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Nov 24

Benchmarking emergency department triage prediction models with machine learning and large public electronic health records

The demand for emergency department (ED) services is increasing across the globe, particularly during the current COVID-19 pandemic. Clinical triage and risk assessment have become increasingly challenging due to the shortage of medical resources and the strain on hospital infrastructure caused by the pandemic. As a result of the widespread use of electronic health records (EHRs), we now have access to a vast amount of clinical data, which allows us to develop predictive models and decision support systems to address these challenges. To date, however, there are no widely accepted benchmark ED triage prediction models based on large-scale public EHR data. An open-source benchmarking platform would streamline research workflows by eliminating cumbersome data preprocessing, and facilitate comparisons among different studies and methodologies. In this paper, based on the Medical Information Mart for Intensive Care IV Emergency Department (MIMIC-IV-ED) database, we developed a publicly available benchmark suite for ED triage predictive models and created a benchmark dataset that contains over 400,000 ED visits from 2011 to 2019. We introduced three ED-based outcomes (hospitalization, critical outcomes, and 72-hour ED reattendance) and implemented a variety of popular methodologies, ranging from machine learning methods to clinical scoring systems. We evaluated and compared the performance of these methods against benchmark tasks. Our codes are open-source, allowing anyone with MIMIC-IV-ED data access to perform the same steps in data processing, benchmark model building, and experiments. This study provides future researchers with insights, suggestions, and protocols for managing raw data and developing risk triaging tools for emergency care.

  • 13 authors
Nov 22, 2021

Learning Traffic Crashes as Language: Datasets, Benchmarks, and What-if Causal Analyses

The increasing rate of road accidents worldwide results not only in significant loss of life but also imposes billions financial burdens on societies. Current research in traffic crash frequency modeling and analysis has predominantly approached the problem as classification tasks, focusing mainly on learning-based classification or ensemble learning methods. These approaches often overlook the intricate relationships among the complex infrastructure, environmental, human and contextual factors related to traffic crashes and risky situations. In contrast, we initially propose a large-scale traffic crash language dataset, named CrashEvent, summarizing 19,340 real-world crash reports and incorporating infrastructure data, environmental and traffic textual and visual information in Washington State. Leveraging this rich dataset, we further formulate the crash event feature learning as a novel text reasoning problem and further fine-tune various large language models (LLMs) to predict detailed accident outcomes, such as crash types, severity and number of injuries, based on contextual and environmental factors. The proposed model, CrashLLM, distinguishes itself from existing solutions by leveraging the inherent text reasoning capabilities of LLMs to parse and learn from complex, unstructured data, thereby enabling a more nuanced analysis of contributing factors. Our experiments results shows that our LLM-based approach not only predicts the severity of accidents but also classifies different types of accidents and predicts injury outcomes, all with averaged F1 score boosted from 34.9% to 53.8%. Furthermore, CrashLLM can provide valuable insights for numerous open-world what-if situational-awareness traffic safety analyses with learned reasoning features, which existing models cannot offer. We make our benchmark, datasets, and model public available for further exploration.

  • 8 authors
Jun 15, 2024

Accident Risk Prediction based on Heterogeneous Sparse Data: New Dataset and Insights

Reducing traffic accidents is an important public safety challenge, therefore, accident analysis and prediction has been a topic of much research over the past few decades. Using small-scale datasets with limited coverage, being dependent on extensive set of data, and being not applicable for real-time purposes are the important shortcomings of the existing studies. To address these challenges, we propose a new solution for real-time traffic accident prediction using easy-to-obtain, but sparse data. Our solution relies on a deep-neural-network model (which we have named DAP, for Deep Accident Prediction); which utilizes a variety of data attributes such as traffic events, weather data, points-of-interest, and time. DAP incorporates multiple components including a recurrent (for time-sensitive data), a fully connected (for time-insensitive data), and a trainable embedding component (to capture spatial heterogeneity). To fill the data gap, we have - through a comprehensive process of data collection, integration, and augmentation - created a large-scale publicly available database of accident information named US-Accidents. By employing the US-Accidents dataset and through an extensive set of experiments across several large cities, we have evaluated our proposal against several baselines. Our analysis and results show significant improvements to predict rare accident events. Further, we have shown the impact of traffic information, time, and points-of-interest data for real-time accident prediction.

  • 5 authors
Sep 19, 2019

Advance Real-time Detection of Traffic Incidents in Highways using Vehicle Trajectory Data

A significant number of traffic crashes are secondary crashes that occur because of an earlier incident on the road. Thus, early detection of traffic incidents is crucial for road users from safety perspectives with a potential to reduce the risk of secondary crashes. The wide availability of GPS devices now-a-days gives an opportunity of tracking and recording vehicle trajectories. The objective of this study is to use vehicle trajectory data for advance real-time detection of traffic incidents on highways using machine learning-based algorithms. The study uses three days of unevenly sequenced vehicle trajectory data and traffic incident data on I-10, one of the most crash-prone highways in Louisiana. Vehicle trajectories are converted to trajectories based on virtual detector locations to maintain spatial uniformity as well as to generate historical traffic data for machine learning algorithms. Trips matched with traffic incidents on the way are separated and along with other trips with similar spatial attributes are used to build a database for modeling. Multiple machine learning algorithms such as Logistic Regression, Random Forest, Extreme Gradient Boost, and Artificial Neural Network models are used to detect a trajectory that is likely to face an incident in the downstream road section. Results suggest that the Random Forest model achieves the best performance for predicting an incident with reasonable recall value and discrimination capability.

