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LibraryFamily 3 · Predictive Risk Stratification

DESIRE at Erasmus MC

PilotNo results on file

DESIRE predicts on day two after surgery whether a patient can safely be discharged home or to a nursing facility, in order to shorten length of stay.

What this means:
A curator has read the source and confirmed our reading of it — the classifications that let this record be compared with others — along with the AI product and the clinical use. That is a check of our work, not a judgement on the AI.
What would change it:
The pair enters the AIH factory, where clinical, technical and governance findings are worked section by section.
Who established it:
A named AIH Lab reviewer read the source and settled our reading of it — the classifications that make this record comparable with others, which no public source provides. This is an independent check.
  1. Submitted
  2. 2Curated
  3. 3Maturing
  4. 4Validated
  5. 5Scaled
Netherlands
Country
2022
Started

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Clinical context
Clinical problem
Predict a future risk
Point of care
Follow-up
Nature of AI output
A risk score
Clinical specialty
Surgery
Care setting
Hospital — inpatient
Patient population
Not specified in source (hospital harvest)
Intended use
DESIRE predicts on day two after surgery whether a patient can safely be discharged home or to a nursing facility, in order to shorten length of stay.
Full study description

Live pilot on real gastro-enterological and oncological surgery patients over a four-month evaluation period. Decision support only - the discharge decision remains with doctors and nurses. Erasmus MC quotes potential savings of "260 opnamedagen" per year on one ward and a reduction from an average stay "van vijf dagen"; these are the hospital own projections, not our measurement, and are not written to any structured metric field. IN-HOUSE model, no external vendor named, so Erasmus MC is recorded as its own vendor organisation. Modelling technique is not stated in the source; recorded as classical_ml without claiming deep learning.

Technology
AI technique
Classical machine learning
Input data
Structured EHR data
Output type
Risk score
Autonomy level
Informs a human (advisory)
Model provenance
Built in-house
Deployment
Status
Pilot
Country
Netherlands
Deployment date
1 January 2022
Regulatory & governance
Data identifiability
Not stated in the source

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Contributors

Deploying organisation
Erasmus MC · Hospital / health system · Netherlands
AI vendor
Erasmus MC · Netherlands
Product name
DESIRE