Frontiers in Digital Health (Oct 2022)

Operationalizing a real-time scoring model to predict fall risk among older adults in the emergency department

  • Collin J. Engstrom,
  • Collin J. Engstrom,
  • Sabrina Adelaine,
  • Frank Liao,
  • Gwen Costa Jacobsohn,
  • Brian W. Patterson,
  • Brian W. Patterson

DOI
https://doi.org/10.3389/fdgth.2022.958663
Journal volume & issue
Vol. 4

Abstract

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Predictive models are increasingly being developed and implemented to improve patient care across a variety of clinical scenarios. While a body of literature exists on the development of models using existing data, less focus has been placed on practical operationalization of these models for deployment in real-time production environments. This case-study describes challenges and barriers identified and overcome in such an operationalization for a model aimed at predicting risk of outpatient falls after Emergency Department (ED) visits among older adults. Based on our experience, we provide general principles for translating an EHR-based predictive model from research and reporting environments into real-time operation.

Keywords