Chance Discovery in Nursing Informatics (NI)
Logical view:
Abst: We analyze the feature of chance in nursing risk
management for better management.
Recently, it has been recognized that medical risk management is
very important both for hospitals and hospital patients.
To reduce nursing accidents, examples of nursing accidents are usually
collected for analysis. This allows us to obtain certain tendencies
of nursing accidents and causality between environment and
nursing accidents.
Such knowledge can be useful in nursing risk management, but is not
fully adequate.
In addition, in a real situation, it is necessary to deal with a
hidden relationship between an ignored event or factor and an accident.
Thus, we analyze the feature of hidden factors in
nursing accidents and propose a way to determine chance (= hidden or
ignored factors) as abductive hypotheses.
***Nursing risk prediction as Chance Discovery***
Risk management itself can be thought of as an application of
Chance Discovery. A chance in nursing risk management can be
defined as an ``ignored'' event, factor, environment, personal
relationship or
personal matter that has the possibility to cause a serious nursing
accident or incident in the future.
in the case of a slip,
due to unexpected events, although an ideal or desired situation has not
actually been achieved, we unconsciously convince ourselves that we have
achieved such an ideal or desired situation.
Thus because of (unintentional) discontinuation of
tasks, we cannot keep our contexts.
A chance exists at the hatched circle in the above figure.
How to determine a chance?
It is difficult to detect a critical point beforehand. However, it would be
possible to abductively detect a critical point as a point where an
inconsistency between an ideal result and his/her actual activity occurs.
For example, if we use a hypothetical reasoning framework such as Theorist,
we might be able to deal with the situation.
In the case where we know all of the possible hypotheses and their ideal
observations, we can detect malpractice. This is because if he/she
selects a wrong hypothesis set, an ideal observation cannot be
explained. A simple framework is shown below:
Linguistic view:
Chance Discovery in Medical Informatics (MI)
Regarding medical diagnosis support system,
the problem of knowledge base incompleteness makes it necessary to combine
an inference part based on abduction and a knowledge acquisition and
learning part based on induction.
We think it is necessary to do an automatic medical rule
generation method from the viewpoint of induction and chance
discovery, to do abduction for chance discovery, and to seek for
possible methods including KeyGraph to achieve medical chance discovery.
Chance Discovery in Medical Informatics (MI)
Regarding medical diagnosis support system,
the problem of knowledge base incompleteness makes it necessary to combine
an inference part based on abduction and a knowledge acquisition and
learning part based on induction.
We think it is necessary to do an automatic medical rule
generation method from the viewpoint of induction and chance
discovery, to do abduction for chance discovery, and to seek for
possible methods including KeyGraph to achieve medical chance discovery.
Our definitions of chance in MI:
- A phenomenon that is slightly different from the typical phenomenon.
This can be regarded as a symptom in the gray zone. The
knowledge is similar or close to the typical one. It might be
regarded as an exception if we extend the definition of exception.
- A supporting phenomenon that is quite rare or novel,
so we cannot think an existing or known knowledge works for a reason.
In this case, the result (observation) is explicit, but we
cannot find any explanations or reasons (hypotheses in abduction) for the
result.
- A phenomenon that is so rare or novel that we have no
knowledge to deal with it, therefore, we cannot infer any results.
In this case, in spite of any symptoms, results are implicit.
This is because we do not have any knowledge from which to diagnose
from the symptoms.
To do chance discovery in MI, we can use logical methods etc.
- the role of induction: to detect the gray zone as well as to
build a standardized knowledge base.
- the role of abduction: to show (suggest) known events as chance by
generating new or novel knowledge.
- the role of KeyGraph: graphically outputs a relationship among
elements in a data set: to find rare or hidden relationships.
Currently, we have the following conclusions;
Since disease is an outbreak with many factors, such as virus and
environment, etc., it is quite difficult to find a chance
from only medical data. Consequently, we need to build a medical
knowledge base with consideration of the environment. Similarly, we need to
make an inference with consideration of the environment. We think a
relationship between medical data and the environment is hidden,
so it is necessary to find such a hidden relationship by
abduction and KeyGraph.