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High-Confidence Data Programming for Evaluating Suppression of Physiological Alarms | IEEE Conference Publication | IEEE Xplore

High-Confidence Data Programming for Evaluating Suppression of Physiological Alarms


Abstract:

False alarms generated by physiological monitors can overwhelm clinical caretakers with a variety of alarms. The resulting alarm fatigue can be mitigated with alarm suppr...Show More

Abstract:

False alarms generated by physiological monitors can overwhelm clinical caretakers with a variety of alarms. The resulting alarm fatigue can be mitigated with alarm suppression. Before being deployed, such suppression mechanisms need to be evaluated through a costly observational study, which would determine and label the truly suppressible alarms. This paper proposes a lightweight method for evaluating alarm suppression without access to the true alarm labels. The method is based on the data programming paradigm, which combines noisy and cheap-to-obtain labeling heuristics into probabilistic labels. Based on these labels, the method estimates the sensitivity/specificity of a suppression mechanism and describes the likely outcomes of an observational study in the form of confidence bounds. We evaluate the proposed method in a case study of low SpO2 alarms using a dataset collected at Children's Hospital of Philadelphia and show that our method provides tight and accurate bounds that significantly outperform the naive comparative method.
Date of Conference: 16-17 December 2021
Date Added to IEEE Xplore: 04 February 2022
ISBN Information:
Conference Location: Washington, DC, USA

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