TY - JOUR PY - 2022// TI - Implementing predictive models within an electronic health record system: lessons from an external validation of a suicide risk model JO - Studies in health technology and informatics A1 - Sequeira, Lydia A1 - McNair, Douglas A1 - Wiljer, David A1 - Strudwick, Gillian A1 - Deluca, Vincenzo A1 - Kailasam, Kanakasaba A1 - Thompson, Michael A1 - Chou, Brian A1 - Strauss, John SP - 562 EP - 566 VL - 290 IS - N2 - Over the past 5 years, there has been an increase in the development of EHR-based models for predicting suicidal behaviour. Using the McGinn (2000) framework for creating clinical prediction rules, this study discusses the broad validation of one such predictive model in a context external to its derivation. Along with reporting performance metrics, our paper high-lights five practical challenges that arise when trying to undertake such a project including (i) validation sample sizes, (ii) availability and timeliness of data, (iii) limited or incomplete documentation for predictor variables, (iv) reliance on structured data and (v) differences in the source context of algorithms. We also discuss our study in the context of the current literature.
Language: en
LA - en SN - 0926-9630 UR - http://dx.doi.org/10.3233/SHTI220140 ID - ref1 ER -