Abstract
BackgroundHospital crowding is a rising problem, effective predicting and detecting managment can helpful to reduce crowding. Our team has successfully proposed a hybrid model combining both the autoregressive integrated moving average (ARIMA) and the nonlinear autoregressive neural network (NARNN) models in the schistosomiasis and hand, foot, and mouth disease forecasting study. In this paper, our aim is to explore the application of the hybrid ARIMA-NARNN model to track the trends of the new admission inpatients, which provides a methodological basis for reducing crowding.MethodsWe used the single seasonal ARIMA (SARIMA), NARNN and the hybrid SARIMA-NARNN model to fit and forecast the monthly and daily number of new admission inpatients. The root mean square error (RMSE), mean absolute error (MAE) and mean absolute percentage error (MAPE) were used to compare the forecasting performance among the three models. The modeling time range of monthly data included was from January 2010 to June 2016, July to October 2016 as the corresponding testing data set. The daily modeling data set was from January 4 to September 4, 2016, while the testing time range included was from September 5 to October 2, 2016.ResultsFor the monthly data, the modeling RMSE and the testing RMSE, MAE and MAPE of SARIMA-NARNN model were less than those obtained from the single SARIMA or NARNN model, but the MAE and MAPE of modeling performance of SARIMA-NARNN model did not improve. For the daily data, all RMSE, MAE and MAPE of NARNN model were the lowest both in modeling stage and testing stage.ConclusionsHybrid model does not necessarily outperform its constituents’ performances. It is worth attempting to explore the reliable model to forecast the number of new admission inpatients from different data.
Highlights
Hospital crowding is a rising problem, effective predicting and detecting managment can helpful to reduce crowding
The autocorrelation function (ACF) and partial autocorrelation function (PACF) plots of monthly original time series (MOS) and daily original time series (DOS) after difference are displayed in Fig. 2 b, c, e, and f
All of the estimated parameter values were statistically significant (P < 0.05). These results showed that using the model seasonal ARIMA (SARIMA)(1,1,0)(0,1,1)12 with the smallest akaike information criterion (AIC) (1049.72) and schwarz bayesian criterion (SBC) (1054.07) for forecasting the monthly new admission inpatients and the model
Summary
Hospital crowding is a rising problem, effective predicting and detecting managment can helpful to reduce crowding. Our aim is to explore the application of the hybrid ARIMA-NARNN model to track the trends of the new admission inpatients, which provides a methodological basis for reducing crowding. Hospital crowding has become a major problem faced by large hospitals. Hospital adverse events increase with crowding, and have further effects on patient satisfaction, quality of nursing, treatment, wait time, and length of stay [1,2,3,4]. A vast literature about overcrowding focus on the outpatient wards [1, 5] and emergence departments [4, 6]. Overcrowding appearing in the inpatient wards should be paid attention to.
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