Many hospitals consider the length of time waiting in queue to be a measure of emergency room (ER) overcrowding. Long waiting times plague many ER departments, hindering the ability to effectively provide medical attention to those in need and increasing overall costs. Advanced techniques such as machine learning and deep learning (DL) have played a central role in queuing system applications. This study aims to apply DL algorithms for historical queueing variables to predict patient waiting time in a system alongside, or in place of, queueing theory (QT). We applied four optimization algorithms, including SGD, Adam, RMSprop, and AdaGrad. The algorithms were compared to find the best model with the lowest mean absolute error (MAE). A traditional mathematical simulation was used for additional comparisons. The results showed that the DL model is applicable using the SGD algorithm by activating a lowest MAE of 10.80 minutes (24% error reduction) to predict patients' waiting times. This work presents a theoretical contribution of predicting patients’ waiting time with alternative techniques by achieving the highest performing model to better prioritize patients waiting in the queue. Also, this study offers a practical contribution by using real-life data from ERs. Furthermore, we proposed models to predict patients' waiting time with more accurate results than a traditional mathematical method. Our approach can be easily implemented for the queue system in the healthcare sector using electronic health records (EHR) data.
Due to the rising number of confirmed positive tests, the global impact of COVID-19 continues to grow. This can be attributed to the long wait times patients face to receive COVID-19 test results. During these lengthy waiting periods, people become anxious, especially those who are not experiencing early COVID-19 symptoms. This study aimed to develop models that predict waiting times for COVID-19 test results based on different factors such as testing facility, result interpretation, and date of test. Several machine learning algorithms were used to predict average waiting times for COVID-19 test results and to find the most accurate model. These algorithms include neural network, support vector regression, K-nearest neighbor regression, and more. COVID-19 test result waiting times were predicted for 54,730 patients recorded during the pandemic across 171 hospitals and 14 labs. To examine and evaluate the model’s accuracy, different measurements were applied such as root mean squared and R-Squared. Among the eight proposed models, the results showed that decision tree regression performed the best for predicting COVID-19 test results waiting times. The proposed models could be used to prioritize testing for COVID-19 and provide decision makers with the proper prediction tools to prepare against possible threats and consequences of future COVID-19 waves.
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