Evidence map›Paper›PMID 32477686›Full record

ArticleAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science2020

Interpretable Batch IRL to Extract Clinician Goals in ICU Hypotension Management.

Srivatsan Srinivasan, Finale Doshi-Velez

Abstract read
In one paragraph

Article in AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Trajectory Inspection: A Method for Iterative Clinician-Driven Design of Reinforcement Learning Studies.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Srivatsan SrinivasanHarvard University, Paulson School of Engineering and Applied Sciences, Cambridge, MA.
Finale Doshi-VelezHarvard University, Paulson School of Engineering and Applied Sciences, Cambridge, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposing and understanding the motivations of clinicians is an important step for building robust assistive agents as well as improving care. In this work, we focus on understanding the motivations for clinicians managing hypotension in the ICU. We model the ICU interventions as a batch, sequential decision making problem and develop a novel interpretable batch variant of Adversarial Inverse Reinforcement Learning algorithm that not only learns rewards which induce treatment policies similar to clinical treatments, but also ensure that the learned functional form of rewards is consistent with the decision mechanisms of clinicians in the ICU. We apply our approach to understanding vasopressor and IVfluid administration in the ICU and posit that this interpretability enables inspection and validation of the rewards robustly.

Identifiers

PMID32477686
PMCPMC7233064

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.