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Using AI to Optimize Patient Transfer and Resource Utilization During Mass-Casualty Incidents: A Simulation Platform

Created by
  • Haebom

Author

Zhaoxun "Lorenz" Liu, Wagner H. Souza, Jay Han, Amin Madani

Outline

This paper develops and validates a deep reinforcement learning-based decision support AI agent to optimize patient-hospital disposition decisions during a severe multi-casualty incident (MCI). The AI agent optimizes patient transport decisions by considering patient acuity, specialized care needs, hospital capacity, and transport logistics. We integrated the AI agent into a web-based command dashboard called Master and conducted a user study with 30 participants (6 trauma surgeons and 24 non-experts) to evaluate three interaction modes (human-only, human-AI collaboration, and AI-only). We demonstrate that increasing AI intervention improves decision quality and consistency in 20- and 60-patient MCI scenarios in the Toronto area. The AI agent outperforms trauma surgeons (p < 0.001), demonstrating that non-experts can achieve expert-level performance with AI assistance (without assistance, performance is significantly reduced, p < 0.001).

Takeaways, Limitations

Takeaways:
We demonstrate that deep reinforcement learning-based AI agents can improve the quality and efficiency of MCI patient placement decisions.
AI support can improve the decision-making skills of non-experts to expert levels.
Demonstrates the potential of AI-based decision support systems to improve MCI response training and actual emergency response management.
Limitations:
Since the results were obtained in a simulation environment, further research is needed to determine their generalizability to actual MCI situations.
Further review of the MASTER system's usability and potential for integration with real-world healthcare systems is needed.
Further research is needed on its applicability to different types of MCI and hospital systems.
The number of participants may be limited. Larger studies may be needed.
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