Measuring Quality of Care in a Psychiatric Hospital Using Artificial Neural Networks

American Journal of Medical Quality

Volumn 12, Issue 1, 1997, Pages 33-43

  Davis, George E ^a,d   Lowell, Walter E ^a,c   Davis, Geoffrey L ^b  

^a Augusta Mental Institute   (United States)

^b JACKSON LABORATORY   (United States)

^c Augusta Mental Health Institute   (United States)

^d August Mental Health Institute   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ARTIFICIAL NEURAL NETWORK; FORECASTING; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; HOSPITAL ORGANIZATION; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MENTAL HOSPITAL; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; REPRODUCIBILITY; STANDARD; UNITED STATES;

EFFICIENCY, ORGANIZATIONAL; FORECASTING; HEALTH SERVICES RESEARCH; HOSPITAL RESTRUCTURING; HOSPITALS, PSYCHIATRIC; HUMANS; LENGTH OF STAY; MAINE; NEURAL NETWORKS (COMPUTER); PERSONNEL STAFFING AND SCHEDULING; QUALITY OF HEALTH CARE; REPRODUCIBILITY OF RESULTS; SEVERITY OF ILLNESS INDEX;

EID: 0031093191     PISSN: 10628606     EISSN: None     Source Type: Journal    
DOI: 10.1177/0885713X9701200107     Document Type: Article

References (49)

