![Page 1: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/1.jpg)
@MedAwareRx
Advanced Machine Learning to Prevent Catastrophic Prescription-Related Medication Errors
Gidi Stein, MD, PhD
Co-Founder & CEO, MedAware
![Page 2: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/2.jpg)
2
Electronic prescription
Select drug
Simvastatin
Singulair
Sintrom
Sirolimus
![Page 3: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/3.jpg)
3
Chain of Errors Leading to Catastrophe
Rx
Provider
Health Plan Pharmacy / PBM
Patient
![Page 4: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/4.jpg)
4
Scale of the Problem (in the US alone)
4 Billion Rx in the US annually
8 Million Rx with life-threatening
errors
>200,000 Injuries and deaths
$21 Billion
![Page 5: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/5.jpg)
5
Current Rule-Based Systems
Miss many of
the errors
High Alert
Fatigue
Rule based
systems
>90% False
alarms
![Page 6: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/6.jpg)
6
MedAware: AI for Clinical Outlier Detection
Electronic medical
records
Machine learning
algorithms
Crowd sourced
physician practice
Data driven
clinical insights
+ =
![Page 7: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/7.jpg)
7
Minimal Workflow Disturbance– Click & Go
![Page 8: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/8.jpg)
8
Tested on >5,000,000 patient records
• Errors found in 1/250 Rx of inpatients and 1/1,500
Rx for outpatients
• Accuracy 75% - 80%
• Errors associated with:
– Early mortality
– Longer hospital stay
– Recurrent admissions
![Page 9: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/9.jpg)
9
A Tertiary Hospital – Live Deployment
2,000 beds 1 alert / department / day 80% true alerts
• 600,000 lives analyzed
• Significant errors found in 3.7%of admissions
• Can prevent 2,300 ADE’s / annually in Sheba alone
![Page 10: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/10.jpg)
10
Examples of Errors Found
Healthy individual
Aspirin was not stopped
Baby
80 year old female
Chemotherapy
Viagra
Fertility Drug
New onset low platelet count
![Page 11: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/11.jpg)
11
Roadmap
Rx error risk management
Opioid abuse risk management
Advanced quality and
population mgmt.
Consumer targeted
clinical decisions
![Page 12: Advanced Machine Learning to Prevent Catastrophic ... · MedAware: AI for Clinical Outlier Detection El ect roni c medi cal records Machi ne learning al gori t hm s Cr owd sourced](https://reader034.vdocuments.us/reader034/viewer/2022050215/5f60b6b369d7ca1e15538ad1/html5/thumbnails/12.jpg)
Thank you!
Gidi Stein, MD, PhD
Co-Founder & CEO, MedAware
@ MedAwareRx