The present disclosure relates approaches that may be used to analyze data from hospital records to identify deficiencies in the operation of the hospital. In certain implementations, features of the data may be evaluated in conjunction with performance indicators to identify root causes associated with the deficiencies. In further implementations, identification of root causes of deficiencies identified in the historical data may be used to generate recommendations for changes to the operation of the hospital. In further implementations, events may be predicted based on the identification of a features or features within the current data that is indicative of a pending problem or event.