1. Kassirer JP. The quality of care and the quality of measuring it .. N Engl J Med 1993;329:1241-1235
2. Deming WE. Out of the Crisis. Cambridge, MA: MIT Center for Advanced Engineering Study, 17th printing, 1992.
3. Appleby L. Length-of-stay and recidivism in schizophrenia: a study of public psychiatry. Am J Psychiatry 1993;150:72-75.
4. Fisher W, Altaffer F. Inpatient length of stay measures: statistical and conceptual issues. Admin Policy Mental Health 1992;19:311-320.
5. Stoskopf C, Horn S. The computerized psychiatric severity index as a predictor of inpatient length-of-stay for psychoses. Med Care 1991;29:179-195
6. Davis GE, Lowell WE, Davis GL. A neural network that predicts psychiatric length-of-stay. MD Comput 1993;10:1-6
7. Lowell W E, Davis GE. Predicting length-of-stay for psychiatric diagnosis-related groups using neural networks. J Am Med Informatics Assoc 1994;1:459-466.
8. Lowell WE, Davis GE, Davis G, et al. Improving length-of-stay prediction using artificial neural networks: a field study at three psychiatric hospitals. Neurocomputing & Applications, Winter Quarter 1997, in press.
9. Lawrence J. Introduction to Neural Networks, 3rd Ed, Nevada City, CA: California Scientific Software, 1991.
10. Rumelhart DE, Widrow B, Lehr MA, The basic ideas in neural networks. Commun ACM 1994;37:87-92.
11. Bishop CM. Neural Networks for Pattern Recognition. New York: Clarendon Press, 1995.
12. Masters T. Practical Neural Network Recipes in C++. New York: Academic Press, 1993;135-164.
13. Masters T. Advanced Algorithms for Neural Networks - A C++ Sourcebook. New York: Academic Press, 1993.
14. Carpenter G, Grossberg S. Pattern Recognition by Self-Organizing Neural Networks. Cambridge, MA: MIT Press, 1991.
15. Carpenter W, Hoffman M. Training backprop neural networks. AI Expert 1995; March, pp. 30-33
16. Ripley BD. Pattern Recognition and Neural Networks. New York: Cambridge University Press, 1996.
17. Guerriere M, Detsky A. Neural networks: what are they? Ann Int Med 1991;115:906-907.
18. SAS Institute, SAS Campus Dr., Cary NC 27513.
19. BRAINMAKER PROFESSIONAL/NETMAKER V3.0-Neural Network Simulation Software, California Scientific Software, Nevada City, CA 95959.
20. Mulsant BH. A neural network as an approach to clinical diagnosis. MD Comput 1990;7:25-36.
21. Somoza E, Somoza JR. A neural-network approach to predicting admission decisions in a psychiatric emergency room. Med Decis Making 1993;13:273-280.
22. Mobley BA, Leasure R Davidson L. Artificial neural network predictions of length-of-stay on a post-coronary care unit. Heart Lung 1995;24:251-256.
23. Burke L. Assessing a neural net-validation procedures. PC AI 1993, March-April, pp. 21-24.
24. Sarle W. Frequently Asked Questions (FAQ). Internet news-group: comp.ai.neural-nets, 1996.
25. Levin M. Use of genetic algorithms to solve biomedical problems. MD Comput 1995;12:193-199.
26. Murray D. Tuning neural networks with nenetic algorithms. AI Expert 1994, June:27-31.
27. Genetic Training Option, 3rd Ed. Nevada City, CA: California Scientific Software, 1993.
28. Buchman TG, Kubos KL, Seidler AJ, Seigfoth MJ. A comparison of statistical and connectionist models for the prediction of chronicity in a surgical intensive care unit. Crit Care Med 1994;22:750-762.
29. Cross S, Harrison R, Kennedy R. Introduction to neural networks. Lancet 1995;346:1075-1079.
30. Baxt WG. Application of artificial neural networks to clinical medicine. Lancet 1995;346:1135-1138.
31. Florio T, Einfeld S, Levy F. Neural networks and psychiatry: candidate applications in clinical decision making. Aust NZ J Psychiatry 1994;28:651-666.
32. Brownell M, Roos N. Variation in length of stay as a measure of efficiency in Manitoba hospitals. Can Med Assoc J 1995;152:675-682.
33. Coleman RL, Hunter DE. Comtemporary quality management in mental health. Am J Med Qual 1995, Fall, pp. 1-7.
34. Gustafson DH, et al. Measuring quality of care in psychiatric emergencies: construction and evaluation of a Bayesian index. HSR: Health Services Research 1993;28:131-158.
35. Schaub RT. Quality assurance in psychiatric care - the example of routine use of the AMDP system, Pharmacopsychiatry 1994;27(suppl):46-50.
36. Barry TJ. Excellence Is a Habit. Milwaukee, WI: American Society for Quality Control Press, 1994;48.
37. Tomes N. The Art of Asylum-Keeping - Thomas Story Kirkbride and the Origins of American Psychiatry (paperback ed..). Philadelphia: University of Pennsylvania Press, 1994.
38. Kirkbride T. Pennsylvania Hospital for the Insane 1845. Am J Psychiatry Sesquicentennial Suppl 1994;151:21-26.
39. LaPlante L. Behavioral Changes in Long-term, In-Hospital Psychiatric Patients after Treatment with Clozapine: A Three Year Study 1994 (Master's Thesis produced for the Counselor Education Program, University of Southern Maine). Available upon request
40. Meltzer H, et al. Cost effectiveness of clozapine in neuroleptic-resistant schizophrenia. Am J Psychiatry 1993;150:1630-1638.
41. Reid WH, Mason MM, Toprac M. Savings in hospital bed-days related to treatment with clozapine. Hosp Commun Psychiatry 1994;45:261-263.
42. Reid WH, Pham VA, Rago W. Clozapine use by state programs: public mental health systems respond to a new medication. Hosp Commun Psychiatry 1993;44:739-747.
43. Grace, et al. Long-term impact of clozapine and psychosocial treatment on psychiatric symptoms and cognitive functioning. Psychiatr Serv 1996;47:41-45.
44. Manschreck T. Clozapine in the back wards. Ann Clin Psychiatry 1994;6:215-225.
45. Treadwell R, Treadwell J. HEDIS, what is it? What does it mean to me? How does it affect my practice? MO Med 1995;92:330-331.
46. Morrissey J. HEDIS standards get upgrade. Mod Healthcare 1993; Dec. 20-27, pp. 62-63.
47. Albright JM, Panzer RJ, Black ER, et al. Reporting tools for clinical quality improvement. Clin Performance Qual Health Care 1993;1:227-232.
48. Lavender A, Leiper R, Pilling S, Clifford P. Quality assurance in mental health: the QUARTZ system. Br J Clin Psychol 1994;33:451-467.
49. Teisberg EO, Porter ME, Brown GB. Making competition in health care work. Harv Business Rev 1994, July-August, pp. 131-141.