Machine Learning for Enhancing Quality and Safety in Trauma Care for Older Adults: A Conceptual Framework

Authors

  • Guosong Wu Health Care Analytics, Shannon School of Business, Cape Breton University, Canada

DOI:

https://doi.org/10.18178/JAAI.2026.4.3.190-199

Keywords:

trauma care, care quality, patient harm, machine learning, conceptual framework

Abstract

Older adults face disproportionately high risks of Adverse Events (AEs) following trauma, including surgical complications, delirium, medication errors, and infections. As trauma care systems globally confront aging populations, Machine Learning (ML) offers significant potential to enhance safety and quality across all phases of care. This article proposes a conceptual framework that maps ML maturity onto the trauma care continuum to inform future research and implementation strategies. We review the current landscape of ML applications focused on older trauma patients, examine national data on age-specific AE trends and categories, and identify key challenges, such as data fragmentation, model bias, and limited clinical integration. Finally, we outline future priorities to support the safe, equitable, and effective use of ML in trauma care for older adults.

0 0

References

[1] Canadian Institute for Health Information. Hospital staffing and hospital harm trends throughout the pandemic. Retrieved from https://www.cihi.ca/en/hospital-staffing-and-hospital-harm-trends-throughout-the-pandemic

[2] Iezzoni L., Assessing quality using administrative data. (1997). Annals of Internal Medicine, 127(8_Part_2), 666–674. doi: 10.7326/0003-4819-127-8_Part_2-199710151-00048

[3] Hunt J. P., Baker C. C., Fakhry S. M., et al. (1999). Accuracy of administrative data in trauma. Surgery, 126(2), 191–197. doi: 10.1016/S0039-6060(99)70154-6

[4] Haut, E. R., Pronovost, P. J., & Schneider, E. B. (2012). Limitations of administrative databases. JAMA, 307(24), 2589–2590. doi: 10.1001/jama.2012.6626

[5] Chang, F., & Gupta, N. (2015). Progress in electronic medical record adoption in Canada. Canadian Family Physician, 61(12), 1076–1084.

[6] Wu, G., Soo, A., Ronksley, P., et al. (2022). A multicenter cohort study of falls among patients admitted to the ICU. Critical Care Medicine, 50(5), 810–818.

[7] OPOR Implementation Timeline. Nova Scotia Health. Retrieved from https://physicians.nshealth.ca/news/opor-implementation-timeline

[8] Chishtie, J., Sapiro, N., Wiebe, N., et al. (2023). Use of Epic electronic health record system for health care research: Scoping review. Journal of Medical Internet Research, 25, e51003. doi: 10.2196/51003

[9] Wu, G., Eastwood, C., Zeng, Y., et al. (2022). Developing EMR-based algorithms to identify hospital adverse events for health system performance evaluation and improvement: Study Protocol. PLOS ONE, 17(10), e0275250. doi: 10.1371/journal.pone.0275250

[10] Wu, G., Cheligeer, C., Southern, D. A., et al. (2023). Development of machine learning models for the detection of surgical site infections following total hip and knee arthroplasty: A multicenter cohort study. Antimicrobial Resistance & Infection Control, 12(1), 88. doi: 10.1186/s13756-023-01294-0

[11] Wu, G., & Yang, F. (2025). Navigating the transformative impact of artificial intelligence in health services research. Health Science Reports, 8(6), e70793. doi: 10.1002/hsr2.70793

[12] Wu, G., Khair, S., Yang, F., et al. (2022). Performance of machine learning algorithms for surgical site infection case detection and prediction: A systematic review and meta-analysis. Annals of Medicine and Surgery, 84, 104956. doi: 10.1016/j.amsu.2022.104956

[13] Zhang, T., Nikouline, A., Lightfoot, D., et al. (2022). Machine learning in the prediction of trauma outcomes: A systematic review. Annals of Emergency Medicine, 80(5), 440–455. doi: 10.1016/j.annemergmed.2022.05.011

