Title Information
Title
A graphical toolkit for longitudinal dataset maintenance and predictive model training in healthcare
Type of Resource (primo)
text_resources
Abstract
BACKGROUND: Predictive analytic models, including machine learning (ML) models, are increasingly integrated into electronic health record (EHR)-based decision support tools for clinicians. These models have the potential to improve care, but are challenging to internally validate, implement, and maintain over the long term. Principles of ML operations (MLOps) may inform development of infrastructure to support the entire ML lifecycle, from feature selection to long-term model deployment and re-training. OBJECTIVES: To present the conceptual prototypes for a novel predictive model management system and to evaluate the acceptability of the system among three groups of end-users. Methods: Based on principles of user-centered software design, human-computer interaction, and ethical design, we created graphical prototypes of a web-based MLOps interface to support the construction, deployment, and maintenance of models using EHR data. To assess the acceptability of the interface, we conducted semi-structured user interviews with three groups of users (health informaticians, clinical and data stakeholders, chief information officers) and evaluated preliminary usability using the System Usability Scale (SUS). We subsequently revised prototypes based on user input and developed user case studies. RESULTS: Our prototypes include design frameworks for feature selection, model training, deployment, long-term maintenance, visualization over time, and cross-functional collaboration. Users were able to complete 71% of prompted tasks without assistance. The average SUS score of the initial prototype was 75.8 out of 100, translating to a percentile range of 70 to 79, a letter grade of B, and an adjective rating of “good”. We reviewed persona-based case studies that illustrate functionalities of this novel prototype. CONCLUSIONS: The initial graphical prototypes of this MLOps system are preliminarily usable and demonstrate an unmet need within the clinical informatics landscape.
Name
Name Part
Bai, Eric
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Song, Sophia
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Fraser, Hamish
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Ranney, Megan
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name: Corporate
Name Part
Brown University. Alpert Medical School. Scholarly Concentration Program. Non-Scholarly Concentrator
Role
Role Term: Text
research program
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01004795")
Topic
Machine learning
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/00907154")
Topic
Electronic digital computers--Health aspects
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/00864368")
Topic
Clinical medicine--Decision making--Data processing
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01163191")
Topic
User interfaces (Computer systems)
Language
Language Term: Text (ISO639-2B)
English
Origin Information
Date Created (keyDate="yes", encoding="w3cdtf")
2021
Note (displayLabel="Scholarly concentration")
Non-Scholarly Concentrator
Access Condition: use and reproduction (href="https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode")
Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
Access Condition: logo (href="https://licensebuttons.net/l/by-nc-sa/4.0/88x31.png")
Access Condition: rights statement (href="http://rightsstatements.org/vocab/InC/1.0/")
In Copyright
Identifier: DOI
10.26300/bwjm-pn67