Abstract

Hospital managers need to allocate emergency department (ED) resources efficiently because of the gradual aging of the population, emergency services overcrowding problem is arising. Forecasting is a vital activity that instructs decision-makers in related research fields, such as industrial scientific planning, economics, and healthcare. Scientists have applied time series methods to daily patient number forecasting at ED. Traditional time series models usually use a single variable for forecasting, but noises caused by weather conditions change and environmental factors would be included in raw data. Low forecasting performance would be generated because of using complicated raw data in time series models. Further, traditional time series models cannot be utilized in all datasets because statistics models need to meet statistical assumptions. Multi-attribute data will usually produce high-dimensional data and increase the computational complexity in the data mining procedure. For overcoming these drawbacks above, this study proposes a hybrid random-forest model based on AR (autoregressive) and empirical mode decomposition (EMD). The proposed model utilizes EMD to decompose complicated raw data into correlations frequency components and uses the feature section method to reduce high-dimensional input data generated by EMD. Then, this study combines random forest method that can surmount the limitations of statistical methods (data need to obey some mathematical distribution) to forecast daily patient volumes. To verification, daily patient volumes in an emergency are collected as experimental datasets to evaluate the proposed model. Experimental results illustrate that the proposed model surpasses the listing models

Highlights

  • IntroductionThe emergency services overcrowding problem is arising because of the gradual aging of the population

  • The emergency department (ED) is an essential part of the hospital

  • The proposed model is compared with five forecasting models, Chen’s model Yu’s model, AR(1) model, AR-empirical mode decomposition (EMD)-Random Forest algorithm (RF) model, and random forest model, to evaluate the performance of proposed model

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Summary

Introduction

The emergency services overcrowding problem is arising because of the gradual aging of the population It would result in an overcrowding problem, if a hospital cannot make an efficient allocation of ED resource. Most scholars firstly consider traditional time series models as prediction models to forecast medical resource demand and several time-series models have been proposed and applied to handle the different forecasting areas (Bollerslev, 1986, Engle, 1982, Huarng, 2001, Song and Chissom, 1993, Wei et al, 2017, Hamida and Scalera, 2019). Box and Jenkins (1976) proposed the autoregressive moving average (ARMA) model which combines a moving average process with a linear difference equation to obtain an autoregressive moving average model, and the ARMA model performs forecasting at the linear stationary condition. The conventional time-series models which use complicated raw data would reduce the forecasting performance (Wei, 2016)

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