Conceptual framework for prediction models of patient deterioration based on nursing documentation patterns: reproducibility and generalizability with a large number of hospitals across the United States.

ABSTRACT:

Objective

The Health Process Model (HPM)-ExpertSignals Conceptual Framework posits that healthcare professionals' patient care behaviors can be used to predict in-hospital deterioration. Prediction models based on this framework have been validated using data from 4 hospitals within two healthcare systems. As clinician-system interactions may differ across organizations, this study aimed to evaluate the reproducibility and generalizability of the underlying conceptual framework using data from over 200 hospitals across the US.

Methods

This study used eICU-CRD, a publicly accessible dataset with data from 208 US hospitals. A logistic regression model was developed to predict in-hospital deterioration following the HPM-ExpertSignals conceptual framework. To test its reproducib

SUBMITTER: Wan YJ 

PROVIDER: S-EPMC12321195 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature