided medication orders in oral and maxillofacial surgery inpatients

• Published in: Oral and maxillofacial surgery 2024-09, Vol.28 (3), p.1375-1381
• Main Authors: Nathan, John M., Arce, Kevin, Herasevich, Vitaly
• Format: Article
• Language: English
• Subjects: Adult; Aged; Algorithms; Artificial Intelligence; Bayes Theorem; Computerized physician order entry; Decision Trees; Electronic Health Records; Female; Humans; Inpatients; Machine learning; Male; Maxillofacial surgery; Medical Order Entry Systems; Medicine; Medicine & Public Health; Middle Aged; Oral and Maxillofacial Surgery; Oral Surgical Procedures; Retrospective Studies; Supervised Machine Learning; Surgery, Oral; Vital signs
• ISSN: 1865-1569; 1865-1550; 1865-1569
• DOI: 10.1007/s10006-024-01267-6

Objective The aim of this study is to determine if supervised machine learning algorithms can accurately predict voided computerized physician order entry in oral and maxillofacial surgery inpatients. Methods Data from Electronic Medical Record included patient demographics, comorbidities, procedures, vital signs, laboratory values, and medication orders were retrospectively collected. Predictor variables included patient demographics, comorbidities, procedures, vital signs, and laboratory values. Outcome of interest is if a medication order was voided or not. Data was cleaned and processed using Microsoft Excel and Python v3.12. Gradient Boosted Decision Trees, Random Forest, K-Nearest Neighbor, and Naïve Bayes were trained, validated, and tested for accuracy of the prediction of voided medication orders. Results 37,493 medication orders from 1,204 patient admissions over 5 years were used for this study. 3,892 (10.4%) medication orders were voided. Gradient Boosted Decision Trees, Random Forest, K-Nearest Neighbor, and Naïve Bayes had an Area Under the Receiver Operating Curve of 0.802 with 95% CI [0.787, 0.825], 0.746 with 95% CI [0.722, 0.765], 0.685 with 95% CI [0.667, 0.699], and 0.505 with 95% CI [0.489, 0.539], respectively. Area Under the Precision Recall Curve was 0.684 with 95% CI [0.679, 0.702], 0.647 with 95% CI [0.638, 0.664], 0.429 with 95% CI [0.417, 0.434], and 0.551 with 95% CI [0.551, 0.552], respectively. Conclusion Gradient Boosted Decision Trees was the best performing model of the supervised machine learning algorithms with satisfactory outcomes in the test cohort for predicting voided Computerized Physician Order Entry in Oral and Maxillofacial Surgery inpatients.