Abstract:Learning from Demonstration (LfD) is a framework that allows lay users to easily program robots. However, the efficiency of robot learning and the robot's ability to generalize to task variations hinges upon the quality and quantity of the provided demonstrations. Our objective is to guide human teachers to furnish more effective demonstrations, thus facilitating efficient robot learning. To achieve this, we propose to use a measure of uncertainty, namely task-related information entropy, as a criterion for suggesting informative demonstration examples to human teachers to improve their teaching skills. In a conducted experiment (N=24), an augmented reality (AR)-based guidance system was employed to train novice users to produce additional demonstrations from areas with the highest entropy within the workspace. These novice users were trained for a few trials to teach the robot a generalizable task using a limited number of demonstrations. Subsequently, the users' performance after training was assessed first on the same task (retention) and then on a novel task (transfer) without guidance. The results indicated a substantial improvement in robot learning efficiency from the teacher's demonstrations, with an improvement of up to 198% observed on the novel task. Furthermore, the proposed approach was compared to a state-of-the-art heuristic rule and found to improve robot learning efficiency by 210% compared to the heuristic rule.
Abstract:Once integrated into clinical care, patient risk stratification models may perform worse compared to their retrospective performance. To date, it is widely accepted that performance will degrade over time due to changes in care processes and patient populations. However, the extent to which this occurs is poorly understood, in part because few researchers report prospective validation performance. In this study, we compare the 2020-2021 ('20-'21) prospective performance of a patient risk stratification model for predicting healthcare-associated infections to a 2019-2020 ('19-'20) retrospective validation of the same model. We define the difference in retrospective and prospective performance as the performance gap. We estimate how i) "temporal shift", i.e., changes in clinical workflows and patient populations, and ii) "infrastructure shift", i.e., changes in access, extraction and transformation of data, both contribute to the performance gap. Applied prospectively to 26,864 hospital encounters during a twelve-month period from July 2020 to June 2021, the model achieved an area under the receiver operating characteristic curve (AUROC) of 0.767 (95% confidence interval (CI): 0.737, 0.801) and a Brier score of 0.189 (95% CI: 0.186, 0.191). Prospective performance decreased slightly compared to '19-'20 retrospective performance, in which the model achieved an AUROC of 0.778 (95% CI: 0.744, 0.815) and a Brier score of 0.163 (95% CI: 0.161, 0.165). The resulting performance gap was primarily due to infrastructure shift and not temporal shift. So long as we continue to develop and validate models using data stored in large research data warehouses, we must consider differences in how and when data are accessed, measure how these differences may affect prospective performance, and work to mitigate those differences.