26 research outputs found

    Measuring the impact of COVID-19 on hospital care pathways

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    Care pathways in hospitals around the world reported significant disruption during the recent COVID-19 pandemic but measuring the actual impact is more problematic. Process mining can be useful for hospital management to measure the conformance of real-life care to what might be considered normal operations. In this study, we aim to demonstrate that process mining can be used to investigate process changes associated with complex disruptive events. We studied perturbations to accident and emergency (A &E) and maternity pathways in a UK public hospital during the COVID-19 pandemic. Co-incidentally the hospital had implemented a Command Centre approach for patient-flow management affording an opportunity to study both the planned improvement and the disruption due to the pandemic. Our study proposes and demonstrates a method for measuring and investigating the impact of such planned and unplanned disruptions affecting hospital care pathways. We found that during the pandemic, both A &E and maternity pathways had measurable reductions in the mean length of stay and a measurable drop in the percentage of pathways conforming to normative models. There were no distinctive patterns of monthly mean values of length of stay nor conformance throughout the phases of the installation of the hospital’s new Command Centre approach. Due to a deficit in the available A &E data, the findings for A &E pathways could not be interpreted

    Towards Deep Learning with Competing Generalisation Objectives

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    The unreasonable effectiveness of Deep Learning continues to deliver unprecedented Artificial Intelligence capabilities to billions of people. Growing datasets and technological advances keep extending the reach of expressive model architectures trained through efficient optimisations. Thus, deep learning approaches continue to provide increasingly proficient subroutines for, among others, computer vision and natural interaction through speech and text. Due to their scalable learning and inference priors, higher performance is often gained cost-effectively through largely automatic training. As a result, new and improved capabilities empower more people while the costs of access drop. The arising opportunities and challenges have profoundly influenced research. Quality attributes of scalable software became central desiderata of deep learning paradigms, including reusability, efficiency, robustness and safety. Ongoing research into continual, meta- and robust learning aims to maximise such scalability metrics in addition to multiple generalisation criteria, despite possible conflicts. A significant challenge is to satisfy competing criteria automatically and cost-effectively. In this thesis, we introduce a unifying perspective on learning with competing generalisation objectives and make three additional contributions. When autonomous learning through multi-criteria optimisation is impractical, it is reasonable to ask whether knowledge of appropriate trade-offs could make it simultaneously effective and efficient. Informed by explicit trade-offs of interest to particular applications, we developed and evaluated bespoke model architecture priors. We introduced a novel architecture for sim-to-real transfer of robotic control policies by learning progressively to generalise anew. Competing desiderata of continual learning were balanced through disjoint capacity and hierarchical reuse of previously learnt representations. A new state-of-the-art meta-learning approach is then proposed. We showed that meta-trained hypernetworks efficiently store and flexibly reuse knowledge for new generalisation criteria through few-shot gradient-based optimisation. Finally, we characterised empirical trade-offs between the many desiderata of adversarial robustness and demonstrated a novel defensive capability of implicit neural networks to hinder many attacks simultaneously

    LIPIcs, Volume 274, ESA 2023, Complete Volume

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    LIPIcs, Volume 274, ESA 2023, Complete Volum

    Research Paper: Process Mining and Synthetic Health Data: Reflections and Lessons Learnt

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    Analysing the treatment pathways in real-world health data can provide valuable insight for clinicians and decision-makers. However, the procedures for acquiring real-world data for research can be restrictive, time-consuming and risks disclosing identifiable information. Synthetic data might enable representative analysis without direct access to sensitive data. In the first part of our paper, we propose an approach for grading synthetic data for process analysis based on its fidelity to relationships found in real-world data. In the second part, we apply our grading approach by assessing cancer patient pathways in a synthetic healthcare dataset (The Simulacrum provided by the English National Cancer Registration and Analysis Service) using process mining. Visualisations of the patient pathways within the synthetic data appear plausible, showing relationships between events confirmed in the underlying non-synthetic data. Data quality issues are also present within the synthetic data which reflect real-world problems and artefacts from the synthetic dataset’s creation. Process mining of synthetic data in healthcare is an emerging field with novel challenges. We conclude that researchers should be aware of the risks when extrapolating results produced from research on synthetic data to real-world scenarios and assess findings with analysts who are able to view the underlying data

    Tools and Algorithms for the Construction and Analysis of Systems

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    This open access book constitutes the proceedings of the 28th International Conference on Tools and Algorithms for the Construction and Analysis of Systems, TACAS 2022, which was held during April 2-7, 2022, in Munich, Germany, as part of the European Joint Conferences on Theory and Practice of Software, ETAPS 2022. The 46 full papers and 4 short papers presented in this volume were carefully reviewed and selected from 159 submissions. The proceedings also contain 16 tool papers of the affiliated competition SV-Comp and 1 paper consisting of the competition report. TACAS is a forum for researchers, developers, and users interested in rigorously based tools and algorithms for the construction and analysis of systems. The conference aims to bridge the gaps between different communities with this common interest and to support them in their quest to improve the utility, reliability, exibility, and efficiency of tools and algorithms for building computer-controlled systems

    Proceedings of the 19th Sound and Music Computing Conference

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    Proceedings of the 19th Sound and Music Computing Conference - June 5-12, 2022 - Saint-Étienne (France). https://smc22.grame.f
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