Unveiling Disparities in Maternity Care: A Topic Modelling Approach to Analysing Maternity Incident Investigation Reports

This study applies Natural Language Processing techniques, including Latent Dirichlet Allocation, to analyse anonymised maternity incident investigation reports from the Healthcare Safety Investigation Branch. The reports underwent preprocessing, annotation using the Safety Intelligence Research taxonomy, and topic modelling to uncover prevalent topics and detect differences in maternity care across ethnic groups. A combination of offline and online methods was utilised to ensure data protection whilst enabling advanced analysis, with offline processing for sensitive data and online processing for non-sensitive data using the `Claude 3 Opus' language model. Interactive topic analysis and semantic network visualisation were employed to extract and display thematic topics and visualise semantic relationships among keywords. The analysis revealed disparities in care among different ethnic groups, with distinct focus areas for the Black, Asian, and White British ethnic groups. The study demonstrates the effectiveness of topic modelling and NLP techniques in analysing maternity incident investigation reports and highlighting disparities in care. The findings emphasise the crucial role of advanced data analysis in improving maternity care quality and equity.

Intelligent Multi-Document Summarisation for Extracting Insights on Racial Inequalities from Maternity Incident Investigation Reports

In healthcare, thousands of safety incidents occur every year, but learning from these incidents is not effectively aggregated. Analysing incident reports using AI could uncover critical insights to prevent harm by identifying recurring patterns and contributing factors. To aggregate and extract valuable information, natural language processing (NLP) and machine learning techniques can be employed to summarise and mine unstructured data, potentially surfacing systemic issues and priority areas for improvement. This paper presents I-SIRch:CS, a framework designed to facilitate the aggregation and analysis of safety incident reports while ensuring traceability throughout the process. The framework integrates concept annotation using the Safety Intelligence Research (SIRch) taxonomy with clustering, summarisation, and analysis capabilities. Utilising a dataset of 188 anonymised maternity investigation reports annotated with 27 SIRch human factors concepts, I-SIRch:CS groups the annotated sentences into clusters using sentence embeddings and k-means clustering, maintaining traceability via file and sentence IDs. Summaries are generated for each cluster using offline state-of-the-art abstractive summarisation models (BART, DistilBART, T5), which are evaluated and compared using metrics assessing summary quality attributes. The generated summaries are linked back to the original file and sentence IDs, ensuring traceability and allowing for verification of the summarised information. Results demonstrate BART's strengths in creating informative and concise summaries.

I-SIRch: AI-Powered Concept Annotation Tool For Equitable Extraction And Analysis Of Safety Insights From Maternity Investigations

Maternity care is a complex system involving treatments and interactions between patients, providers, and the care environment. To improve patient safety and outcomes, understanding the human factors (e.g. individuals decisions, local facilities) influencing healthcare delivery is crucial. However, most current tools for analysing healthcare data focus only on biomedical concepts (e.g. health conditions, procedures and tests), overlooking the importance of human factors. We developed a new approach called I-SIRch, using artificial intelligence to automatically identify and label human factors concepts in maternity healthcare investigation reports describing adverse maternity incidents produced by England's Healthcare Safety Investigation Branch (HSIB). These incident investigation reports aim to identify opportunities for learning and improving maternal safety across the entire healthcare system. I-SIRch was trained using real data and tested on both real and simulated data to evaluate its performance in identifying human factors concepts. When applied to real reports, the model achieved a high level of accuracy, correctly identifying relevant concepts in 90\% of the sentences from 97 reports. Applying I-SIRch to analyse these reports revealed that certain human factors disproportionately affected mothers from different ethnic groups. Our work demonstrates the potential of using automated tools to identify human factors concepts in maternity incident investigation reports, rather than focusing solely on biomedical concepts. This approach opens up new possibilities for understanding the complex interplay between social, technical, and organisational factors influencing maternal safety and population health outcomes. By taking a more comprehensive view of maternal healthcare delivery, we can develop targeted interventions to address disparities and improve maternal outcomes.

Steps Towards Satisficing Distributed Dynamic Team Trust

Defining and measuring trust in dynamic, multiagent teams is important in a range of contexts, particularly in defense and security domains. Team members should be trusted to work towards agreed goals and in accordance with shared values. In this paper, our concern is with the definition of goals and values such that it is possible to define 'trust' in a way that is interpretable, and hence usable, by both humans and robots. We argue that the outcome of team activity can be considered in terms of 'goal', 'individual/team values', and 'legal principles'. We question whether alignment is possible at the level of 'individual/team values', or only at the 'goal' and 'legal principles' levels. We argue for a set of metrics to define trust in human-robot teams that are interpretable by human or robot team members, and consider an experiment that could demonstrate the notion of 'satisficing trust' over the course of a simulated mission.