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Decision Tree Classification for Reducing Alert Fatigue in Patient Monitoring Systems Herfiani, Kheisya Talitha; Nurhindarto, Aris; Alzami, Farrikh; Budi, Setyo; Megantara, Rama Aria; Soeleman, M Arief; Handoko, L Budi; Rofiani, Rofiani
Building of Informatics, Technology and Science (BITS) Vol 7 No 3 (2025): December 2025
Publisher : Forum Kerjasama Pendidikan Tinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/bits.v7i3.8414

Abstract

The development of information technology in healthcare opens new opportunities to improve continuous patient monitoring. A major challenge is alert fatigue, where medical personnel are overwhelmed by excessive notifications, reducing concentration, work efficiency, and potentially compromising patient safety. This study presents a proof-of-concept application of the Decision Tree algorithm to analyze alert triggering factors in patient monitoring systems. The dataset is a synthetic health monitoring dataset from Kaggle, containing 10,000 entries with vital parameters including blood pressure, heart rate, oxygen saturation, and glucose levels, designed with deterministic logical relationships between threshold indicators and alert outcomes. The imbalanced dataset (73.67% alert triggered, 26.33% no alert) was intentionally not processed using imbalanced learning techniques to demonstrate Decision Tree's capability in processing structured health data and producing interpretable classifications. The research methodology included data preprocessing, exploratory data analysis, data splitting (90% training, 10% testing), GridSearchCV optimization, and performance evaluation. Results showed perfect metrics (100% accuracy, precision, recall, F1-score), reflecting the deterministic nature of the synthetic dataset rather than real-world clinical complexity. Feature importance analysis identified blood pressure as the most dominant variable, followed by heart rate and glucose levels. This study demonstrates Decision Tree's interpretability and feature importance analysis capabilities in health data contexts, establishing a methodological framework that requires validation on real clinical Electronic Health Record (EHR) data for practical application in reducing alert fatigue and supporting informed clinical decisions.
Data-Driven K-Means Clustering Analysis for Stunting Risk Profiling of Pregnant Women Nazella, Desvita Dian; Hadi, Heru Pramono; Al Zami, Farrikh; Ashari, Ayu; Kusumawati, Yupie; Suharnawi, Suharnawi; Megantara, Rama Aria; Naufal, Muhammad
Building of Informatics, Technology and Science (BITS) Vol 7 No 3 (2025): December 2025
Publisher : Forum Kerjasama Pendidikan Tinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/bits.v7i3.8415

Abstract

Stunting in children is influenced by maternal health conditions during pregnancy. This study aims to classify pregnant women to prevent stunting based on clinical, demographic, and environmental factors using the K-Means Clustering algorithm. A total of 229 data from the Primadona application (Disdalduk KB Kota Semarang) were analyzed using 14 normalized variables. The optimal number of clusters was determined using the Elbow Method and validated using the Silhouette Score, Davies-Bouldin Index, and Calinski-Harabasz Index. The Kruskal-Wallis test was performed to verify differences between clusters. This study resulted in seven clusters with different profiles, with a Silhouette Score of 0.134, Davies-Bouldin Index of 1.509, and Calinski-Harabasz Index of 29.54. These values ​​indicate that the cluster structure is formed and reflects the variation in risk for pregnant women, although there is overlap due to differences in characteristics between individuals. The clustering successfully differentiated pregnant women with low to high risk, influenced by health and environmental factors. This study proves the effectiveness of K-Means in identifying stunting risk patterns in pregnant women and supports more targeted interventions, such as nutritional counseling, disease risk monitoring, education on cigarette smoke exposure, and referrals. Limitations of this study include the unbalanced distribution of data between and the use of cross-sectional data. Future research is recommended to improve pre-processing and compare other clustering methods such as K-Medoids or DBSCAN for more precise stunting risk analysis.