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Applying of risk-adjusted CUSUM control chart monitoring of medical information. Zi-Hsuan Chen Advisor : Jing- Er Chiu, Ph.D. Contents. Research Reason. Research P urposes. Research F ramework. ARL. Time conditions. CUSUM. CUSUM. ARL. Logistic Model. Cox Model. Shoulder surgery.
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Applying of risk-adjusted CUSUM control chart monitoring of medical information Zi-HsuanChen Advisor: Jing-Er Chiu, Ph.D.
Research Framework ARL • Time conditions CUSUM CUSUM ARL Logistic Model Cox Model Shoulder surgery
Limitations of Research • Biswas ed.(2008)
CUSUMControl Chart Proposed by Page(1954) Small process shifts
Logistic Regression Observed outcome can have only two possible Failure Success Source : Wikipedia
Cox PH Model Use survival time Proposed by Cox(1972) Use the Logistic Model Method and Cox Model Method to compare the result ,which can quickly detect the patient has a shoulder joint shift or death situation. • Applying Of Cox Model In Medical
Research Process • Calculate and Simulation Collection and Simulation of patient information • Establish • Cox Model Establish Logistic Model • CUSUM control chart Notation and Assumptions • Calculate ARL • Comparative analysis • Conclusion
Logistic Model in CUSUM • Monitoring probability of Yt • Binary data is transformed into probability • Establish a Logistic Regression Model • Find the significant factor • Calculate the weight value • Steiner et al.(2000) • Draw CUSUM control chart
Cox Model in CUSUM • Monitoring probability of Yt • Yt of time conditions convert the probability of occurrence • Establish a Cox Regression Model • Find the significant factor • Calculate the weight value • Biswas ed.(2008) • Draw CUSUM control chart
Simulation ARL steps (Logistic Model ) • Simulate number of samples N • calculation the patient t the surgery the probability of failure • is true • To draw CUSUM control chart , and monitoring control chart • In control • Randomly generated patient after surgery results Out –of-control ⇒ARL1 • is true • is true • is true • Steiner et al.(2000)
Simulation ARL steps(Cox Model ) • Calculate significant factor and Hazard ratio 。 • Simulate number of samples N , added time's condition • is true • To draw CUSUM control chart , and monitoring control chart • Randomly generated patient after surgery results • In control Out –of-control ⇒ARL1 • is true • is true • is true • W • Biswas ed.(2008)