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Precision Delivery in Critical Care: Balancing Prediction and Personalization

  • V. X. LiuEmail author
  • H. C. Prescott
Chapter
Part of the Annual Update in Intensive Care and Emergency Medicine book series (AUICEM)

Abstract

Recent developments in healthcare data availability, advanced analytic algorithms, and high-performance computing have produced incredible enthusiasm about a new age of data-driven healthcare [1–8]. When it comes to clinical care specifically, ‘precision delivery’ is an emerging term to describe the “routine use of patients’ electronic health record (EHR) data to predict risk and personalize care to substantially improve value” (Table 2.1) [7, 9, 10]. While clinical risk prediction tools have a long history in critical care, novel machine learning applications can offer improved predictive performance by maximally leveraging large-scale, complex EHR and other data [5]. Perhaps, even more importantly, these approaches may help overcome the problem of heterogeneity, which is routinely noted to be a hallmark of critical illness as well as a major barrier to improved treatment [11–13]. In this chapter, we discuss the overarching concept of ‘precision delivery’, the important balance between clinical risk prediction and personalization, and the future challenges and applications of data-driven critical care delivery.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Kaiser Permanente Division of ResearchOaklandUSA
  2. 2.Department of Medicine and Institute for Social ResearchUniversity of Michigan and VA Center for Clinical Management Research, VA Ann Arbor Healthcare SystemAnn ArborUSA

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