ABSTRACT
In this paper we propose a fuzzy logic-based approach to analyze UK National Health Service (NHS) public administrative data related to pre-and post-pandemic claims filed by patients, analyzing the legal and ethical issues connected to the use of Artificial Intelligence systems, including our own, to take critical decisions having a significant impact on patients, such as employing computational intelligence to justify the management choices related to Intensive Care Unit (ICU) bed allocation. Differently from previous papers, in this work we follow an unsupervised approach and, specifically, we perform an analysis of UK hospitals by means of a computational intelligence algorithm integrating Fuzzy C-Means and swarm intelligence. The dataset that we analyse allows us to compare pre-and post-pandemic data, to analyze the ethical and legal challenges of the use of computational intelligence for critical decision-making in the health care field. © 2022 IEEE.
ABSTRACT
Machine Learning (ML) models play an important role in healthcare thanks to their remarkable performance in predicting complex phenomena. During the COVID-19 pandemic, different ML models were implemented to support decisions in the medical settings. However, clinical experts need to ensure that these models are valid, provide clinically useful information, and are implemented and used correctly. In this vein, they need to understand the logic behind the models to be able to trust them. Hence, developing transparent and interpretable models has increasing relevance. In this work, we applied four interpretable ML models including logistic regression, decision tree, pyFUME, and RIPPER to classify suspected COVID-19 patients based on clinical data collected from blood samples. After preprocessing the data set and training the models, we evaluate the models based on their predictive performance. Then, we illustrate that interpretability can be achieved in different ways. First, SHAP explanations are built from logistic regression and decision trees to obtain the features' importance. Then, the potential of pyFUME and RIPPER in providing inherent interpretability are reflected. Finally, potential ways to achieve trust in future studies are briefly discussed. © 2022 IEEE.
ABSTRACT
The COVID-19 pandemic has generated an overall slowdown in hospital activities that might lead to delays in healthcare interventions, and the scarcity of resources can raise concerns about ventilators allocation criteria. These circumstances could lead to lawsuits against hospitals and healthcare professionals: together with Regions and States, they may be vulnerable to legal actions, due to the breach of right to health, to physical integrity and right to life, to the manifestation of the informed consent in the medical field or on the basis of contractual or Aquilian obligations. In this context, predicting the litigation rate could be useful to assess the economic impact of a dispute at a local and national level, so that hospital managers and public institutions can perform multi-dimensional and cost/benefit evaluations to decide whether to invest resources to increase critical care surge capacity. In this work we present CLIP (COVID-19 LItigation Prediction), a modeling approach supported by swarm intelligence designed to forecast the occupancy of intensive care units using COVID-19 time-series. CLIP fits a logistic model of COVID-19 patients admission in order to estimate the future number of patients, and then exploits a probabilistic model to predict the number of occupied intensive care beds, whose parameters are calibrated by means of Fuzzy Self-Tuning Particle Swarm Optimization. We assume that each individual rejected from an intensive care unit due to the lack of resources should be considered a potential plaintiff. The development and the availability of such a predictive model, that could further be used within other clinical conditions and important diseases, could help policy-makers in taking decisions under conditions of uncertainty. © 2020 IEEE.