Absolute Event Rate: 0.71% vs 0.62%
Tree-based prediction models, particularly semi-automated ones, can significantly improve the accuracy of pediatric surgical duration predictions compared to current algorithms and surgeon estimates.
Effective management of operating room resources relies on accurate predictions of surgical case durations. This prediction problem is known to be particularly difficult in pediatric hospitals due to the extreme variation in pediatric patient populations. We propose a novel metric for measuring accuracy of predictions which captures key issues relevant to hospital operations. With this metric in mind we propose several tree-based prediction models. Some are automated (they do not require input from surgeons) while others are semi-automated (they do require input from surgeons). We see that many of our automated methods generally outperform currently used algorithms and even achieve the same performance as surgeons. Our semi-automated methods can outperform surgeons by a significant margin. We gain insights into the predictive value of different features and suggest avenues of future work.
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Master et al. (2016) studied Pediatric surgical procedures (n=917). Tree-based prediction models (Random Forest, AdaBoost) vs. Historical averaging and expert predictions was evaluated on Estimated average prediction accuracy.
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