arXiv:2607. 15432v1 Announce Type: cross Abstract: Emergency department (ED) boarding occurs when admitted patients remain in the ED while awaiting inpatient beds.
arXiv:2609.13543v1 Announce Type: new Abstract: LLM agents are predominantly benchmarked on short, single-task trajectories, yet real deployments run for hours under contention, surfacing a different...
arXiv:2607. 29090v1 Announce Type: new Abstract: Postoperative adverse events, including mortality and morbidity, remain a major global burden, many of which are preventable through early identification of high-risk patients and targeted perioperative care.
arXiv:2510. 15127v3 Announce Type: replace-cross Abstract: Identifying the effects of mechanical ventilation (MV) protocols in critical care requires analyzing data from heterogeneous patient-ventilator systems in the clinical decision-making environment.
arXiv:2608. 07418v1 Announce Type: new Abstract: In medical education, physicians convert academic knowledge into clinical expertise through residency: years of training across thousands of encounters, with diverse sources of feedback and progressively greater autonomy.
arXiv:2607. 08793v1 Announce Type: cross Abstract: Sepsis is a leading cause of mortality, yet optimal treatment policies remain contested.
arXiv:2606. 04632v1 Announce Type: new Abstract: Mechanical ventilation for Acute Respiratory Distress Syndrome (ARDS) requires balancing competing physiological goals, including oxygenation, lung protection, and acid-base homeostasis.
The paper introduces a Physics‑Informed Multi‑Agent Coordination framework that embeds calibrated BCMP queueing topologies into a decentralized multi‑agent reinforcement learning system for hospital patient flow. It formulates the problem as a Decentralized Partially Observable Markov Decision Process with coupled resource constraints, enabling departmental agents to negotiate patient routing and service scaling while exchanging localized action fingerprints to handle non‑stationarity. Empirical tests on MIMIC‑IV data show the approach reduces cumulative system delay compared to static Markovian models, heuristic dispatching, and independent multi‑agent baselines, all while preserving clinical safety constraints.
The study examines how temporal resampling (binning) of irregular clinical data affects the safety and performance of offline reinforcement learning (ORL) models in healthcare. By analyzing MIMIC‑IV insulin infusion records, the authors show that binning can reverse causal order and obscure critical events. In simulated trials with virtual type‑1 diabetes patients, ORL models trained on binned data performed up to 60% worse than those trained on unprocessed data, yet retrospective evaluation on resampled data overestimated their returns.
arXiv:2608. 16482v1 Announce Type: new Abstract: The dosing of intravenous fluids and vasopressors in sepsis is a sequential decision made under uncertainty and guided largely by clinical judgment, which makes it a natural target for reinforcement learning from historical care.
The study evaluates scheduling strategies for echocardiographic exams in a pediatric echo lab, comparing on-the-fly allocation with reservation-based approaches using real operational data from Stanford’s Lucile Packard Children’s Hospital. On-the-fly allocation consistently reduces patient waiting times across all tested reservation configurations. A reinforcement‑learning model (Dueling Double DQN) was trained to approximate an optimal on-the-fly policy but did not outperform the best rule‑based on-the-fly strategy.
arXiv:2601. 16529v4 Announce Type: replace Abstract: Large language models (LLMs) deployed in clinical decision support may acquiesce to patient requests for care that conflicts with evidence-based guidelines.