Sadaf Tabatabaee

Sadaf Tabatabaee, Hicham El Baz, Mohammed Khalil Ghali et al.

The COVID-19 pandemic has placed immense strain on hospital systems worldwide, leading to critical capacity challenges. This research proposes a two-part framework to optimize hospital capacity through patient relocation strategies. The first component involves developing a time series prediction model to forecast patient arrival rates. Using historical data on COVID-19 cases and hospitalizations, the model will generate accurate forecasts of future patient volumes. This will enable hospitals to proactively plan resource allocation and patient flow. The second com- ponent is a simulation model that evaluates the impact of different patient relocation strategies. The simulation will account for factors such as bed availability, staff capabilities, transportation logistics, and patient acuity to optimize the placement of patients across networked hospitals. Multiple scenarios will be tested, including inter-hospital trans- fers, use of temporary care facilities, and adaptations to discharge protocols. By combining predictive analytics and simulation modeling, this research aims to provide hospital administrators with a comprehensive decision-support tool. The proposed framework will empower them to anticipate demand, simulate relocation strategies, and imple- ment optimal policies to distribute patients and resources. Ultimately, this work seeks to enhance the resilience of healthcare systems in the face of COVID-19 and future pandemics.

Sadaf Tabatabaee, Sarah S. Lam

Efficient classification of surgical procedures by urgency is paramount to optimize patient care and resource allocation within healthcare systems. This study introduces an unsupervised neural network approach to automatically categorize surgical transcriptions into three urgency levels: immediate, urgent, and elective. Leveraging BioClinicalBERT, a domain-specific language model, surgical transcripts are transformed into high-dimensional embeddings that capture their semantic nuances. These embeddings are subsequently clustered using both K-means and Deep Embedding Clustering (DEC) algorithms, in which DEC demonstrates superior performance in the formation of cohesive and well-separated clusters. To ensure clinical relevance and accuracy, the clustering results undergo validation through the Modified Delphi Method, which involves expert review and refinement. Following validation, a neural network that integrates Bidirectional Long Short-Term Memory (BiLSTM) layers with BioClinicalBERT embeddings is developed for classification tasks. The model is rigorously evaluated using cross-validation and metrics such as accuracy, precision, recall, and F1-score, which achieve robust performance and demonstrate strong generalization capabilities on unseen data. This unsupervised framework not only addresses the challenge of limited labeled data but also provides a scalable and reliable solution for real-time surgical prioritization, which ultimately enhances operational efficiency and patient outcomes in dynamic medical environments.