[14] Adebayo, O., Bhuiyan, Z. A., & Ahmed, Z. (2023). Exploring the effectiveness of artificial intelligence, machine learning and deep learning in trauma triage: A systematic review and meta-analysis. Digital Health, 9, 20552076231205736. doi: 10.1177/20552076231205736

[15] Canadian Institute for Health Information. (2024). Applying an Equity Lens to Patient Safety—Data Tables. Ottawa, ON: CIHI. Retrieved from https://www.cihi.ca/en/topics/health-equity-and-population-health/data-tables

[16] Esumi, R., Funao, H., Kawamoto, E., et al. (2025). Machine learning–based prediction of delirium and risk factor identification in intensive care unit patients with burns: Retrospective observational study. JMIR Formative Research, 9, e65190. doi: 10.2196/65190

[17] Wang, L., Xue, Z., Ezeana, C. F., et al. (2019). Preventing inpatient falls with injuries using integrative machine learning prediction: A cohort study. NPJ Digital Medicine, 2(1), 127. doi: 10.1038/s41746-019-0200-3

[18] Gauss, T., James, A., Colas, C., et al. (2025). Comparison of machine learning and human prediction to identify trauma patients in need of hemorrhage control resuscitation (ShockMatrix study): A prospective observational study. The Lancet Regional Health–Europe, 55, 101340. doi: 10.1016/j.lanepe.2025.101340

[19] Li, J., Xi, F., Yu, W., et al. (2023). Real-time prediction of sepsis in critical trauma patients: Machine learning–based modeling study. JMIR Formative Research, 7(1), e42452. doi: 10.2196/42452

[20] Rojas, J. C., Carey, K. A., Edelson, D. P., et al. (2018). Predicting intensive care unit readmission with machine learning using electronic health record data. Annals of the American Thoracic Society, 15(7), 846–853. doi: 10.1513/AnnalsATS.201710-787OC

[21] Cardosi, J. D., Shen, H., Groner, J. I., et al. (2021). Machine learning for outcome predictions of patients with trauma during emergency department care. BMJ Health & Care Informatics, 28(1), e100407. doi: 10.1136/bmjhci-2021-100407

[22] Raita, Y., Goto, T., Faridi, M. K., et al. (2019). Emergency department triage prediction of clinical outcomes using machine learning models. Critical Care, 23, 64. doi: 10.1186/s13054-019-2351-7

[23] Lin, C., Liang, Z., Liu, J., et al. (2023). A machine learning-based prediction model pre-operatively for functional recovery after 1-year of hip fracture surgery in older people. Frontiers in Surgery, 10, 1160085. doi: 10.3389/fsurg.2023.1160085

[24] Rahmani, A. M., Yousefpoor, E., Yousefpoor, M. S., et al. (2021). Machine Learning (ML) in medicine: Review, applications, and challenges. Mathematics, 9(22), 2970. https://doi.org/10.3390/math9222970

[25] Wu, G., & Yang, F. (2025). Ethical considerations for machine learning research using free-text electronic medical records: Challenges, evidence, and best practices. Hospitals, 2(4), 29. doi: 10.3390/hospitals2040029

[26] Wu, G., Cheligeer, C., Brisson, A. M., Quan, M. L., Cheung, W. Y., Brenner, D., Lupichuk, S., Teman, C., Basmadjian, R. B., Popwich, B., & Xu, Y. (2023). A new method of identifying pathologic complete response after neoadjuvant chemotherapy for breast cancer patients using a population-based electronic medical record system. Annals of Surgical Oncology, 30(4), 2095–2103. doi: 10.1245/s10434-022-12955-6

Downloads

Published

2026-09-29

Issue

Section

Article

How to Cite

Machine Learning for Enhancing Quality and Safety in Trauma Care for Older Adults: A Conceptual Framework. (2026). Journal of Advances in Artificial Intelligence, 4(3), 190-199. https://doi.org/10.18178/JAAI.2026.4.3.190-199

Similar Articles

1-10 of 11

You may also start an advanced similarity search for this article.