# Adaptive Multi-Agent Deep Reinforcement Learning for Timely Healthcare Interventions

arXiv: https://arxiv.org/abs/2309.10980 · HTML: https://mlsanity.com/paper/2309.10980/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 13 of its 48 references that are in the map.
- First posted on arXiv 20 Sep 2023.

## Builds on (most cited first, 13 of 13)

- [Multi-Agent Actor-Critic for Mixed Cooperative-Competitive Environments](https://mlsanity.com/paper/1706.02275/) (2017)
- [Deep Reinforcement Learning for Autonomous Driving: A Survey](https://mlsanity.com/paper/2002.00444/) (2020)
- [Monotonic Value Function Factorisation for Deep Multi-Agent Reinforcement Learning](https://mlsanity.com/paper/2003.08839/) (2020)
- [Reinforcement Learning in Healthcare: A Survey](https://mlsanity.com/paper/1908.08796/) (2019)
- [Exploring the Landscape of Machine Unlearning: A Comprehensive Survey and Taxonomy](https://mlsanity.com/paper/2305.06360/) (2023)
- [Behavior Priors for Efficient Reinforcement Learning](https://mlsanity.com/paper/2010.14274/) (2020)
- [A Reinforcement Learning System to Encourage Physical Activity in Diabetes Patients](https://mlsanity.com/paper/1605.04070/) (2016)
- [Probabilistic Machine Learning for Healthcare](https://mlsanity.com/paper/2009.11087/) (2020)
- [FRAMU: Attention-based Machine Unlearning using Federated Reinforcement Learning](https://mlsanity.com/paper/2309.10283/) (2023)
- [Lio -- A Personal Robot Assistant for Human-Robot Interaction and Care Applications](https://mlsanity.com/paper/2006.09019/) (2020)
- [Graph-enabled Reinforcement Learning for Time Series Forecasting with Adaptive Intelligence](https://mlsanity.com/paper/2309.10186/) (2023)
- [Unsupervised Embedding Learning for Human Activity Recognition Using Wearable Sensor Data](https://mlsanity.com/paper/2307.11796/) (2023)
- [AI enabled RPM for Mental Health Facility](https://mlsanity.com/paper/2301.08828/) (2023)

## Built on by (most cited first, 3 of 3)

- [H2-MARL: Multi-Agent Reinforcement Learning for Pareto Optimality in Hospital Capacity Strain and Human Mobility during Epidemic](https://mlsanity.com/paper/2503.10907/) (2025)
- [When Pigs Get Sick: Multi-Agent AI for Swine Disease Detection](https://mlsanity.com/paper/2503.15204/) (2025)
- [COTCAgent: Preventive Consultation via Probabilistic Chain-of-Thought Completion](https://mlsanity.com/paper/2605.15016/) (2026)

## Abstract (arXiv)

Effective patient monitoring is vital for timely interventions and improved healthcare outcomes. Traditional monitoring systems often struggle to handle complex, dynamic environments with fluctuating vital signs, leading to delays in identifying critical conditions. To address this challenge, we propose a novel AI-driven patient monitoring framework using multi-agent deep reinforcement learning (DRL). Our approach deploys multiple learning agents, each dedicated to monitoring a specific physiological feature, such as heart rate, respiration, and temperature. These agents interact with a generic healthcare monitoring environment, learn the patients' behavior patterns, and make informed decisions to alert the corresponding Medical Emergency Teams (METs) based on the level of emergency estimated. In this study, we evaluate the performance of the proposed multi-agent DRL framework using real-world physiological and motion data from two datasets: PPG-DaLiA and WESAD. We compare the results with several baseline models, including Q-Learning, PPO, Actor-Critic, Double DQN, and DDPG, as well as monitoring frameworks like WISEML and CA-MAQL. Our experiments demonstrate that the proposed DRL approach outperforms all other baseline models, achieving more accurate monitoring of patient's vital signs. Furthermore, we conduct hyperparameter optimization to fine-tune the learning process of each agent. By optimizing hyperparameters, we enhance the learning rate and discount factor, thereby improving the agents' overall performance in monitoring patient health status.
