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Register a new userThe Role of Explainability in Assuring Safety of Machine Learning in Healthcare
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Yan Jia
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Established approaches to assuring safety-critical systems and software are difficult to apply to systems employing machine learning (ML). In many cases, ML is used on ill-defined problems, e.g. optimising sepsis treatment, where there is no clear, pre-defined specification against which to assess validity. This problem is exacerbated by the opaque nature of ML where the learnt model is not amenable to human scrutiny. Explainable AI methods have been proposed to tackle this issue by producing human-interpretable representations of ML models which can help users to gain confidence and build trust in the ML system. However, there is not much work explicitly investigating the role of explainability for safety assurance in the context of ML development. This paper identifies ways in which explainable AI methods can contribute to safety assurance of ML-based systems. It then uses a concrete ML-based clinical decision support system, concerning weaning of patients from mechanical ventilation, to demonstrate how explainable AI methods can be employed to produce evidence to support safety assurance. The results are also represented in a safety argument to show where, and in what way, explainable AI methods can contribute to a safety case. Overall, we conclude that explainable AI methods have a valuable role in safety assurance of ML-based systems in healthcare but that they are not sufficient in themselves to assure safety.
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The open-world deployment of Machine Learning (ML) algorithms in safety-critical applications such as autonomous vehicles needs to address a variety of ML vulnerabilities such as interpretability, verifiability, and performance limitations. Research explores different approaches to improve ML dependability by proposing new models and training techniques to reduce generalization error, achieve domain adaptation, and detect outlier examples and adversarial attacks. In this paper, we review and organize practical ML techniques that can improve the safety and dependability of ML algorithms and therefore ML-based software. Our organization maps state-of-the-art ML techniques to safety strategies in order to enhance the dependability of the ML algorithm from different aspects, and discuss research gaps as well as promising solutions.
Understanding the predictions made by machine learning (ML) models and their potential biases remains a challenging and labor-intensive task that depends on the application, the dataset, and the specific model. We present Amazon SageMaker Clarify, an explainability feature for Amazon SageMaker that launched in December 2020, providing insights into data and ML models by identifying biases and explaining predictions. It is deeply integrated into Amazon SageMaker, a fully managed service that enables data scientists and developers to build, train, and deploy ML models at any scale. Clarify supports bias detection and feature importance computation across the ML lifecycle, during data preparation, model evaluation, and post-deployment monitoring. We outline the desiderata derived from customer input, the modular architecture, and the methodology for bias and explanation computations. Further, we describe the technical challenges encountered and the tradeoffs we had to make. For illustration, we discuss two customer use cases. We present our deployment results including qualitative customer feedback and a quantitative evaluation. Finally, we summarize lessons learned, and discuss best practices for the successful adoption of fairness and explanation tools in practice.
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Medication errors continue to be the leading cause of avoidable patient harm in hospitals. This paper sets out a framework to assure medication safety that combines machine learning and safety engineering methods. It uses safety analysis to proactively identify potential causes of medication error, based on expert opinion. As healthcare is now data rich, it is possible to augment safety analysis with machine learning to discover actual causes of medication error from the data, and to identify where they deviate from what was predicted in the safety analysis. Combining these two views has the potential to enable the risk of medication errors to be managed proactively and dynamically. We apply the framework to a case study involving thoracic surgery, e.g. oesophagectomy, where errors in giving beta-blockers can be critical to control atrial fibrillation. This case study combines a HAZOP-based safety analysis method known as SHARD with Bayesian network structure learning and process mining to produce the analysis results, showing the potential of the framework for ensuring patient safety, and for transforming the way that safety is managed in complex healthcare environments.
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