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Supervised Machine Learning Model for Predicting Medication Administration Delays in General Medical Wards Using Electronic Medication Administration Records, Pharmacy Dispensing Timestamps, Nurse-to-Patient Ratios, and Shift-Level Workload Indicators
Medication administration delays are a persistent patient safety and workflow problem in general medical wards. They arise from interacting pressures across nursing workload, pharmacy processes, medication availability, and patient acuity. Current approaches often rely on retrospective incident review, audit reports, or rule-based thresholds after a delay has already occurred. These methods do not provide timely support for proactive workload redistribution or pharmacy escalation. This manuscript proposes a supervised machine learning model to predict the probability that an upcoming scheduled medication dose will be delayed. The model is designed for operational use in general medical ward settings. The proposed model integrates electronic medication administration records, pharmacy dispensing timestamps, nurse-to-patient ratios, and shift-level workload indicators. A gradient boosting framework is conceptually used to capture non-linear relationships among workflow, staffing, and medication availability factors. The model would be expected to identify scheduled doses at elevated risk of delay before the administration window closes. Its outputs could support risk stratification, targeted charge nurse review, and earlier pharmacy coordination. A supervised prediction model for medication administration delay could function as an early warning component within a ward operations dashboard. Such a tool could support proactive clinical operations without replacing nurse judgment.
Journal of Health Informatics and Digital Systems
Original Research | Open access | 25 February 2021 | Article: 63
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AI-driven Diagnostics Artificial Intelligence in Health Informatics Artificial Intelligence in Healthcare Big Data in Healthcare Clinical Data Mining Clinical Decision Support Systems Clinical Informatics Computer Vision Connected Health Systems Deep Learning Digital Health Digital Healthcare Innovation Digital Transformation in Healthcare Electronic Health Records Ethical AI in Healthcare Explainable AI Health Data Analytics Health Data Privacy Health Informatics Health Information Management Health Information Systems Health System Optimization Health Technology Assessment Healthcare Data Science Healthcare Informatics Healthcare Information Security Healthcare Management Healthcare Management Information Systems Intelligent Medical Systems Internet of Medical Things (IoMT) Interoperability in Healthcare Systems Machine Learning Medical Data Analytics Medical Data Management Medical Imaging Mobile Health (mHealth) Natural Language Processing Precision Medicine Predictive Analytics Remote Patient Monitoring Smart Healthcare Systems Telemedicine Wearable Health Technologies e-Health




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