  • 2 authors
Aug 14, 2024

AccidentBench: Benchmarking Multimodal Understanding and Reasoning in Vehicle Accidents and Beyond

Rapid advances in multimodal models demand benchmarks that rigorously evaluate understanding and reasoning in safety-critical, dynamic real-world settings. We present AccidentBench, a large-scale benchmark that combines vehicle accident scenarios with Beyond domains, safety-critical settings in air and water that emphasize spatial and temporal reasoning (e.g., navigation, orientation, multi-vehicle motion). The benchmark contains approximately 2000 videos and over 19000 human-annotated question--answer pairs spanning multiple video lengths (short/medium/long) and difficulty levels (easy/medium/hard). Tasks systematically probe core capabilities: temporal, spatial, and intent understanding and reasoning. By unifying accident-centric traffic scenes with broader safety-critical scenarios in air and water, AccidentBench offers a comprehensive, physically grounded testbed for evaluating models under real-world variability. Evaluations of state-of-the-art models (e.g., Gemini-2.5 Pro and GPT-5) show that even the strongest models achieve only about 18% accuracy on the hardest tasks and longest videos, revealing substantial gaps in real-world temporal, spatial, and intent reasoning. AccidentBench is designed to expose these critical gaps and drive the development of multimodal models that are safer, more robust, and better aligned with real-world safety-critical challenges. The code and dataset are available at: https://github.com/SafeRL-Lab/AccidentBench

  • 12 authors
Sep 30

Enhancing Traffic Incident Management with Large Language Models: A Hybrid Machine Learning Approach for Severity Classification

This research showcases the innovative integration of Large Language Models into machine learning workflows for traffic incident management, focusing on the classification of incident severity using accident reports. By leveraging features generated by modern language models alongside conventional data extracted from incident reports, our research demonstrates improvements in the accuracy of severity classification across several machine learning algorithms. Our contributions are threefold. First, we present an extensive comparison of various machine learning models paired with multiple large language models for feature extraction, aiming to identify the optimal combinations for accurate incident severity classification. Second, we contrast traditional feature engineering pipelines with those enhanced by language models, showcasing the superiority of language-based feature engineering in processing unstructured text. Third, our study illustrates how merging baseline features from accident reports with language-based features can improve the severity classification accuracy. This comprehensive approach not only advances the field of incident management but also highlights the cross-domain application potential of our methodology, particularly in contexts requiring the prediction of event outcomes from unstructured textual data or features translated into textual representation. Specifically, our novel methodology was applied to three distinct datasets originating from the United States, the United Kingdom, and Queensland, Australia. This cross-continental application underlines the robustness of our approach, suggesting its potential for widespread adoption in improving incident management processes globally.

  • 4 authors
Mar 20, 2024

An Integrated Optimization and Machine Learning Models to Predict the Admission Status of Emergency Patients

This work proposes a framework for optimizing machine learning algorithms. The practicality of the framework is illustrated using an important case study from the healthcare domain, which is predicting the admission status of emergency department (ED) patients (e.g., admitted vs. discharged) using patient data at the time of triage. The proposed framework can mitigate the crowding problem by proactively planning the patient boarding process. A large retrospective dataset of patient records is obtained from the electronic health record database of all ED visits over three years from three major locations of a healthcare provider in the Midwest of the US. Three machine learning algorithms are proposed: T-XGB, T-ADAB, and T-MLP. T-XGB integrates extreme gradient boosting (XGB) and Tabu Search (TS), T-ADAB integrates Adaboost and TS, and T-MLP integrates multi-layer perceptron (MLP) and TS. The proposed algorithms are compared with the traditional algorithms: XGB, ADAB, and MLP, in which their parameters are tunned using grid search. The three proposed algorithms and the original ones are trained and tested using nine data groups that are obtained from different feature selection methods. In other words, 54 models are developed. Performance was evaluated using five measures: Area under the curve (AUC), sensitivity, specificity, F1, and accuracy. The results show that the newly proposed algorithms resulted in high AUC and outperformed the traditional algorithms. The T-ADAB performs the best among the newly developed algorithms. The AUC, sensitivity, specificity, F1, and accuracy of the best model are 95.4%, 99.3%, 91.4%, 95.2%, 97.2%, respectively.

  • 4 authors
Feb 18, 2022

Real-time accident detection and physiological signal monitoring to enhance motorbike safety and emergency response

Rapid urbanization and improved living standards have led to a substantial increase in the number of vehicles on the road, consequently resulting in a rise in the frequency of accidents. Among these accidents, motorbike accidents pose a particularly high risk, often resulting in serious injuries or deaths. A significant number of these fatalities occur due to delayed or inadequate medical attention. To this end, we propose a novel automatic detection and notification system specifically designed for motorbike accidents. The proposed system comprises two key components: a detection system and a physiological signal monitoring system. The detection system is integrated into the helmet and consists of a microcontroller, accelerometer, GPS, GSM, and Wi-Fi modules. The physio-monitoring system incorporates a sensor for monitoring pulse rate and SpO_{2} saturation. All collected data are presented on an LCD display and wirelessly transmitted to the detection system through the microcontroller of the physiological signal monitoring system. If the accelerometer readings consistently deviate from the specified threshold decided through extensive experimentation, the system identifies the event as an accident and transmits the victim's information -- including the GPS location, pulse rate, and SpO_{2} saturation rate -- to the designated emergency contacts. Preliminary results demonstrate the efficacy of the proposed system in accurately detecting motorbike accidents and promptly alerting emergency contacts. We firmly believe that the proposed system has the potential to significantly mitigate the risks associated with motorbike accidents and save lives.

  • 7 authors
Mar 27, 2024